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Background <p>Auditory processing disorders (APDs) impact a child’s ability to understand speech, especially in noisy environments. Current speech-in-noise tests often use lengthy sentences, potentially causing memory difficulties. Therefore, this study aimed to develop and standardize the Speech Intelligibility in Noise with Picture Identification (SPIN-PI) test. The SPIN-PI test focuses on assessing a child’s auditory figure-ground skill, attention, and memory, making it particularly beneficial for children with APDs, language deficits, and communication difficulties.</p> Methods <p>This cross-sectional study included 100 school aged validation group passed normal through otological, audiological, and psychometric evaluation. A new response by picture identification was developed utilizing existing SPIN tests for children; items were developed and assessed for validity (face, content, and construct validity) and reliability (test–retest measures). This was followed by standardizing the SPIN-PI test.</p> Results <p>Twenty pictures representing 20 sentences were selected by face validity. Through content validity, the item content validity index (I-CVI) of each picture showed an acceptable level of 0.83 with a scale CVI average score of 0.958 for all items, revealing an excellent score. Twenty sheets were designed, each containing the validated picture representing the sentence and three odds. The SPIN-PI test scores correlated strongly with the SPIN test, indicating good construct validity. Measures of reliability revealed a good external consistency reliability.</p> Conclusion <p>The developed SPIN-PI test provides an easy, applicable, and reliable approach for evaluating children with APDs, language deficits, and communication difficulties.</p>

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Development of Speech Intelligibility in Noise with Picture Identification (SPIN-PI) test: a new assessment approach for children with auditory processing disorders

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月9日

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  • Soha Abdelraoaf Mekki,
  • Ebtessam Hamed Nada,
  • Ola Abdallah Ibraheem,
  • Amany Mohammad Elsayed Gomaa

摘要

Background

Auditory processing disorders (APDs) impact a child’s ability to understand speech, especially in noisy environments. Current speech-in-noise tests often use lengthy sentences, potentially causing memory difficulties. Therefore, this study aimed to develop and standardize the Speech Intelligibility in Noise with Picture Identification (SPIN-PI) test. The SPIN-PI test focuses on assessing a child’s auditory figure-ground skill, attention, and memory, making it particularly beneficial for children with APDs, language deficits, and communication difficulties.

Methods

This cross-sectional study included 100 school aged validation group passed normal through otological, audiological, and psychometric evaluation. A new response by picture identification was developed utilizing existing SPIN tests for children; items were developed and assessed for validity (face, content, and construct validity) and reliability (test–retest measures). This was followed by standardizing the SPIN-PI test.

Results

Twenty pictures representing 20 sentences were selected by face validity. Through content validity, the item content validity index (I-CVI) of each picture showed an acceptable level of 0.83 with a scale CVI average score of 0.958 for all items, revealing an excellent score. Twenty sheets were designed, each containing the validated picture representing the sentence and three odds. The SPIN-PI test scores correlated strongly with the SPIN test, indicating good construct validity. Measures of reliability revealed a good external consistency reliability.

Conclusion

The developed SPIN-PI test provides an easy, applicable, and reliable approach for evaluating children with APDs, language deficits, and communication difficulties.