Predicting speech-in-noise recognition from performance on the trail making test: results from a large-scale internet study

Objective: The aim of the study was to investigate the utility of an internet- based version of the trail making test (TMT) to predict performance on a speech-in-noise perception task.

Design: Data were taken from a sample of 1509 listeners between ages 18 and 91 years old. Participants completed computerized versions of the TMT and an adaptive speech-in-noise recognition test. All testing was conducted via the internet.

Results: The results indicate that better performance on both the simple and complex subtests of the TMT are associated with better speechin- noise recognition scores. Thirty-eight percent of the participants had scores on the speech-in-noise test that indicated the presence of a hearing loss.

Conclusions: The findings suggest that the TMT may be a useful tool in the assessment, and possibly the treatment, of speech-recognition difficulties. The results indicate that the relation between speech-in-noise recognition and TMT performance relates both to the capacity of the TMT to index processing speed and to the more complex cognitive abilities also implicated in TMT performance.