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Test Protocol

Test results and remediation outcomes for children seen through Australian Hearing’s national CAPD service. Alison King 1 , Helen Glyde 2 , Sharon Cameron 2 , Karin Gillies 1 , Harvey Dillon 2 , Simone Punch 3 , Meagan Ward 3 1 Australian Hearing, Box Hill, Victoria , Australia.

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Test Protocol

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  1. Test results and remediation outcomes for children seen through Australian Hearing’s national CAPD service. Alison King1, Helen Glyde2, Sharon Cameron2, Karin Gillies1, Harvey Dillon2, Simone Punch3, Meagan Ward3 1Australian Hearing, Box Hill, Victoria, Australia. 2 National Acoustic Laboratories, Macquarie University, NSW, Australia 3Australian Hearing, Macquarie University, NSW, Australia World Congress of Audiology, Brisbane, Australia - May 2014

  2. Test Protocol Pre-App Q’nnaire, COSI-C Fail Paed. HA Program Hearing screening Pass Z < -1 Fail SPD LiSN - HC LiSN Z ≥ -1 Auditory memory Pass (not SPD) Fail Memory Pass < 7 yrs Testing discontinued Age > 7 years Dichotic deficit Fail DDT Pass

  3. Results 666 23 4 Hearing screening Minimal Sensorineural Mild Conductive 3 Pass 636 Unknown Z < -1 349 Fail 130 SPD LiSN LiSN - HC Z ≥ -1 317 Auditory memory Pass (not SPD) 219 Fail 174 Memory Pass 362 < 7 yrs 77 Testing discontinued Age > 7 yrs 285 Dichotic deficit Fail 104 DDT Pass 181

  4. Results - NH 666 23 4 Hearing screening Minimal Sensorineural Mild Conductive 3 Pass 636 Unknown Z < -1 329 Fail 120 SPD LiSN LiSN - HC Z ≥ -1 307 Auditory memory Pass (not SPD) 209 Fail 167 Memory Pass 349 < 7 yrs 76 Testing discontinued Age > 7 yrs 273 Dichotic deficit Fail 100 DDT Pass 173

  5. Remediation Program • Home-based auditory training packages with audiologist support during program • SPD - LiSN & Learn, • Memory Deficit - Memory Booster • FM system for DDT fail or difficulties in noise • Strategies Follow-Up • Review COSI-C • Teacher version of Listening Inventory For Education (LIFE - Anderson and Smaldino.) • Repeat relevant test from battery.

  6. Remediation Outcomes – LiSN & Learn

  7. LiSN-S results: Pre- vs. Post-training (N=40)

  8. Performance in real life, post L&L (n=34)

  9. Remediation Outcomes – Memory Booster

  10. Memory tests - post-training NB: Excluded scores of children who were WNL at original test. NMF (n=18) NMR (n=18)

  11. Performance in real life (n=26)

  12. Remediation Outcomes – FM fitting Reasons for FM fitting (n=29) COSI – C final scores (n=16)

  13. Other considerations • Main reasons for incomplete auditory training • Ongoing at time of data collection • L&L = 11%; MB = 10% • Lost contact with families despite numerous attempts • L&L = 25%; MB = 52% • Unknown/data unavailable • L&L = 43%; MB = 24% • Difficulties getting LIFE returned from teachers • Setting & evaluating S.M.A.R.T. goals

  14. Conclusions • 61.3 % of children referred were diagnosed with one of the target auditory processing disorders. • Both auditory training programs led to significantly improved test scores (LiSN-S and NMR both WNL) • The majority of children showed significant improvements in real life settings • FM fittings yielded improvements in real-life performance. • Goal setting, evaluation and teacher questionnaires are vital for evaluating success • Family support essential throughout program • Additional strategies needed to engage teachers in evaluation

  15. Thanks to all the Australian Hearing audiologists who provided the CAPD services and the data that were used in this presentation. Contact Australian Hearing www.hearing.com.au www.nal.gov.au

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