Abstract

Cochlear implant (CI) performance varies considerably across domains of auditory function, but clinical testing is typically restricted to speech intelligibility. Although other domains, including environmental sound and music perception or speech comprehension, are considered important to quality-of-life and personal safety, their adaptation into clinical use has been limited. The basic auditory skills evaluation (BASE) battery was developed to provide online access to such comprehensive assessment using the Internet as a test delivery platform. It includes 17 3–5 min tests to evaluate (1) basic spectro-temporal processing, (2) processing of environmental sounds and music, and (3) speech perception and comprehension in quiet and background noise. Two groups of 18 and 25 postlingual adult CI users were tested either at home following online instructions or in the lab by an audiologist. Results revealed a range of performance across tests from near ceiling to close to chance. No significant differences in group performance on any of the tests were observed, suggesting that BASE battery can assess a diverse array of abilities online, with varying difficulty levels. These findings provide preliminary support for the use of the test battery for an Internet-based comprehensive assessment of ecologically relevant aspects of auditory perception in adult CI users.

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