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Assessing the Relationship between Speech Perception Performance and Self-Reported Outcomes Prediction 2.1. Hearing-Specific Questionnaires will Demonstrate a Greater Association with Speech Perception Performance than Generic Health Measures Questionnaires that assess activity and participation relating to hearing and communication correlated more highly with speech perception outcomes than general HRQoL questionnaires. These results are consistent with other studies (Joore et al., 2002; Stark and Hickson, 2004; Chisolm et al., 2007) and this prediction. Prediction 2.2. Correlations with Speech Perception Performance will be Largest for Questionnaires that Capture Aspects of Listening Important for that Particular Speech Perception Test Similar to the cognitive results, different patterns of correlation also existed between self-report measures and speech perception tests. Phoneme discrimination correlated least with self-report measures. At this point we cannot say whether this result occurred because of the low complexity of the speech material or the lack of background noise, or indeed both. All other speech perception tests Bcr-Abl inhibitor showed correlations with at least one self-report outcome. Although DTTV N showed the richest pattern of significant correlations with self-report measures, the differences in correlation to the other speech perception tests involving at least words or sentences only became significant for one questionnaire (i.e., GHABP), and only in contrast to one speech perception test (i.e., ASL). In summary, these results would suggest that these speech perception tests all measure similar aspects of self-reported experiences but that these aspects are represented most strongly in the DTTV N. Prediction 2.3. Procedural Differences in Identifying SNR for Speech Perception Performance may Lead to Different Associations with Self-Report Scales. In Particular, Increasing the Level of Background Noise to Reduce Perceptual Accuracy may be Uniquely Associated with Functioning in Challenging Auditory Environments One particularly interesting aspect of the study was the administration of the same speech task, the DTT, with two different administration protocols and the resulting changes in the correlation with self-reported outcomes. The results showed that administering the task with variable noise (DTTV N) was significantly associated with aspects of communication (hearing-specific EQ-5D), ALDQ, communication (GHABP), and SSQ. However, administering the task with variable speech (DTTV S) was only significantly associated with the SSQ.