Evidence map›Paper›PMID 41032630›Full record

ArticleTrends in hearing

Digits-In-Noise Hearing Test Using Text-to-Speech and Automatic Speech Recognition: Proof-of-Concept Study.

Mohsen Fatehifar, Kevin J Munro, Michael A Stone, David Wong, Tim Cootes, Josef Schlittenlacher

Abstract readComparative StudyValidation Study
In one paragraph

Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Integrated digit-in-noise testing for hearing and cognitive screening.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Review
  3. Review
  4. 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.

Mohsen FatehifarManchester Centre for Audiology and Deafness (ManCAD), University of Manchester, Manchester, UK.ORCID 0000-0001-6256-490X
Kevin J MunroManchester Centre for Audiology and Deafness (ManCAD), University of Manchester, Manchester, UK.ORCID 0000-0001-6543-9098
Michael A StoneManchester Centre for Audiology and Deafness (ManCAD), University of Manchester, Manchester, UK.ORCID 0000-0003-2252-9258
David WongLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0001-8117-9193
Tim CootesCentre for Imaging Sciences, University of Manchester, Manchester, UK.ORCID 0000-0002-2695-9063
Josef SchlittenlacherDepartment of Speech, Hearing and Phonetic Sciences, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This proof-of-concept study evaluated the implementation of a digits-in-noise test we call the 'AI-powered test' that used text-to-speech (TTS) and automatic speech recognition (ASR). Two other digits-in-noise tests formed the baselines for comparison: the 'keyboard-based test' which used the same configurations as the AI-powered test, and the 'independent test', a third-party-sourced test not modified by us. The validity of the AI-powered test was evaluated by measuring its difference from the independent test and comparing it with the baseline, which was the difference between the Keyboard-based test and the Independent test. The reliability of the AI-powered test was measured by comparing the similarity of two runs of this test and the Independent test. The study involved 31 participants: 10 with hearing loss and 21 with normal-hearing. Achieved mean bias and limits-of-agreement showed that the agreement between the AI-powered test and the independent test (-1.3 ± 4.9 dB) was similar to the agreement between the keyboard-based test and the Independent test (-0.2 ± 4.4 dB), indicating that the addition of TTS and ASR did not have a negative impact. The AI-powered test had a reliability of -1.0 ± 5.7 dB, which was poorer than the baseline reliability (-0.4 ± 3.8 dB), but this was improved to -0.9 ± 3.8 dB when outliers were removed, showing that low-error ASR (as shown with the Whisper model) makes the test as reliable as independent tests. These findings suggest that a digits-in-noise test using synthetic stimuli and automatic speech recognition is a viable alternative to traditional tests and could have real-world applications.

Indexed as

Hearing LossNoisePerceptual MaskingSpeech PerceptionAcoustic StimulationAdultAgedAuditory ThresholdCase-Control StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsProof of Concept StudyReproducibility of Resultsautomated testautomatic speech recognitiondigits-in-noise testspeech-in-noise testtext-to-speech

Identifiers

PMID41032630
PMCPMC12489207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.