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7.AR-Aud Training

Aural Rehab SLP401

Carhart Children's Approach Step 1 Awareness of sound
Carhart Children's Approach Step 2 Gross discriminations (non-speech stimuli)
Carhart Children's Approach Step 3 Broad discrimination of simple speech - closed set ("doggy" vs "ball"
Carhart Children's Approach Step 4 Fine discrimination for speech - connected discourse (eg. between consonants)
Carhart Approach for adults Re-educate a skill. Replicate 3 common listening situations (intense background, competing speech signal, telephone). Use HAs/CIs early (or lose it).
Candidates for Aud Training Prelingual. Cochlear implantees. Hard of hearing adults w/ HAs.
Assessment of aud skills before during and after training Determines: Is training warranted? Baseline. Areas for focus.
Auditory training challenges Perceptual task (listening continuum: detection, discrimination, identification, comprehension)
Auditory training challenges Open or closed set response format.
Auditory training challenges Level of sophistication and age of test vocab.
Auditory training challenges Signal-to-noise ratio (figure-ground).
Evaluating infants Observation of skills. Identify extent of skills emergence (eg. localization of various stimuli). Combined aud. trng and sp lng therapy.
Evaluating: Tests for adults NU6, CCT, SPIN, CID ESS
NU6 Northwestern U. Auditory Test No. 6: open set
CCT California consonant test: closed set, More sensitive to speech recognition difficulties experienced by those with high - frequency SNHL.
SPIN Speech Perception In Noise: low to high predictability sentences against background babble.
CID ESS Central Institute for the Deaf (CID) Everyday Speech Sentences: Assesses listener’s ability to perceive connected discourse.
Other Noise tests HINT, QuickSIN, BKB-SIN, MAC
QuickSIN Quick Speech In Noise: quick test of 5 target words in a sentence w/varying background noise.
BKB-SIN Banford-Kowal-Bench sentences. Sentence units provide better assessment.
MAC Minimal Auditory Capabilities Battery: assesses auditory and visual skills; S-P HL; CI candidates; when traditional speech testing is too difficult.
HINT Hearing In Noise Test
Evaluating: Tests for older children Perception; WIPI, NU-CHIPS, 6-sound LING. Other aud aspects: ESP, GASP, DASL II
WIPI Word Intelligibility by Picture Identification
NU_CHIPS Northwestern Univ. Children's Perception of Speech
LING-6 ah, ee, oo, mm, sh, s
ESP Early Speech Perception test
GASP Glendonald Auditory Screen Procedure
DASL II Developmental Approach to Successful Listening
Created by: ashea01