Development of Hindi word identification in noise test for school aged children

Authors

  • Himadri Bhagat Department of Speech and Hearing, Sri Aurobindo Institute of Speech and Hearing, Sri Aurobindo University, Indore, Madhya Pradesh, India
  • Srabanti Khemka Department of Speech and Hearing, Sri Aurobindo Institute of Speech and Hearing, Sri Aurobindo University, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20260064

Keywords:

Babble noise, Signal to noise ratio, Word in noise

Abstract

Background: Word identification in noise is crucial for effective communication in everyday environments. For children, the ability to identify words in noisy conditions directly impacts language development, learning, and social interaction. This study aimed to develop and standardize Hindi word identification in noise test for children (HWINT-C) and evaluate its performance among school aged typically developing children across varying SNR and word length.

Methods: The study included forty two participants which were further subdivided into subgroup one consisting of 22 typically developing children aged 6-7.11 years (SGI) and 20 typically developing children aged 8-10 years in subgroup two (SGII). Development of Hindi word identification in noise test for children (HWINT-C) involved multi-step processes including selection of words, familiarity rating, and content validation, internal consistency and test-retest reliability. The test included bisyllabic and monosyllabic words recorded by a native Hindi female speaker presented in eight-talker babble at +5 dB and +7 dB SNR administered dioticallyat 65 dB SPL.  

Results: The developed HWINT-C in this study demonstrated to have high internal consistency and test-retest reliability. Typically developing children in the older group (SGII) significantly outperformed the younger group (SGI), Additionally performance improved with increasing signal-to-noise ratio (SNR) in both SGI and SGII, but no significant differences were found across word lengths.

Conclusions: The HWINT-C test is a reliable and valid tool for assessing word-in-noise perception in children. Age-related trend was observed, where performance improved with age, Similar findings were observed with increase in SNR, emphasizing need of favorable conditions in younger population.

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References

Emami SF. The use of homotonic monosyllabic words in the Persian language for the word-in-noise perception test. Aud Vestib Res. 2024;33(1):28-33. DOI: https://doi.org/10.18502/avr.v33i1.14271

Emami SF, Momtaz HE, Mehrabifard M. Central auditory processing impairment in renal failure. Indian J Otolaryngol Head Neck Surg. 2023;76(1):1010-3. DOI: https://doi.org/10.1007/s12070-023-04345-5

Koopmans WJA, Goverts ST, Smits C. Speech recognition abilities in normal-hearing children 4 to 12 years of age in stationary and interrupted noise. Ear Hear. 2018;39(6):1091-103. DOI: https://doi.org/10.1097/AUD.0000000000000569

Emami SF, Shariatpanahi E, Gohari N, Mehrabifard M. Word-in-noise perception test in children. Egypt J Otolaryngol. 2024;40(1):64. DOI: https://doi.org/10.1186/s43163-024-00625-1

American Speech-Language-Hearing Association (ASHA) Working Group on Classroom Acoustics. Guidelines for addressing acoustics in educational settings. Lang Speech Hear Serv Sch. 2005;36(3):221-9.

British Association of Teachers of the Deaf. Classroom acoustics: Recommended standards. London, UK: British Association of Teachers of the Deaf; 2001.

Saravanan GS, Selvarajan HG, McPherson B. Profiling Indian classroom listening conditions in schools for children with hearing impairment. Noise Health. 2019;21(99):83-95.

Dubas C, Porter H, McCreery RW, Buss E, Leibold LJ. Speech-in-speech recognition in preschoolers. Int J Audiol. 2023;62(3):261-8. DOI: https://doi.org/10.1080/14992027.2022.2035833

Phatak SA, Allen JB. Consonant and vowel confusions in speech-weighted noise. J Acoust Soc Am. 2007;121(4):2312-26. DOI: https://doi.org/10.1121/1.2642397

Phatak SA, Lovitt A, Allen JB. Consonant confusions in white noise. J Acoust Soc Am. 2008;124(2):1220-33. DOI: https://doi.org/10.1121/1.2913251

Freyman RL, Balakrishnan U, Helfer KS. Effect of number of masking talkers and auditory priming on informational masking in speech recognition. J Acoust Soc Am. 2004;115(5):2246-56. DOI: https://doi.org/10.1121/1.1689343

Brännström KJ, von Lochow H, Åhlander VL, Sahlén B. Immediate passage comprehension and encoding of information into long-term memory in children with normal hearing: the effect of voice quality and multitalker babble noise. Am J Audiol. 2018;27(2):231-7. DOI: https://doi.org/10.1044/2018_AJA-17-0061

Wong LL, Zhu S, Chen Y, Li X, Chan WM. Discrimination of consonants in quiet and in noise in Mandarin-speaking children with normal hearing. PLoS One. 2023;18(3):e0283198. DOI: https://doi.org/10.1371/journal.pone.0283198

Ghosh V, Devananda D, Harisanker SB, Kumar H. Speech perception in noise in Malayalam speaking young adults with normal hearing. J Hear Sci. 2024;14(2):33-8. DOI: https://doi.org/10.17430/jhs/191377

Yathiraj A, Vanaja CS. Age-related changes in auditory processes in children aged 6 to 10 years. Int J Pediatr Otorhinolaryngol. 2015;79(8):1224-34. DOI: https://doi.org/10.1016/j.ijporl.2015.05.018

American Speech-Language-Hearing Association. Guidelines for audiologic screening. ASHA. 1997;39(Suppl 17):19-26.

Vaidyanath R, Yathiraj A. Screening checklist for auditory processing in adults (SCAP-A): development and preliminary findings. J Hear Sci. 2014;4(1):27-37. DOI: https://doi.org/10.17430/890788

Acoustical Society of America. Acoustical performance criteria, design requirements, and guidelines for schools (ANSI/ASA S12.60-2010/Part 1). American National Standards Institute; 2010. Available at: https://acousticalsociety.org/ classroom-acoustics/. Accessed September 5, 2025.

Rahman TTA. Development and standardization of Arabic words in noise test in Egyptian children. Int J Pediatr Otorhinolaryngol. 2018;108:1-7. DOI: https://doi.org/10.1016/j.ijporl.2017.11.019

Lotfi Y, Salim S, Mehrkian S, Ahmadi T, Biglarian A. The Persian version of words-in-noise test for young population: Development and validation. Aud Vestib Res. 2016;25(4):194-200.

Disha BR, Sharda AS. Development of speech perception test in noise for young Marathi-speaking children. J Indian Speech Lang Hear Assoc. 2024;38(2):122-7. DOI: https://doi.org/10.4103/jisha.jisha_32_24

Pathak A, Nanavati N. Development of trisyllabic word recognition in noise test for Marathi-speaking children. J Health Allied Sci NU. 2025;15(Suppl 1):S11-6. DOI: https://doi.org/10.1055/s-0044-1788679

Mamatha NM, Yathiraj A. Variation in speech perception in noise as a function of age in typically developing children. J Indian Speech Lang Hear Assoc. 2019;33(1):32-7. DOI: https://doi.org/10.4103/jisha.JISHA_17_18

Liu HH, Liu S, Li Y, Zheng ZP, Jin X, Li J, et al. Effects of noise competition on monosyllabic and disyllabic word perception in children. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(5):349-54.

Talarico M, Abdilla G, Aliferis M, Balazic I, Giaprakis I, Stefanakis T, et al. Effect of age and cognition on childhood speech in noise perception abilities. Audiol Neurootol. 2006;12(1):13-9. DOI: https://doi.org/10.1159/000096153

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Published

2026-01-23

How to Cite

Bhagat, H., & Khemka, S. (2026). Development of Hindi word identification in noise test for school aged children. International Journal of Otorhinolaryngology and Head and Neck Surgery, 12(1), 47–52. https://doi.org/10.18203/issn.2454-5929.ijohns20260064

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Original Research Articles