Discrimination Test Word Difficulty

Abstract
Criteria for the construction and evaluation of clinical speech discrimination test word lists are reviewed. Particular emphasis is placed on the need for such lists to be appropriate and homogeneous in both range and average level of word difficulty. Individual word difficulty data obtained from a clinical population with discrimination losses are presented for the recorded CID W-22 Auditory Test Series. These data permitted the rearrangement of the 200 W-22 words into eight 25-word lists which promise to be more homogeneous in average level of difficulty. However, the range of word difficulty, of both the original or reconstructed tests, falls short of the optimal distribution for a general-purpose speech discrimination test.

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