Speech Audiometry with Non-Native English Speakers: Insights for Practitioners

In the realm of speech-language pathology, data-driven decisions are crucial for optimizing outcomes, especially when working with non-native English speakers. The research article "Speech audiometry with non-native English speakers: The use of digits and Cantonese words as stimuli" offers valuable insights for practitioners.

This pilot study examined the validity of English speech audiometry with non-native English speakers, focusing on Speech Reception Threshold (SRT) and Word Recognition Score (WRS). It involved 45 adults with English as their second language, 30 of whom were native Cantonese speakers. The study found that English digit pair stimuli were more accurate predictors of pure-tone average than English word stimuli for all participants. Additionally, Cantonese words elicited the lowest speech audiometric thresholds from Cantonese-speaking participants.

Here are key takeaways for practitioners:

• Use Digit Pairs for SRT: The study found that digit pairs were more accurate than English spondees in predicting hearing thresholds for non-native English speakers. Incorporating digit pairs into your assessments can enhance accuracy.
• Consider Native Language Stimuli: For Cantonese speakers, Cantonese words provided better thresholds than English stimuli. When possible, use speech audiometry tests in the client's native language to ensure more accurate results.
• Account for Noise: The study revealed that noise had a larger impact on WRS when testing was done in the second language. This suggests the importance of a quiet environment or using noise-canceling techniques during assessments.
• Be Cautious with Non-Native Speakers: The results emphasize the need for caution when interpreting speech test results for non-native English speakers. Language proficiency can significantly impact test performance, leading to potential misdiagnoses if not carefully considered.

Encouraging further research is also vital. The study's authors recommend more extensive research with larger sample sizes to determine the clinical significance of these findings. As practitioners, staying updated with ongoing research and integrating new evidence into practice is essential for providing the best care to diverse populations.

To read the original research paper, please follow this link: Speech audiometry with non-native English speakers: The use of digits and Cantonese words as stimuli.