Effects of Advancing Age and Hearing Loss on Gaps-in-Noise Test Performance Purpose The present study evaluated the effects of advancing age and sensorineural hearing loss (SNHL) on approximate temporal gap detection thresholds obtained from the Gaps-in-Noise (GIN; Musiek et al., 2005) test. Method Approximate thresholds from the GIN test were compared among 3 groups of participants (older adults with ... Research Article
Research Article  |   December 01, 2012
Effects of Advancing Age and Hearing Loss on Gaps-in-Noise Test Performance
 
Author Affiliations & Notes
  • Andrew B. John
    University of Oklahoma Health Sciences Center, Oklahoma City
  • James W. Hall, III
    University of Florida, Gainesville
  • Brian M. Kreisman
    Towson University, Maryland
  • Correspondence to Andrew B. John: andrew-b-john@ouhsc.edu
  • James W. Hall III is now at Nova Southeastern University, Fort Lauderdale, FL, and University of Pretoria, South Africa.
    James W. Hall III is now at Nova Southeastern University, Fort Lauderdale, FL, and University of Pretoria, South Africa.×
  • Brian M. Kreisman is now at Calvin College, Grand Rapids, MI.
    Brian M. Kreisman is now at Calvin College, Grand Rapids, MI.×
  • Editor: Sheila Pratt
    Editor: Sheila Pratt×
  • Associate Editor: Gabrielle Saunders
    Associate Editor: Gabrielle Saunders×
Article Information
Hearing Disorders / Research Articles
Research Article   |   December 01, 2012
Effects of Advancing Age and Hearing Loss on Gaps-in-Noise Test Performance
American Journal of Audiology, December 2012, Vol. 21, 242-250. doi:10.1044/1059-0889(2012/11-0023)
History: Received July 20, 2011 , Revised December 20, 2011 , Accepted July 13, 2012
 
American Journal of Audiology, December 2012, Vol. 21, 242-250. doi:10.1044/1059-0889(2012/11-0023)
History: Received July 20, 2011; Revised December 20, 2011; Accepted July 13, 2012
Web of Science® Times Cited: 8

Purpose The present study evaluated the effects of advancing age and sensorineural hearing loss (SNHL) on approximate temporal gap detection thresholds obtained from the Gaps-in-Noise (GIN; Musiek et al., 2005) test.

Method Approximate thresholds from the GIN test were compared among 3 groups of participants (older adults with SNHL, older adults with essentially normal hearing, and young adults with normal hearing). Analyses of variance and regression modeling were used to determine the effect of age and audibility on GIN performance. Comparisons of thresholds obtained from the 4 test lists of the GIN were also conducted.

Results Approximate gap thresholds differed significantly across all groups, with the poorest thresholds found in older adults with SNHL and with the best thresholds found in young adults with normal hearing. The strongest predictor of decreases in GIN performance was increased Audibility Index score, but a significant independent effect of age was also documented. Test list influenced GIN performance only in the group of young adults with normal hearing.

Conclusions The GIN test is a promising clinical measure of temporal resolution. Findings from the present study suggest that age and audibility influence GIN performance and may affect test analysis and interpretation with published normative data.

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