Development and Validation of the University of Washington Clinical Assessment of Music Perception Test
OBJECTIVES:Assessment of cochlear implant outcomes centers around speech discrimination. Despite dramatic improvements in speech perception, music perception remains a challenge for most cochlear implant users. No standardized test exists to quantify music perception in a clinically practical manner...
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| Veröffentlicht in: | Ear and hearing 2009-08, Vol.30 (4), p.411-418 |
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| creator | Kang, Robert Nimmons, Grace Liu Drennan, Ward Longnion, Jeff Ruffin, Chad Nie, Kaibao Won, Jong Ho Worman, Tina Yueh, Bevan Rubinstein, Jay |
| description | OBJECTIVES:Assessment of cochlear implant outcomes centers around speech discrimination. Despite dramatic improvements in speech perception, music perception remains a challenge for most cochlear implant users. No standardized test exists to quantify music perception in a clinically practical manner. This study presents the University of Washington Clinical Assessment of Music Perception (CAMP) test as a reliable and valid music perception test for English-speaking, adult cochlear implant users.
DESIGN:Forty-two cochlear implant subjects were recruited from the University of Washington Medical Center cochlear implant program and referred by two implant manufacturers. Ten normal-hearing volunteers were drawn from the University of Washington Medical Center and associated campuses. A computer-driven, self-administered test was developed to examine three specific aspects of music perceptionpitch direction discrimination, melody recognition, and timbre recognition. The pitch subtest used an adaptive procedure to determine just-noticeable differences for complex tone pitch direction discrimination within the range of 1 to 12 semitones. The melody and timbre subtests assessed recognition of 12 commonly known melodies played with complex tones in an isochronous manner and eight musical instruments playing an identical five-note sequence, respectively. Testing was repeated for cochlear implant subjects to evaluate test-retest reliability. Normal-hearing volunteers were also tested to demonstrate differences in performance in the two populations.
RESULTS:For cochlear implant subjects, pitch direction discrimination just-noticeable differences ranged from 1 to 8.0 semitones (Mean = 3.0, SD = 2.3). Melody and timbre recognition ranged from 0 to 94.4% correct (mean = 25.1, SD = 22.2) and 20.8 to 87.5% (mean = 45.3, SD = 16.2), respectively. Each subtest significantly correlated at least moderately with both Consonant-Nucleus-Consonant (CNC) word recognition scores and spondee recognition thresholds in steady state noise and two-talker babble. Intraclass coefficients demonstrating test-retest correlations for pitch, melody, and timbre were 0.85, 0.92, and 0.69, respectively. Normal-hearing volunteers had a mean pitch direction discrimination threshold of 1.0 semitone, the smallest interval tested, and mean melody and timbre recognition scores of 87.5 and 94.2%, respectively.
CONCLUSIONS:The CAMP test discriminates a wide range of music perceptual ability in cochlear im |
| doi_str_mv | 10.1097/AUD.0b013e3181a61bc0 |
| format | Article |
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DESIGN:Forty-two cochlear implant subjects were recruited from the University of Washington Medical Center cochlear implant program and referred by two implant manufacturers. Ten normal-hearing volunteers were drawn from the University of Washington Medical Center and associated campuses. A computer-driven, self-administered test was developed to examine three specific aspects of music perceptionpitch direction discrimination, melody recognition, and timbre recognition. The pitch subtest used an adaptive procedure to determine just-noticeable differences for complex tone pitch direction discrimination within the range of 1 to 12 semitones. The melody and timbre subtests assessed recognition of 12 commonly known melodies played with complex tones in an isochronous manner and eight musical instruments playing an identical five-note sequence, respectively. Testing was repeated for cochlear implant subjects to evaluate test-retest reliability. Normal-hearing volunteers were also tested to demonstrate differences in performance in the two populations.
RESULTS:For cochlear implant subjects, pitch direction discrimination just-noticeable differences ranged from 1 to 8.0 semitones (Mean = 3.0, SD = 2.3). Melody and timbre recognition ranged from 0 to 94.4% correct (mean = 25.1, SD = 22.2) and 20.8 to 87.5% (mean = 45.3, SD = 16.2), respectively. Each subtest significantly correlated at least moderately with both Consonant-Nucleus-Consonant (CNC) word recognition scores and spondee recognition thresholds in steady state noise and two-talker babble. Intraclass coefficients demonstrating test-retest correlations for pitch, melody, and timbre were 0.85, 0.92, and 0.69, respectively. Normal-hearing volunteers had a mean pitch direction discrimination threshold of 1.0 semitone, the smallest interval tested, and mean melody and timbre recognition scores of 87.5 and 94.2%, respectively.
CONCLUSIONS:The CAMP test discriminates a wide range of music perceptual ability in cochlear implant users. Moderate correlations were seen between music test results and both Consonant-Nucleus-Consonant word recognition scores and spondee recognition thresholds in background noise. Test-retest reliability was moderate to strong. The CAMP test provides a reliable and valid metric for a clinically practical, standardized evaluation of music perception in adult cochlear implant users.</description><identifier>ISSN: 0196-0202</identifier><identifier>EISSN: 1538-4667</identifier><identifier>DOI: 10.1097/AUD.0b013e3181a61bc0</identifier><identifier>PMID: 19474735</identifier><identifier>CODEN: EAHEDS</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Auditory Threshold ; Biological and medical sciences ; Cochlear Implants ; Female ; Hearing Loss - diagnosis ; Hearing Loss - rehabilitation ; Hearing Loss - therapy ; Hearing Tests - methods ; Hearing Tests - standards ; Humans ; Male ; Medical sciences ; Middle Aged ; Music ; Otorhinolaryngology. Stomatology ; Pitch Perception ; Reproducibility of Results ; Speech Perception</subject><ispartof>Ear and hearing, 2009-08, Vol.30 (4), p.411-418</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright © 2009 by Lippincott Williams & Wilkins 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5510-5ed7ba4b4d2dc77274b8ffebbf4547a5b76265c11b8d7724dcbacf00d46b92773</citedby><cites>FETCH-LOGICAL-c5510-5ed7ba4b4d2dc77274b8ffebbf4547a5b76265c11b8d7724dcbacf00d46b92773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21732585$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19474735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Robert</creatorcontrib><creatorcontrib>Nimmons, Grace Liu</creatorcontrib><creatorcontrib>Drennan, Ward</creatorcontrib><creatorcontrib>Longnion, Jeff</creatorcontrib><creatorcontrib>Ruffin, Chad</creatorcontrib><creatorcontrib>Nie, Kaibao</creatorcontrib><creatorcontrib>Won, Jong Ho</creatorcontrib><creatorcontrib>Worman, Tina</creatorcontrib><creatorcontrib>Yueh, Bevan</creatorcontrib><creatorcontrib>Rubinstein, Jay</creatorcontrib><title>Development and Validation of the University of Washington Clinical Assessment of Music Perception Test</title><title>Ear and hearing</title><addtitle>Ear Hear</addtitle><description>OBJECTIVES:Assessment of cochlear implant outcomes centers around speech discrimination. Despite dramatic improvements in speech perception, music perception remains a challenge for most cochlear implant users. No standardized test exists to quantify music perception in a clinically practical manner. This study presents the University of Washington Clinical Assessment of Music Perception (CAMP) test as a reliable and valid music perception test for English-speaking, adult cochlear implant users.
DESIGN:Forty-two cochlear implant subjects were recruited from the University of Washington Medical Center cochlear implant program and referred by two implant manufacturers. Ten normal-hearing volunteers were drawn from the University of Washington Medical Center and associated campuses. A computer-driven, self-administered test was developed to examine three specific aspects of music perceptionpitch direction discrimination, melody recognition, and timbre recognition. The pitch subtest used an adaptive procedure to determine just-noticeable differences for complex tone pitch direction discrimination within the range of 1 to 12 semitones. The melody and timbre subtests assessed recognition of 12 commonly known melodies played with complex tones in an isochronous manner and eight musical instruments playing an identical five-note sequence, respectively. Testing was repeated for cochlear implant subjects to evaluate test-retest reliability. Normal-hearing volunteers were also tested to demonstrate differences in performance in the two populations.
RESULTS:For cochlear implant subjects, pitch direction discrimination just-noticeable differences ranged from 1 to 8.0 semitones (Mean = 3.0, SD = 2.3). Melody and timbre recognition ranged from 0 to 94.4% correct (mean = 25.1, SD = 22.2) and 20.8 to 87.5% (mean = 45.3, SD = 16.2), respectively. Each subtest significantly correlated at least moderately with both Consonant-Nucleus-Consonant (CNC) word recognition scores and spondee recognition thresholds in steady state noise and two-talker babble. Intraclass coefficients demonstrating test-retest correlations for pitch, melody, and timbre were 0.85, 0.92, and 0.69, respectively. Normal-hearing volunteers had a mean pitch direction discrimination threshold of 1.0 semitone, the smallest interval tested, and mean melody and timbre recognition scores of 87.5 and 94.2%, respectively.
CONCLUSIONS:The CAMP test discriminates a wide range of music perceptual ability in cochlear implant users. Moderate correlations were seen between music test results and both Consonant-Nucleus-Consonant word recognition scores and spondee recognition thresholds in background noise. Test-retest reliability was moderate to strong. The CAMP test provides a reliable and valid metric for a clinically practical, standardized evaluation of music perception in adult cochlear implant users.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Auditory Threshold</subject><subject>Biological and medical sciences</subject><subject>Cochlear Implants</subject><subject>Female</subject><subject>Hearing Loss - diagnosis</subject><subject>Hearing Loss - rehabilitation</subject><subject>Hearing Loss - therapy</subject><subject>Hearing Tests - methods</subject><subject>Hearing Tests - standards</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Music</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pitch Perception</subject><subject>Reproducibility of Results</subject><subject>Speech Perception</subject><issn>0196-0202</issn><issn>1538-4667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtvEzEUhS0EoqHwDxCaDeym2B4_ZjZIUcpLKoJFA0vLjzsZgzMO9kyq_nvcJCqPBasr-Xz33CMfhJ4TfEFwJ18v15cX2GDSQENaogUxFj9AC8KbtmZCyIdogUknakwxPUNPcv6OMaGdYI_RGemYZLLhC7S5hD2EuNvCOFV6dNVXHbzTk49jFftqGqBaj34PKfvp9u7lm86DHzdT0VfBj97qUC1zhpwPFoX4NGdvqy-QLOwOPteQp6foUa9DhmeneY7W795erz7UV5_ff1wtr2rLOcE1ByeNZoY56qyUVDLT9j0Y0zPOpOZGCiq4JcS0rsjMWaNtj7FjwnRUyuYcvTn67mazBWdLpqSD2iW_1elWRe3V38roB7WJe9VQ3LGWF4NXJ4MUf84ludr6bCEEPUKcsxKSMUZZW0B2BG2KOSfo748QrO4aUqUh9W9DZe3FnwF_L50qKcDLE6Bz-dw-6dH6fM9RIhvKD0HbI3cTw1T6-RHmG0hqAB2m4f8ZfgGoEa_p</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Kang, Robert</creator><creator>Nimmons, Grace Liu</creator><creator>Drennan, Ward</creator><creator>Longnion, Jeff</creator><creator>Ruffin, Chad</creator><creator>Nie, Kaibao</creator><creator>Won, Jong Ho</creator><creator>Worman, Tina</creator><creator>Yueh, Bevan</creator><creator>Rubinstein, Jay</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200908</creationdate><title>Development and Validation of the University of Washington Clinical Assessment of Music Perception Test</title><author>Kang, Robert ; Nimmons, Grace Liu ; Drennan, Ward ; Longnion, Jeff ; Ruffin, Chad ; Nie, Kaibao ; Won, Jong Ho ; Worman, Tina ; Yueh, Bevan ; Rubinstein, Jay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5510-5ed7ba4b4d2dc77274b8ffebbf4547a5b76265c11b8d7724dcbacf00d46b92773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Auditory Threshold</topic><topic>Biological and medical sciences</topic><topic>Cochlear Implants</topic><topic>Female</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - rehabilitation</topic><topic>Hearing Loss - therapy</topic><topic>Hearing Tests - methods</topic><topic>Hearing Tests - standards</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Music</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pitch Perception</topic><topic>Reproducibility of Results</topic><topic>Speech Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kang, Robert</creatorcontrib><creatorcontrib>Nimmons, Grace Liu</creatorcontrib><creatorcontrib>Drennan, Ward</creatorcontrib><creatorcontrib>Longnion, Jeff</creatorcontrib><creatorcontrib>Ruffin, Chad</creatorcontrib><creatorcontrib>Nie, Kaibao</creatorcontrib><creatorcontrib>Won, Jong Ho</creatorcontrib><creatorcontrib>Worman, Tina</creatorcontrib><creatorcontrib>Yueh, Bevan</creatorcontrib><creatorcontrib>Rubinstein, Jay</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ear and hearing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kang, Robert</au><au>Nimmons, Grace Liu</au><au>Drennan, Ward</au><au>Longnion, Jeff</au><au>Ruffin, Chad</au><au>Nie, Kaibao</au><au>Won, Jong Ho</au><au>Worman, Tina</au><au>Yueh, Bevan</au><au>Rubinstein, Jay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and Validation of the University of Washington Clinical Assessment of Music Perception Test</atitle><jtitle>Ear and hearing</jtitle><addtitle>Ear Hear</addtitle><date>2009-08</date><risdate>2009</risdate><volume>30</volume><issue>4</issue><spage>411</spage><epage>418</epage><pages>411-418</pages><issn>0196-0202</issn><eissn>1538-4667</eissn><coden>EAHEDS</coden><abstract>OBJECTIVES:Assessment of cochlear implant outcomes centers around speech discrimination. Despite dramatic improvements in speech perception, music perception remains a challenge for most cochlear implant users. No standardized test exists to quantify music perception in a clinically practical manner. This study presents the University of Washington Clinical Assessment of Music Perception (CAMP) test as a reliable and valid music perception test for English-speaking, adult cochlear implant users.
DESIGN:Forty-two cochlear implant subjects were recruited from the University of Washington Medical Center cochlear implant program and referred by two implant manufacturers. Ten normal-hearing volunteers were drawn from the University of Washington Medical Center and associated campuses. A computer-driven, self-administered test was developed to examine three specific aspects of music perceptionpitch direction discrimination, melody recognition, and timbre recognition. The pitch subtest used an adaptive procedure to determine just-noticeable differences for complex tone pitch direction discrimination within the range of 1 to 12 semitones. The melody and timbre subtests assessed recognition of 12 commonly known melodies played with complex tones in an isochronous manner and eight musical instruments playing an identical five-note sequence, respectively. Testing was repeated for cochlear implant subjects to evaluate test-retest reliability. Normal-hearing volunteers were also tested to demonstrate differences in performance in the two populations.
RESULTS:For cochlear implant subjects, pitch direction discrimination just-noticeable differences ranged from 1 to 8.0 semitones (Mean = 3.0, SD = 2.3). Melody and timbre recognition ranged from 0 to 94.4% correct (mean = 25.1, SD = 22.2) and 20.8 to 87.5% (mean = 45.3, SD = 16.2), respectively. Each subtest significantly correlated at least moderately with both Consonant-Nucleus-Consonant (CNC) word recognition scores and spondee recognition thresholds in steady state noise and two-talker babble. Intraclass coefficients demonstrating test-retest correlations for pitch, melody, and timbre were 0.85, 0.92, and 0.69, respectively. Normal-hearing volunteers had a mean pitch direction discrimination threshold of 1.0 semitone, the smallest interval tested, and mean melody and timbre recognition scores of 87.5 and 94.2%, respectively.
CONCLUSIONS:The CAMP test discriminates a wide range of music perceptual ability in cochlear implant users. Moderate correlations were seen between music test results and both Consonant-Nucleus-Consonant word recognition scores and spondee recognition thresholds in background noise. Test-retest reliability was moderate to strong. The CAMP test provides a reliable and valid metric for a clinically practical, standardized evaluation of music perception in adult cochlear implant users.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19474735</pmid><doi>10.1097/AUD.0b013e3181a61bc0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ear and hearing, 2009-08, Vol.30 (4), p.411-418 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Auditory Threshold Biological and medical sciences Cochlear Implants Female Hearing Loss - diagnosis Hearing Loss - rehabilitation Hearing Loss - therapy Hearing Tests - methods Hearing Tests - standards Humans Male Medical sciences Middle Aged Music Otorhinolaryngology. Stomatology Pitch Perception Reproducibility of Results Speech Perception |
| title | Development and Validation of the University of Washington Clinical Assessment of Music Perception Test |
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