Speech perception scores in cochlear implant recipients: An analysis of ceiling effects in the CUNY sentence test (Quiet) in post-lingually deafened cochlear implant recipients

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Abstract

OBJECTIVES:
To evaluate the clinical utility of the City University of New York sentence test in a cohort of post-lingually deafened cochlear implants recipients over time.
METHODS:
117 post-lingually deafened, Australian English-speaking CI recipients aged between 23 and 98 years (M = 66 years; SD = 15.09) were recruited. CUNY sentence test scores in quiet were collated and analysed at two cut-offs, 95% and 100%, as ceiling scores.
RESULTS:
CUNY sentence scores ranged from 4% to 100% (M = 86.75; SD = 20.65), with 38.8% of participants scoring 95% and 16.5% of participants reaching the 100% scores. The percentage of participants reaching the 95% and 100% ceiling scores increased over time (6 and 12 months post-implantation). The distribution of all post-operative CUNY test scores skewed to the right with 82% of test scores reaching above 90%.
DISCUSSION:
This study demonstrates that the CUNY test cannot be used as a valid tool to measure the speech perception skills of post-lingually deafened CI recipients over time. This may be overcome by using adaptive test protocols or linguistically, cognitively or contextually demanding test materials.
CONCLUSION:
The high percentage of CI recipients achieving ceiling scores for the CUNY sentence test in quiet at 3 months post-implantation, questions the validity of using CUNY in CI assessment test battery and limits its application for use in longitudinal studies evaluating CI outcomes. Further studies are required to examine different methods to overcome this problem.
KEYWORDS:
CUNY Sentence Test; Candidacy; Ceiling Effect; Cochlear Implant; Long-term Outcome; Speech Perception
Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalCochlear Implants International
Volume17
Issue number2
DOIs
Publication statusPublished - 2016

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Speech Perception
Cochlear Implants
Longitudinal Studies

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@article{2d17b563ced14bb3a056575b3179fabf,
title = "Speech perception scores in cochlear implant recipients: An analysis of ceiling effects in the CUNY sentence test (Quiet) in post-lingually deafened cochlear implant recipients",
abstract = "OBJECTIVES:To evaluate the clinical utility of the City University of New York sentence test in a cohort of post-lingually deafened cochlear implants recipients over time.METHODS:117 post-lingually deafened, Australian English-speaking CI recipients aged between 23 and 98 years (M = 66 years; SD = 15.09) were recruited. CUNY sentence test scores in quiet were collated and analysed at two cut-offs, 95{\%} and 100{\%}, as ceiling scores.RESULTS:CUNY sentence scores ranged from 4{\%} to 100{\%} (M = 86.75; SD = 20.65), with 38.8{\%} of participants scoring 95{\%} and 16.5{\%} of participants reaching the 100{\%} scores. The percentage of participants reaching the 95{\%} and 100{\%} ceiling scores increased over time (6 and 12 months post-implantation). The distribution of all post-operative CUNY test scores skewed to the right with 82{\%} of test scores reaching above 90{\%}.DISCUSSION:This study demonstrates that the CUNY test cannot be used as a valid tool to measure the speech perception skills of post-lingually deafened CI recipients over time. This may be overcome by using adaptive test protocols or linguistically, cognitively or contextually demanding test materials.CONCLUSION:The high percentage of CI recipients achieving ceiling scores for the CUNY sentence test in quiet at 3 months post-implantation, questions the validity of using CUNY in CI assessment test battery and limits its application for use in longitudinal studies evaluating CI outcomes. Further studies are required to examine different methods to overcome this problem.KEYWORDS:CUNY Sentence Test; Candidacy; Ceiling Effect; Cochlear Implant; Long-term Outcome; Speech Perception",
keywords = "Cochlear Implant, Candidacy, Speech perception, Long-term Outcome, Ceiling Effect, CUNY Sentence Test",
author = "{Ebrahimi Madiseh}, Azadeh and Robert Eikelboom and Dona Jayakody and Marcus Atlas",
year = "2016",
doi = "10.1080/14670100.2015.1114220",
language = "English",
volume = "17",
pages = "75--80",
journal = "Cochlear Implants International",
issn = "1467-0100",
publisher = "Maney Publishing",
number = "2",

}

TY - JOUR

T1 - Speech perception scores in cochlear implant recipients

T2 - An analysis of ceiling effects in the CUNY sentence test (Quiet) in post-lingually deafened cochlear implant recipients

AU - Ebrahimi Madiseh, Azadeh

AU - Eikelboom, Robert

AU - Jayakody, Dona

AU - Atlas, Marcus

PY - 2016

Y1 - 2016

N2 - OBJECTIVES:To evaluate the clinical utility of the City University of New York sentence test in a cohort of post-lingually deafened cochlear implants recipients over time.METHODS:117 post-lingually deafened, Australian English-speaking CI recipients aged between 23 and 98 years (M = 66 years; SD = 15.09) were recruited. CUNY sentence test scores in quiet were collated and analysed at two cut-offs, 95% and 100%, as ceiling scores.RESULTS:CUNY sentence scores ranged from 4% to 100% (M = 86.75; SD = 20.65), with 38.8% of participants scoring 95% and 16.5% of participants reaching the 100% scores. The percentage of participants reaching the 95% and 100% ceiling scores increased over time (6 and 12 months post-implantation). The distribution of all post-operative CUNY test scores skewed to the right with 82% of test scores reaching above 90%.DISCUSSION:This study demonstrates that the CUNY test cannot be used as a valid tool to measure the speech perception skills of post-lingually deafened CI recipients over time. This may be overcome by using adaptive test protocols or linguistically, cognitively or contextually demanding test materials.CONCLUSION:The high percentage of CI recipients achieving ceiling scores for the CUNY sentence test in quiet at 3 months post-implantation, questions the validity of using CUNY in CI assessment test battery and limits its application for use in longitudinal studies evaluating CI outcomes. Further studies are required to examine different methods to overcome this problem.KEYWORDS:CUNY Sentence Test; Candidacy; Ceiling Effect; Cochlear Implant; Long-term Outcome; Speech Perception

AB - OBJECTIVES:To evaluate the clinical utility of the City University of New York sentence test in a cohort of post-lingually deafened cochlear implants recipients over time.METHODS:117 post-lingually deafened, Australian English-speaking CI recipients aged between 23 and 98 years (M = 66 years; SD = 15.09) were recruited. CUNY sentence test scores in quiet were collated and analysed at two cut-offs, 95% and 100%, as ceiling scores.RESULTS:CUNY sentence scores ranged from 4% to 100% (M = 86.75; SD = 20.65), with 38.8% of participants scoring 95% and 16.5% of participants reaching the 100% scores. The percentage of participants reaching the 95% and 100% ceiling scores increased over time (6 and 12 months post-implantation). The distribution of all post-operative CUNY test scores skewed to the right with 82% of test scores reaching above 90%.DISCUSSION:This study demonstrates that the CUNY test cannot be used as a valid tool to measure the speech perception skills of post-lingually deafened CI recipients over time. This may be overcome by using adaptive test protocols or linguistically, cognitively or contextually demanding test materials.CONCLUSION:The high percentage of CI recipients achieving ceiling scores for the CUNY sentence test in quiet at 3 months post-implantation, questions the validity of using CUNY in CI assessment test battery and limits its application for use in longitudinal studies evaluating CI outcomes. Further studies are required to examine different methods to overcome this problem.KEYWORDS:CUNY Sentence Test; Candidacy; Ceiling Effect; Cochlear Implant; Long-term Outcome; Speech Perception

KW - Cochlear Implant

KW - Candidacy

KW - Speech perception

KW - Long-term Outcome

KW - Ceiling Effect

KW - CUNY Sentence Test

U2 - 10.1080/14670100.2015.1114220

DO - 10.1080/14670100.2015.1114220

M3 - Article

VL - 17

SP - 75

EP - 80

JO - Cochlear Implants International

JF - Cochlear Implants International

SN - 1467-0100

IS - 2

ER -