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. 2020 Oct 26;41(Suppl 1):5S–19S. doi: 10.1097/AUD.0000000000000944

TABLE 5.

The independent variables from Table 3 with examples of design features applicable to each variable that are considered likely to support a high level of ecological validity of a study, and the rating of how well this is currently and generally achieved in clinical and research settings

Independent variables Examples of design features that presumably support a high level of ecological validity Current state of the art in the
Clinic Laboratory Field
Sources of stimuli
 Stimulus sources The inclusion of varied natural sound sources; nonevent speech; different talkers (e.g., male/female, adult/child, native/accent); familiar talkers. Low Medium High
 Stimulus materials The inclusion of context-dependent cues such as Lombard effects; variation in speed; disfluencies; interjections, and/or emotion. Low Medium High
 Multimodal stimuli Multiple modalities carry manipulations that are consistent and natural for the intended real-world scenario. Low Medium High
 Other people Other people are represented in a manner (e.g., modalities, behavior) that is consistent with the level of realism in other aspects of the scenario’s presentation. Low High High
Environment
 Acoustic field The presentation of realistic sound levels; spatial relationships; reverberation. Medium High High
 Interaction of environment and hearing devices The acoustic field (including direct and reflected sound) is picked up by the device’s microphone/s in a natural manner. Low Medium High
 Dynamic aspects The presentation of moving sources is realistic for the intended real-world scenario. Low Medium High
 Modalities The presentation includes visual cues (e.g., AV speech cues, nonverbal background cues); tactile cues in interferer stimuli; inertia in the environment. Low Medium High
Context of participation
 Participant preparation Clear instructions and familiarization of study tasks are provided. Medium Medium Medium
 Semantic associations The situations are familiar and relevant to the participant. Medium Low High
 Motivation The scenario and task elicit appropriate engagement and motivation. Medium Medium High
 Familiarity The participant feels comfortable with physical aspects of the experiment. Medium Medium High
 Psych/physiological state The participant is not abnormally stressed or anxious due to factors beyond the study design. Low Low High
Task
 Nature of task The tasks included are appropriate for the intended real-world scenario. Medium Medium High
 Nature of task if speech The speech tasks included resemble those that might occur in the intended real-life scenario. Low Low High
 Complexity Any additional tasks included stimulate natural mental processes as they might occur in the intended real-world scenario. Low Medium High
 Degree of constraint The participant is free to perform the task in whatever ways feel natural in the intended real-world scenario. Low Low Medium
 Exploratory movement The participant is allowed freedom of gaze, head movement, and/or body movement similar to that they would have in the intended real-world scenario, and such movements produce realistic changes in the stimuli. Low Medium High
 Interaction Interaction with other persons represented or actually present elicits plausible behaviors from all involved. Low Medium High
 Predictability The task possesses predictability similar to what would be present in real life. Medium Medium High
 Distractors Any distractors are plausible for the intended real-world scenario. Low Low High
Individual
 Variety of personality and demographic factors Participant recruitment includes stratification or registration of those personal and demographic variables believed to have potential influence. High Low Low