[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-424649-105":59,"doc-detail-424649-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","integrated-digit-in-noise-test-a-rapid-screening-tool-for-hearing-and-cognitive-function","Integrated Digit-in-Noise Test - A Rapid Screening Tool for Hearing and Cognitive Function","","A rapid, easy-to-administer screening approach is proposed for detecting hearing loss and cognitive decline in community settings. The Integrated Digit-in-Noise Test (iDIN) expands the Digit-in-Noise Test by using 2–5 digit sequences and enables simultaneous assessment and differentiation of hearing and cognition. Speech Reception Thresholds are derived from the signal-to-noise ratio at 50% correct digit identification. In 601 older community participants, iDIN hearing cutoffs and MoCA-based cognitive cutoffs support early identification. Results indicate cognitive screening remains effective even with hearing impairment, supporting iDIN as a dual-purpose tool.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/integrated-digit-in-noise-test-a-rapid-screening-tool-for-hearing-and-cognitive-function/424649/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/integrated-digit-in-noise-test-a-rapid-screening-tool-for-hearing-and-cognitive-function/424649.png","ImageObject",300,407,{"name":92,"@type":93},"SANS","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What does the Integrated Digit-in-Noise Test (iDIN) measure?","Question",{"text":113,"@type":114},"iDIN measures digit recognition in noise to obtain speech reception thresholds, using 3-digit thresholds for hearing screening and the difference between backward and forward 3-digit thresholds (SRT3b-3) as an indicator of cognitive function.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is hearing loss screening performed with iDIN?",{"text":118,"@type":114},"Hearing screening uses 3-digit SRT values, with an identified cutoff of -7.7 dB SNR for detecting hearing loss (referenced to better-ear 35 dB HL).",{"name":120,"@type":111,"acceptedAnswer":121},"How does iDIN screen cognitive impairment using MoCA thresholds?",{"text":122,"@type":114},"Cognitive screening uses SRT3b-3 in combination with MoCA cutoffs: for MCI (MoCA 21/22) the optimal SRT3b-3 cutoff is 3.3 dB, and for dementia (MoCA 15) it is 5.5 dB.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},424649,1790889518,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},962090760505,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 1301  \nAbstract citation ID: igaf122.4334  \nINTEGRATED DIGIT-IN-NOISE TEST: A RAPID  \nSCREENING TOOL FOR HEARING AND COGNITIVE  \nFUNCTION  \nLena Wong, June Tung, and Shangqiguo Wang, The University of Hong Kong, Hong Kong, China (People’s Republic)  \nA rapid and easy-to-administer screening tool is essential for community-based detection of hearing loss and cognitive decline.  \nThe Integrated Digit-in-Noise Test (iDIN) extends the traditional Digit-in-Noise Test (DIN) by incorporating 2- to 5-digit sequences, as the only test to simultaneous assess and differentiate hearing and cognition. Speech Reception Thresholds (SRTs) are measured as the signal-to-noise ratio (SNR) at which 50% of digits are correctly identified. Specifically, 3-digit SRTs are used for hearing screening, while the difference between backward and forward 3-digit SRTs (SRT3b-3) serves as an indicator of cognitive function. In this study, 601 community-dwelling participants with potential but undiagnosed hearing loss were recruited (mean age 76.0 ± 8.8 years; education 6.4 ± 4.4 years; MoCA 21.5 ± 6.4) . In terms of hearing screening, the average 3-digit SRT was-4.3 ± 7.0 dB SNR, with a cutoff of-7.7 dB SNR for hearing loss detection (35 dB HL in better ear) (sensitivity 0.85, specificity 0.73). For cognitive screening, the mean SRT3b-3 was 5.03 ± 7.32 dB SNR. Using MoCA thresholds of 21/22 for MCI, the optimal SRT3b-3 cutoff was 3.3 dB (sensitivity 0.74, specificity 0.76); for dementia (MoCA 15), the cutoff was 5.5 dB (sensitivity 0.83, specificity 0.77). No significant correlation was found between SRT3b-3 and better ear hearing levels, indicating that iDIN can effectively be used for cognitive screening in older adults with hearing impairment. In conclusion, iDIN shows promise as a quick, dual-purpose screening tool for early detection of hearing and cognitive issues in community settings.","cbCainEt4KCI3OV4","https://ap.wps.com/l/cbCainEt4KCI3OV4","pdf",1138221,"English","# Abstract\n## iDIN concept and scoring\n## Study design and participant data\n## Hearing screening performance\n## Cognitive screening performance\n## Key findings and conclusion","[{\"question\":\"What does the Integrated Digit-in-Noise Test (iDIN) measure?\",\"answer\":\"iDIN measures digit recognition in noise to obtain speech reception thresholds, using 3-digit thresholds for hearing screening and the difference between backward and forward 3-digit thresholds (SRT3b-3) as an indicator of cognitive function.\"},{\"question\":\"How is hearing loss screening performed with iDIN?\",\"answer\":\"Hearing screening uses 3-digit SRT values, with an identified cutoff of -7.7 dB SNR for detecting hearing loss (referenced to better-ear 35 dB HL).\"},{\"question\":\"How does iDIN screen cognitive impairment using MoCA thresholds?\",\"answer\":\"Cognitive screening uses SRT3b-3 in combination with MoCA cutoffs: for MCI (MoCA 21/22) the optimal SRT3b-3 cutoff is 3.3 dB, and for dementia (MoCA 15) it is 5.5 dB.\"}]","Integrated Digit-in-Noise Test - A Rapid Screening Tool for Hearing and Cognitive Function | PDF",1790634913]