The Cantonese Hearing in Noise Test for Children.
Lena L N Wong, Yuan Chen, Kam P Leung
PMID 30880642WHAT IT FOUND
Cantonese-speaking children's speech understanding in noise improved with age, reaching adult levels around 10 to 13 years.
The new CHINT-C sentence lists were consistent, and age-specific norms are available.
Key findings
01Before this paper, there was no standardized tool for assessing sentence perception in school-age Cantonese-speaking children.
02The children's version was built from adult Cantonese HINT sentences and arranged into 12 lists of 10 sentences with balanced sound and tone patterns.
03Children's ability to repeat Cantonese sentences in noise improved with age, reaching adult-like performance around 10 to 13 years.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The participants were children with normal hearing, so the norms do not show how children with hearing loss perform. Testing was done in one sound field, and room acoustics can affect scores, so the correction factors may not transfer directly to other rooms. Children could not be tested under headphones because child head-related transfer functions were unavailable, limiting the testing setup to the sound field. The study was not designed to document maturation, so it cannot fully describe how individual children change over time. The sample was recruited from schools at the median performance standard in Hong Kong, so it may not represent Cantonese-speaking children in other regions or children with learning or developmental problems. The youngest groups, 6- and 7-year-olds, showed an unexplained better performance in quiet than some older groups, and their correction factors were omitted. No treatment was tested, so the paper cannot show that any therapy improves speech understanding in noise.
Declared interests
Funding was named as the Research Support Scheme of the Department of Special Education and Counselling at the Education University of Hong Kong and an RGC Competitive Earmarked Research Grant Award (CERT). No commercial sponsor is named.
The easy way to misread this
Do not read this as proof that a hearing-in-noise test can diagnose a hearing disorder or show that therapy works. The study tested a sentence repetition measure in children with normal hearing and did not test any treatment.