Speech assessment in pediatric audiology: An investigation and innovative solution for audiologists

Objectives: This study investigates speech testing practices among audiologists in Saudi Arabia’s pediatric audiology settings and addresses barriers to effective assessments by developing an accessible, user-friendly application. Methods: A modified questionnaire was distributed to audiologists to assess current speech testing practices, perceived challenges, and the need for validated Arabic speech materials. Based on the findings, a hearing evaluation reference (HER) application was developed for iPhone Operating System, providing validated Arabic speech assessment tools for clinical and home use. Results: Among the 33 respondents, 91% recognized the clinical importance of speech testing, yet limited access to validated materials hindered routine implementation. Statistical analyses revealed that years of experience and educational background did not significantly influence the use of speech testing, indicating that external factors such as resource availability may be more critical. In addition, multiple factors collectively influenced speech testing use, rather than any single predictor. Despite these challenges, 88% reported that they would consistently use speech assessments if appropriate materials were available. Preliminary feedback on the HER application indicated high acceptance, with 80% of audiologists willing to incorporate it into routine evaluations. Conclusion: The lack of validated Arabic speech materials remains a critical barrier in pediatric audiology. Findings highlight the need for policy support and improved accessibility to standardized resources, as experience and education alone do not drive clinical adoption. The development of the HER application offers a potential solution, improving access to culturally relevant speech assessment tools. Future research should focus on evaluating its clinical impact and expanding resources for Arabic-speaking populations.