الفهرس 
Speech in noise tests
Hearing in Noise Test (HINT)Only 14 pages are availabe for public view
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Abstract
One of the most frequent complaints of adult hearing aid users
is that comprehending speech is challenging in noisy environments.
Indeed, insufficient benefit of hearing aids in noisy situations seems
to be an important reason for people fitted with a hearing aid not to
use it (Koch et al., 2016).
Nabelek and colleagues (1991) developed the acceptable noise
level (ANL) test to quantify a person’ s background noise tolerance.
The ANL was defined as the difference between the most
comfortable level when following discourse, and the maximal
amount of background noise that can be tolerated while still
following the discourse (Walravens et al., 2014).
Nabelek et al., (2006) investigated ANLs in 191 listeners in
both unaided and aided conditions. According to their results there
are three categories of ANLs: low ANL (< 7dB), mid (from 7.1 to 13
dB) and high ANL (>13 dB) and a logistic regression analysis
demonstrated that unaided ANL can predict success rate with hearing
aid use by 85% accuracy.
Our work was designed to develop Arabic speech material for
testing ANL and to standardize the test in normal hearing Egyptian
adults and also to study the effect of hearing loss on ANL.
This study included 50 adults with normal peripheral hearing
sensitivity and 35 patients with bilateral symmetrical sensorineural
hearing loss (SNHL) ranging from moderate to moderately severe
hearing loss. All subjects were subjected to basic audiological