基于计算机的听觉训练对成人噪音中言语感知的影响:系统回顾和荟萃分析。

IF 2.2 4区 农林科学 Q2 HORTICULTURE Folia Horticulturae Pub Date : 2023-12-01 Epub Date: 2023-07-12 DOI:10.1007/s12070-023-03920-0
Tayyebe Fallahnezhad, Akram Pourbakht, Reyhane Toufan
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引用次数: 1

摘要

目的:探讨计算机听觉训练对成人噪音中言语感知的影响。在没有语言限制的情况下,从1990年到2020年检索了11个数据库。我们纳入了所有的临床试验研究,并同时进行了比较,以检验成人计算机听觉训练计划的有效性。主要结果是使用“前测试-后测试-控制”指数(dppc2)估计噪声感知中的语音。使用Cochrane协作工具评估随机试验的偏倚风险。在两个主要结局中使用GRADE来调查证据的确定性。23项研究根据主要结局分为两个亚组:12项研究具有语音感知阈值,11项研究具有语音噪声测试分数。基于计算机的听觉训练导致语音噪音感知改善(dppc2: -0.69, 95%CI: -1.11至-0.26;I2 = 69.6%, p = 0.00)和(dppc2: 0.71, 95%CI: 0.38-1.03, I2: 17.8%, p = 0.27)。19项研究被判定为有高偏倚风险,3项研究有低偏倚风险,两个主要结局的证据强度都很低。这一发现表明,以计算机为基础的听觉训练可以作为一种适度有效的干预措施,用于成人的噪音语音感知。然而,由于初步研究的质量较低,证据的确定性较低,结果尚不明确。普洛斯彼罗注册号:CRD42021233193。补充资料:在线版本提供补充资料,网址为10.1007/s12070-023-03920-0。
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The Effect of Computer-Based Auditory Training on Speech-in-Noise Perception in Adults: a Systematic Review and Meta-Analysis.

To investigate the effectiveness of computer-based auditory training on speech-in-noise perception in adults. With no language restriction, 11 databases were searched from 1990 to 2020. We included any clinical trial studies with concurrent comparison groups that examined the effectiveness of computer-based auditory training programs in adults. The primary outcome was a speech in noise perception that was estimated using the "difference pretest-posttest-control" index (dppc2). The risk of bias was assessed using the Cochrane collaboration tool for assessing the risk of bias in randomized trials. The certainty of the evidence was investigated using the GRADE in two primary outcomes. Twenty three studies were included in two subgroups based on primary outcome: 12 studies with speech perception threshold and 11 studies with speech-in-noise test scores. Computer-based auditory training resulted in a speech in noise perception improvement (dppc2:  -0.69, 95%CI:  -1.11 to  -0.26; I2 = 69.6%, p = 0.00) and (dppc2: 0.71, 95%CI: 0.38-1.03, I2: 17.8%, p = 0.27) respectively in both subgroups. 19 studies were judged to have a high risk of bias and 3 studies had a low risk of bias and the strength of the evidence was low in both primary outcomes. This finding indicates that computer-based auditory training can be a moderately effective intervention for speech-in-noise perception in adults. However, due to the low quality of primary studies and the low certainty of the evidence, the results are not yet definite. Prospero registration number: CRD42021233193.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-023-03920-0.

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来源期刊
Folia Horticulturae
Folia Horticulturae Agricultural and Biological Sciences-Horticulture
CiteScore
3.40
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Folia Horticulturae is an international, scientific journal published in English. It covers a broad research spectrum of aspects related to horticultural science that are of interest to a wide scientific community and have an impact on progress in both basic and applied research carried out with the use of horticultural crops and their products. The journal’s aim is to disseminate recent findings and serve as a forum for presenting views as well as for discussing important problems and prospects of modern horticulture, particularly in relation to sustainable production of high yield and quality of horticultural products, including their impact on human health.
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