Modifications of the MUlti stimulus test with Hidden Reference and Anchor (MUSHRA) for use in audiology

Int J Audiol. 2018 Jun;57(sup3):S92-S104. doi: 10.1080/14992027.2016.1220680. Epub 2016 Sep 6.

Abstract

Objective: Two modifications of the standardised MUlti Stimulus test with Hidden Reference and Anchor (MUSHRA), namely MUSHRA simple and MUSHRA drag&drop, were implemented and evaluated together with the original test method. The modifications were designed to maximise the accessibility of MUSHRA for elderly and technically non-experienced listeners, who constitute the typical target group in hearing aid evaluation.

Design: Three MUSHRA variants were assessed based on subjective and objective measures, e.g. test-retest reliability, discrimination ability, time exposure and overall preference. With each method, participants repeated the task to rate the quality of several hearing aid algorithms four times.

Study sample: Fifty listeners grouped into five subject classes were tested, including elderly and technically non-experienced participants with normal and impaired hearing. Normal-hearing, technically experienced students served as controls.

Results: Both modifications can be used to obtain compatible rating results. Both were preferred over the classical MUSHRA procedure. Technically experienced listeners performed best with the modification MUSHRA drag&drop.

Conclusions: The comprehensive comparison of the MUSHRA variants demonstrates that the intuitive modification MUSHRA drag&drop can be generally recommended. However, considering e.g. specific evaluation demands, we suggest a differentiated and careful application of listening test methods.

Keywords: MUSHRA; hearing aid algorithms; perceptual evaluation; quality; subjective evaluation.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Adult
  • Aged
  • Audiology / methods*
  • Auditory Perception*
  • Auditory Threshold
  • Case-Control Studies
  • Correction of Hearing Impairment / instrumentation*
  • Equipment Design
  • Female
  • Hearing Aids*
  • Hearing Loss / diagnosis*
  • Hearing Loss / physiopathology
  • Hearing Loss / psychology
  • Hearing Loss / rehabilitation*
  • Hearing Tests / methods*
  • Hearing*
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation*
  • Predictive Value of Tests
  • Psychoacoustics
  • Reproducibility of Results
  • Young Adult