Evidence map›Paper›PMID 33284081›Full record

ArticleJournal of occupational and environmental hygiene2021

Speech intelligibility test methodology applied to powered air-purifying respirators used in healthcare.

Susan Xu, Jeremy Simons, Patrick Yorio, Dana Rottach, Ziqing Zhuang, Lewis Radonovich

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of occupational and environmental hygiene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Susan XuCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.
Jeremy SimonsCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.
Patrick YorioCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.
Dana RottachCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.ORCID 0000-0003-0459-5980
Ziqing ZhuangCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.
Lewis RadonovichCenters for Disease Control and Prevention, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory- Pittsburgh, Pennsylvania.
Centers for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Powered air-purifying respirators (PAPRs) are worn to protect workers from hazardous respiratory exposures in a wide range of workplaces, including healthcare. However, PAPRs may diminish the ability of wearers to correctly hear words spoken by others, potentially interfering with safe performance of healthcare duties. Accordingly, the impact of PAPRs during healthcare use on speech intelligibility (SI) and consequently on user safety, usability, and patient care is not well studied. The objectives of this study were to (1) determine a listener's ability to comprehend single-syllable words spoken by a PAPR wearer; (2) determine a PAPR wearer's ability to intelligibly hear and identify single-syllable words spoken by a PAPR wearer; (3) to assess the variability between speakers, listeners, and PAPR models; (4) to investigate the effects of PAPR design features on SI; and (5) inform a SI requirement for certifying future PAPRs for use in healthcare. This study utilized a Modified Rhyme Test to assess SI for PAPRs. The current National Institute for Occupational Safety and Health (NIOSH) methods for assessing SI are limited to the recently introduced PAPR100 respirator class and the class of respirators claiming chemical, biological, radiological, and nuclear (CBRN) protections. Four NIOSH-approved PAPRs were evaluated using four human subjects. Four experimental conditions were examined:(1) Speaker and Listener with no PAPR; (2) Speaker and Listener both wearing PAPRs; (3) Speaker with a PAPR, Listener without a PAPR; and (4) Speaker without a PAPR, Listener with a PAPR resulted in a total of 144 experiments. Statistical analysis showed that the SI performance ratings were not significantly different among the PAPR models, but experimental conditions had significant impact on SI. The pattern of SI across the conditions of the experiment also showed a significant difference depending on PAPR model. The SI performance rating for all PAPRs could meet the current NIOSH CBRN certification requirement for speech intelligibility.

Indexed as

Speech IntelligibilityEquipment DesignHealth PersonnelHumansRespiratory Protective DevicesCommunicationhealth care worker (HCW)NIOSHPAPRsafety

Identifiers

PMID33284081
PMCPMC8028038
OpenAlexW3111173620

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.