Development and evaluation of a computerized Mandarin speech test system in China

Objectives: This study reports the development and evaluation of a Computerized Mandarin Speech Test System (CMSTS). Methods: Taking into account the rules for developing speech materials and the unique linguistic characteristics of Mandarin, we designed and digitally recorded a set of materials comprised of seven lists of monosyllabic words, nine lists of disyllabic words, and fifteen lists of sentences with a high degree of subject familiarity. The CMSTS was developed with Visual Studio 2008, Access 2003 and DirectX 9. The system included five functions: listener management, a speech test, list management, data management, and system settings. We used the system to measure the speech recognition threshold (SRT) of 76 participants with normal hearing (age range: 20–28 years), and measured performance-intensity functions (PI) for all stimuli. Results: The SRT results were in accord with pure-tone results obtained by pure-tone audiometry. In a speech recognition score (SRS) test, changing the presentation level had the strongest effect on sentence recognition, followed by the presence of disyllabic words. Monosyllabic words were least affected by changes in presentation level. The slopes of the linear portion of the PI using the system were in accord with the findings of previous studies using audiometers and CDs with similar materials. Conclusion: The CMSTS has sufficient sensitivity, and can facilitate the wider use of speech audiometry in Chinese audiology clinics.