Abstract:
BACKGROUND:A deficit in the processing of auditory information may underlie problems in understanding speech in the presence of background noise, degraded speech, and in following spoken instructions. Children with auditory processing disorders are challenged in the classroom because of ambient noise levels and maybe at risk for learning disabilities. PURPOSE:1) Set up and execute screening protocol for auditory processing performance (APP) in primary school children. 2) Construct database for APP in the classroom. 3) Set critical limits for deviant performance. Our hypothesis is that screening for APP in the classroom identifies pupils at risk for auditory processing disorders. RESEARCH DESIGN, SAMPLE, AND METHODS:Study consisted of two phases. Phase 1: 2,015 pupils were selected from fourth-, fifth-, and sixth-graders using stratified random sampling with the proportional allocation method. Male and female students were equally represented. Otoscopic examination, screening audiometery, and screening tests for auditory processing (AP) abilities (Pitch Pattern Sequence Test [PPST], speech perception in noise [SPIN] right, SPIN left, and Dichotic Digit Test) were conducted. A questionnaire emphasizing auditory listening behaviors (ALB) was answered by classroom teacher. Phase 2 included 69 pupils who were randomly selected based on percentile scores of phase 1. Students were examined for the corresponding full version AP tests in addition to Auditory Fusion Test-Revised and masking level difference. Intelligence quotient and learning disabilities were evaluated. RESULTS:Phase 1: Results are displayed in frequency polygons for10th, 25th, 50th, 75th, and 90th percentiles score for each AP test. Fourth-graders scored significantly lower than fifth- and sixth-graders on all tests. Males scored lower than females on PPST. A composite score was calculated to represent a summed score performance for PPST, SPIN right ear, SPIN left ear, and Dichotic Digit Test. Scores <10th percentile were chosen to describe the poorest performance on screening. Performance was graded from 0 to 4 according to composite score; a score of 4 refers to scores <10th percentile on all four tests, while a 0 score designates performance ≥ the 10th percentile on all tests. ALB questionnaire scores of the sample screened varied significantly with sex and grade. Statistical analysis of phase 2 showed no statistical difference between mean score for Group 0 and clinic norms on all AP tests. Group 1 showed consistent poor performance in both the screening and full version SPIN test. Group 2 scored significantly lower on all screening tests, but not significantly different in some of the full version tests. Groups 3 and 4 showed significantly worse performance than clinic norms on all screening and full version tests. Auditory Fusion Test-Revised mean thresholds were statistically higher for groups with composite scores from 1 to 4. Masking level difference mean score was only significantly different for Group 4. ALB questionnaire results correlated to composite score categories. Dyslexia was a comorbid condition with Groups 2-4. CONCLUSION:AP skills in primary education maybe classified as robust abilities that endure challenging listening conditions, vulnerable abilities that manifest in challenging conditions, and poor abilities that manifest in even the best listening conditions. Composite score concept provides adequacy in grading AP skills.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Mourad M,Hassan M,El-Banna M,Asal S,Hamza Ydoi
10.3766/jaaa.26.4.4subject
Has Abstractpub_date
2015-04-01 00:00:00pages
355-69issue
4eissn
1050-0545issn
2157-3107journal_volume
26pub_type
杂志文章abstract:BACKGROUND:Despite the recognition that the directional microphone hearing aid (DMHA) is an important intervention aimed at helping older hearing-impaired adults understand speech in noisy environments, there is little evidence that older listeners can actually benefit from directional processing. PURPOSE:The objectiv...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.2.3
更新日期:2010-02-01 00:00:00
abstract::This review of the literature on Alport syndrome (AS) places emphasis on genetic and clinical issues related to the sensorineural hearing loss in type III and type IV X-linked AS. The review covers prevalence, medical issues, genetic issues, audiologic findings, vestibular findings, the pathophysiology of hearing loss...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Despite improvements in cochlear implants (CIs), CI recipients continue to experience significant communicative difficulty in background noise. Many potential solutions have been proposed to help increase signal-to-noise ratio in noisy environments, including signal processing and external accessories. To da...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.26.1.6
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To investigate the test-retest reliability of real-ear aided response (REAR) measures in open and closed hearing aid fittings in children using appropriate probe-microphone calibration techniques (stored equalization for open fittings and concurrent equalization for closed fittings). RESEARCH DESIGN:Probe-micr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.24.7.11
更新日期:2013-07-01 00:00:00
abstract::The auditory brainstem response (ABR) recorded while wearing a hearing aid may supply supplemental information about the benefit and appropriateness of the hearing aid for certain infants. The purposes of this study were (1) to determine the effects of different output limiting circuits on the acoustics of tone-pip st...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Wideband acoustic immittance (WAI) measures provide information about middle-ear function across the traditional audiometric frequency range from 0.25 to 8.0 kHz. Recent studies have found that WAI is effective in predicting the presence of conductive hearing loss (CHL). It is not known whether WAI can accur...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.5.5
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The acceptable noise level (ANL) serves to accurately predict the listener's likelihood of success with amplification. It has been proposed as a pre-hearing aid fitting protocol for hearing aid selection and counseling purposes. The ANL is a subjective measure of the listener's ability to accept background n...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.23.7.5
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The Four Alternative Auditory Feature test (FAAF) is a word-based closed-set speech recognition test. Because the original test materials were recorded in British English dialect, it is not appropriate for use in the United States. PURPOSE:The purpose of this study was to produce an American dialect FAAF (A...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.8.4
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:There is broad consensus that screening and diagnosis of permanent hearing loss in children must be embedded within a comprehensive, evidence-based, family-centered intervention program. Clinical practice guidelines (CPGs) for pediatric hearing assessment and hearing aid verification aim to reduce variabilit...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15064
更新日期:2016-03-01 00:00:00
abstract::This paper describes the listening habits and musical enjoyment of postlingually deafened adults who use cochlear implants. Sixty-five implant recipients (35 females, 30 males) participated in a survey containing questions about musical background, prior involvement in music, and audiologic success with the implant in...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:For children with developmental delays (DDs) of any kind (e.g., global DDs, autism spectrum disorder, and Down syndrome), it is essential to understand if a hearing loss may be contributing to these delays. However, toddlers with DDs may have difficulty understanding directions, may be uncomfortable with a n...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18070
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:It has been reported that up to 40% of patients over age 60 fail to generate a vestibular evoked myogenic potential (VEMP; Su et al, 2004). When this occurs it is difficult to determine whether the absent VEMP represents evidence of bilateral impairment of the vestibulocollic reflex pathway or a normal age-r...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.7.3
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:The multiple auditory steady-state response (multiple ASSR) is a promising technique for determining thresholds for infants and children. However, there are few data for infants and young children with hearing loss where multiple-ASSR thresholds have been compared to frequency-specific gold standard (i.e., b...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.8.5
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Complex working memory (WM) span tasks have been shown to predict speech-in-noise (SIN) recognition. Studies of complex WM span tasks suggest that, rather than indexing a single cognitive process, performance on such tasks may be governed by separate cognitive subprocesses embedded within WM. Previous resear...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.10.6
更新日期:2014-11-01 00:00:00
abstract::Evidence-based practice (EBP) has been widely embraced in many health-care fields as a way of maintaining currency of knowledge and state-of-the-art treatment recommendations in an age of information abundance and rapid scientific progress. Although the principles of EBP are slowly entering the specialties of communic...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.16.7.3
更新日期:2005-07-01 00:00:00
abstract::This paper discusses trends and issues in selecting amplification for new, mainly nonlinear, types of hearing aids. Some-concerns are that nonvalidated prescription formulae may proliferate; that, through concentration on loudness normalization, alternative rationales are not being evaluated; and that most new fitting...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract::The Hearing-in-Noise Test (HINT) is able to measure the benefit to speech intelligibility in noise conferred when the noise masker is displaced 90 degrees in eccentricity from a speech source located at zero degrees azimuth. Both psychoacoustic and neurophysiological data suggest that the perceptual benefit of the 90-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.14.9.7
更新日期:2003-11-01 00:00:00
abstract::The effect of feedback reduction (FBR) systems on sound quality recorded from two commercially available hearing aids was evaluated using paired comparison judgments by 16 participants with mild to severe sloping hearing loss. These comparisons were made with the FBR systems on and off without audible feedback and whi...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.18.5.5
更新日期:2007-05-01 00:00:00
abstract::Probe-microphone measurements are typically made with behind-the-ear (BTE) and in-the-ear (ITE) hearing aids with the loudspeaker located at 0-degrees or 45-degrees azimuth at head level and the reference microphone positioned on the head near the hearing aid microphone. With body-worn instruments, these conditions ma...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:The American National Standards Institute (ANSI) provides standards used to govern standardization of all hearing aids. If hearing aids do not meet specifications, there are potential negative implications for hearing aid users, professionals, and the industry. Recent literature has not investigated the prop...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15027
更新日期:2016-09-01 00:00:00
abstract::In the last few years, a clinical consensus has emerged regarding the necessary components of an early management program for hearing-impaired children. Early detection of hearing loss, a parent-infant and supervised nursery program, and optimal amplification provisions are among these components. This paper explores ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Tympanometric measures were obtained in 1240 adults (2147 ears) ranging in age from 48 to 90 years. All subjects reported a negative history of otic disease, passed an otoscopic examination, and did not present a significant air-bone gap based on pure-tone audiometry. Relative to findings for younger adults, tympanome...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::Wideband middle ear power (WMEP) measurement is a method of middle ear analysis that may provide improved diagnostic capability over single-frequency tympanometry. However, normative data, information about test-retest reliability, and results in clinical disorders are needed for clinical application. Normative and re...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.19.4.4
更新日期:2008-04-01 00:00:00
abstract::In this article we review, and discuss the clinical implications of, five projects currently underway in the Cochlear Implant Laboratory at Arizona State University. The projects are (1) norming the AzBio sentence test, (2) comparing the performance of bilateral and bimodal cochlear implant (CI) patients in realistic ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.23.6.2
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Although cochlear implant patients are achieving increasingly higher levels of performance, speech perception in noise continues to be problematic. The newest generations of implant speech processors are equipped with preprocessing and/or external accessories that are purported to improve listening in noise....
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.21.7.3
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:The bilateral contralateral routing of signals (BICROS) system has provided limited benefit for speech recognition in noise for patients with asymmetric sensorineural hearing loss, even when an automatic adaptive multichannel directional microphone (DM) is in the receiver (Rx) and an omnidirectional micropho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.15031
更新日期:2015-11-01 00:00:00
abstract::Experiment 1 investigated developmental differences at high stimulus rates by using maximum length sequences (MLSs) and cross-correlation techniques to recover auditory evoked brainstem responses (ABRs). Reliable MLS ABRs were recorded in all of the newborns tested at the highest rate presented (minimum interpulse int...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND: Ecological momentary assessment (EMA) is a methodology involving repeated surveys to collect in-situ self-reports that describe respondents' current or recent experiences. Audiology literature comparing in-situ and retrospective self-reports is scarce. PURPOSE: To compare the sensitivity of in-situ and ret...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.1055/s-0040-1719133
更新日期:2020-12-15 00:00:00
abstract::Although multimemory hearing aids have theoretical advantages over conventional "single memory" hearing aids, research and clinical data are not available to support their efficacy. The present study reports on the usefulness of a commercially available multimemory hearing aid in daily listening situations. Nineteen e...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND:Acute symptoms of dizziness and/or imbalance commonly experienced in athletes postconcussion are speculated to arise from dysfunction at multiple levels (i.e., inner ear or central vestibular system) to appropriately integrate afferent sensory information. Disruption along any pathway of the balance system c...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15110
更新日期:2017-01-01 00:00:00