Suggestions for optimizing reliability with the synthetic sentence identification test.

The reliability of the Synthetic Sentence Identification (SSI) test was determined for a group of 33 listeners with mild-to-moderate sensorineural hearing loss. Randomizations of the 10-item test were administered 12 times (six trials on each of two days) under identical listening conditions. Lists were presented monaurally, under earphones, at 90 dB SPL with a cafeteria background noise set at a signal-to-noise ratio (S/N) estimated (by adaptive procedure for each subject) to obtain 50% performance. Average scores ranged from 48.8% for Trial 1 to 67.9% for Trial 9. Reliability of the 12 measurements was determined by Pearson correlation, analyses of variance, and by testing individual differences in scores against a theoretical statistical distribution. Results evidenced large intra-subject variability, especially for the initial trials conducted in each testing session. However, if sufficient practice trials are presented each day under relatively difficult listening conditions, the scores on subsequent lists tend to remain relatively stable. Suggested procedures to optimize reliability are included.