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The GALKER test; a speech reception in noise test for 3 to 6 year-old children.

The GALKER test; a speech reception in noise test for 3 to 6 year-old children. Jørgen Lous, Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, e-mail: jlous@health.sdu.dk Eve Galker, Copenhagen, e-mail: ejgalker@mail.dk

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The GALKER test; a speech reception in noise test for 3 to 6 year-old children.

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  1. The GALKER test; a speech reception in noise test for 3 to 6 year-old children. Jørgen Lous, Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, e-mail: jlous@health.sdu.dk Eve Galker, Copenhagen, e-mail: ejgalker@mail.dk Acknowledge: Maj-Britt G Lauritsen, Copenhagen for the validation of the test

  2. Background • We have developed a speech reception in noise test to identity children with problems hearing and understanding verbal communication due to middle ear problems.

  3. Method • The test has 35 test words presented by a speaker under heavy background noise as in day care centre to day • The child has to point at one of two alternative pictures on the screen. • The child uses • hearing, • lip-reading, • knowledge about the used words, • interpretation of the drawings illustrating the spoken word.

  4. Method • The Galker test has been evaluated on 370 children in a PhD study by Maj-Britt Glen Lauritsen in Hillerød. Now the test is used by several speech and language therapists. • The test is available on DVD and takes 5½ minutes.

  5. Results • The Galker score is now standardized to children between three and six years. We have chosen a cut point between 80 and 20%.The lower quintile is failures • The children find the test interesting and only a few in the youngest group have problems completing the test.

  6. Results • We have found god correlation between tympanometry, Galker score, the language test of Reynell, and the observation of functional hearing in the day care centre.

  7. Validation by PhDMajBritt G Lauritsen • Galker score associated to (unadjusted) Gamma-koeff. P-value • Girl 0.19 0.005 • Age 0.49 <0.0001 • Educationfather 0.11 0.03 • Audiometry 0.30 <0.0001 • Tympanometry 0.20 0.01 • Language(Reynell) 0.59 <0.0001 • Teacher(vocabulary) 0.35 <0.0001 • Parents(vocabulary) 0.15 0.01

  8. Validation by PhDMajBritt G Lauritsen • Galker score associated to (adjusted) Gamma-koeff. P-value • Age 0.33 <0.0001 • Language(Reynell) 0.35 <0.0001 • Teacher(vocabulary) 0.26 <0.0001

  9. Conclusion • The results indicate that the Galker-35 provides valid and reliable measurement of speech reception in noise. • The method may potentially be useful to detect children who are disabled in daily communication by OME. • Further research will focus on the associations between the Galker-35 and measures of language development, hearing, and Quality of Life.

  10. Perspective • At the moment the test is pilot-tested at the four-year examination in the University Practice in Odense. • We hope this testing will show that the test can be used in general practice to identify children with problems understanding the spoken word. • And maybe on the web for parental use with their kids

  11. Demonstration of a speech in noise test for children with otitis media with effusion A short demo

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