Abstract
Objective: A common testing approach for automated ABR detection is to use a sequential test strategy. Repeated testing increases the error probability for a falsely detected response (Type I error rate). To compensate for this effect, the statistically critical test value must be increased with each test step. The aim of the study was to improve response detection by a reduction of the number of test steps using a progressively increasing test step of iteration, defined here as step width. Design: A progressively increasing test step width was tested with and without the table-related testing (adjusting the critical test value to each test step) proposed by CitationStürzebecher & Cebulla (2013). For this study the same data pool was used. Study sample: The investigation was performed on raw EEG data collected during routine clinical measurement of frequency-specific ASSR for hearing threshold assessment. Results: The reduction of the test step number combined with a progressive test step width led to a significantly improved response detection. In combination with table-related testing a slight but not significant improvement compared to table-related testing alone was revealed. Conclusions: The proposed test strategy can improve the performance of objective hearing threshold assessment and of newborn hearing screening.
Acknowledgements
The authors thank Christiane Walk and Ralph Keim for assisting with the data collection, Department of Audiology, University Hospital Würzburg.
Declaration of interest: The authors declare no conflicts of interest.