 Hello, my name is Zhang, a PhD student at the University of Hong Kong. Professor Lena Wang is my supervisor. It is our pleasure to give a talk in VCCA 2023. The title of my talk is Distinguishing Difficulties in Spiritual Standing Due to Hearing Laws and Cognitive Decline. In this talk, we will introduce the integrated digit in-noise test, IDIN test. The first two capable of simultaneously screening both hearing and cognitive function in five minutes. The test is simple, fast, and easy to conduct and interpret. The test could remove the effect of hearing loss on cognitive evaluation and could be used to distinguish poor speech understanding performance solely due to hearing loss or partially due to cognitive decline. See you in the conference.