An Argument for Self-Report as a Reference Standard in Audiology

Journal of the American Academy of Audiology
Andrew J VermiglioXiangming Fang

Abstract

The primary components of a diagnostic accuracy study are an index test, the target condition (or disorder), and a reference standard. According to the Standards for Reporting Diagnostic Accuracy statement, the reference standard should be the best method available to independently determine if the results of an index test are correct. Pure-tone thresholds have been used as the "gold standard" for the validation of some tests used in audiology. Many studies, however, have shown a lack of agreement between the audiogram and the patient's perception of hearing ability. For example, patients with normal audiograms may report difficulty understanding speech in the presence of background noise. The primary purpose of this article is to present an argument for the use of self-report as a reference standard for diagnostic studies in the field of audiology. This will be in the form of a literature review on pure-tone threshold measures and self-report as reference standards. The secondary purpose is to determine the diagnostic accuracy of pure-tone threshold and Hearing-in-Noise Test (HINT) measures for the detection of a speech-recognition-in-noise disorder. Two groups of participants with normal pure-tone thresholds were evaluated. T...Continue Reading

Citations

Oct 4, 2018·Journal of Primary Care & Community Health·Christine LouwRobert H Eikelboom
Apr 25, 2019·International Journal of Audiology·Vinaya ManchaiahDeborah Ann Hall
Nov 4, 2020·The Journal of the Acoustical Society of America·E Sebastian Lelo de Larrea-ManceraAaron R Seitz
Jul 9, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Andrew J VermiglioXiangming Fang
Aug 25, 2021·Journal of Speech, Language, and Hearing Research : JSLHR·Larry E Humes, Judy R Dubno
Sep 18, 2021·International Journal of Audiology·Andrew J Vermiglio, Xiangming Fang

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