AI Article Synopsis
- The Minimum Speech Test Battery (MSTB) for adults, first introduced in 1996 and updated in 2011, needed revision to accommodate recent changes in cochlear implant (CI) candidacy standards.
- In 2022, a panel of expert audiologists used a modified Delphi process to create the updated MSTB-Version 3 (MSTB-3), which expands the test protocols to include various CI candidates, including those for electric-acoustic stimulation and patients with single-sided deafness.
- MSTB-3 aims to provide evidence-based guidelines and resources for clinicians, including test protocols, patient-reported measures, cognitive screening considerations, and electronic materials available on the ICIT website.
Article Abstract
Purpose: The Minimum Speech Test Battery (MSTB) for adults was introduced in 1996 (Nilsson et al., 1996) and subsequently updated in 2011 (Advanced-Bionics et al., 2011). The MSTB has been widely used by clinicians as a guide for cochlear implant (CI) candidacy evaluations and to document post-operative speech recognition performance. Due to changes in candidacy over the past 10 years, a revision to the MSTB was needed.
Method: In 2022, the Institute for Cochlear Implant Training (ICIT) recruited a panel of expert CI audiologists to update and revise the MSTB. This panel utilized a modified Delphi consensus process to revise the test battery and to improve its applicability considering recent changes in CI care.
Results: This resulted in the MTSB-Version 3 (MSTB-3), which includes test protocols for identifying not only traditional CI candidates but also possible candidates for electric-acoustic stimulation and patients with single-sided deafness and asymmetric hearing loss. The MSTB-3 provides information that supplements the earlier versions of the MSTB, such as recommendations of when to refer patients for a CI, recommended patient-reported outcome measures, considerations regarding the use of cognitive screeners, and sample report templates for clinical documentation of pre- and post-operative care. Electronic versions of test stimuli, along with all the materials described above, will be available to clinicians via the ICIT website (https://www.cochlearimplanttraining.com).
Conclusion: The goal of the MSTB-3 is to be an evidence-based test battery that will facilitate a streamlined standard of care for adult CI candidates and recipients that will be widely used by CI clinicians.
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| http://dx.doi.org/10.1044/2024_AJA-24-00008 | DOI Listing |
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