Preliminary assessment of the feasibility of using AB words to assess candidacy in adults

Cochlear Implants Int. 2016 Apr:17 Suppl 1:17-21. doi: 10.1080/14670100.2016.1161143.

Abstract

Background: Adult cochlear implant (CI) candidacy is assessed in part by the use of speech perception measures. In the United Kingdom the current cut-off point to fall within the CI candidacy range is a score of less than 50% on the BKB sentences presented in quiet (presented at 70 dBSPL).

Goal: The specific goal of this article was to review the benefit of adding the AB word test to the assessment test battery for candidacy.

Results: The AB word test scores showed good sensitivity and specificity when calculated based on both word and phoneme scores. The word score equivalent for 50% correct on the BKB sentences was 18.5% and it was 34.5% when the phoneme score was calculated; these scores are in line with those used in centres in Wales (15% AB word score).

Conclusion: The goal of the British Cochlear Implant Group (BCIG) service evaluation was to determine if the pre-implant assessment measures are appropriate and set at the correct level for determining candidacy, the future analyses will determine whether the speech perception cut-off point for candidacy should be adjusted and whether other more challenging measures should be used in the candidacy evaluation.

Keywords: AB words; BKB sentences; Cochlear implant candidacy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cochlear Implantation / methods*
  • Cochlear Implants
  • Deafness / diagnosis*
  • Deafness / physiopathology
  • Deafness / surgery
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Selection*
  • Speech Discrimination Tests / methods*
  • Speech Discrimination Tests / standards
  • Speech Perception
  • Speech Reception Threshold Test / methods*
  • Speech Reception Threshold Test / standards
  • Treatment Outcome
  • United Kingdom
  • Young Adult