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Sunday, August 31, 2025

Closed-Set and Open-Set Tasks To Assess Hearing and Language Skills in Children and Adults with Hearing Impairments

Closed-set and open-set tasks are used by audiologists and speech-language pathologists (SLPs) to assess hearing and language skills in children and adults with hearing impairments, especially those using cochlear implants. In speech therapy, a closed-set task provides a limited, specific number of response options for a patient to choose from, making it easier to identify what was said. An open-set task, in contrast, presents the patient with unlimited possibilities for both stimuli and responses, requiring more complex processing to understand. Closed-set tasks are often used for initial evaluations, especially in children, while open-set tasks are more challenging and assess real-world speech recognition ability. 

Closed-Set Tasks

Description:

The therapist presents a limited number of choices, such as pictures or word lists, and the patient selects the correct one. 

Example:

A child is shown four pictures of different animals and asked to point to the one the therapist names. 

Advantages:

Easier for patients, especially those with hearing loss or underdeveloped auditory skills. 

A good tool for initial evaluations and assessing children with limited receptive vocabulary, such as the World Intelligibility by Picture Identification (WIPI) test.

Considerations:

May not accurately reflect real-world speech recognition skills because the choices are restricted. 

Open-Set Tasks

Description:

The patient is asked to repeat or identify spoken words or sentences without any visual aids or a limited set of options. 

Example:

Asking a person to write down or say a sentence spoken out loud in noisy conditions. 

Advantages:

A more difficult and realistic assessment of a person's ability to understand speech in real-world environments. 

The use of multiple talkers and unfamiliar environments can help with the generalization of learned skills to new situations. 

Considerations:

More challenging and less precise for identifying a change in hearing compared to open-set tests. 

Summary Table 

Feature

Closed-Set Task

Open-Set Task

Number of Choices

Limited, predefined set

Unlimited possibilities

Difficulty

Easier, less challenging

More difficult, more challenging

Application

Initial evaluation, pediatric testing

Assessing real-world speech perception, cochlear implant outcomes

Example

Pointing to a picture from a small set

Repeating a sentence in a noisy room