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8.AR-AudTrngApproach
Aural Rehab SLP401
Term | Definition |
---|---|
4 Categories | Analytic, Synthetic, Pragmatic, Eclectic |
Analytic | Break speech into smaller components (e.g. vowel/consonant same/different; identify closed set words "run-money-ball") |
Synthetic | more global, clues from syntax/context (Ex: topical words from a conversation must be repeated back) |
Pragmatic | Train listener to control communication variables: level of speech, s/n ratio, context/complexity of message. (QUEST?AR, Erber - Conversation-like.) |
Eclectic | combines the other three |
Erber's approach: GASP, Glendonald Auditory Screen Procedure | 3 subtests (phonemes, words, sentences), 4 levels of audition (detection, discrimination, identification, comprehension). 6 levels of stimuli (Speech elements, Syllables, Words, Phrases, Sentences, Connected Discourse) |
Erber's 3 AR styles | Natural conversation. Moderately structured. Practice on specific tasks. |
DASL II | Developmental approach to successful listening. |
DASL II | Mainly preschool & school-age w/ HAs or CIs. Sequencial, highly structured. Skills targeted (sound awareness, phonetic listening, auditory comprehension). Pretest Sequencial activities provided. |
SKI-HI | Sensory Kids Impaired Home Intervention (for infants & toddler) Developmentally-based (4 phases, 11 skills). Highly structured, extensive activites User-friendly, widely used. |
SKI-HI phase 1 | Attending, early vocalizing |
SKI-HI phase 2 | Recognizing. Locating. Vocalizing w/ inflection. |
SKI-HI phase 3 | Hearing at distances and levels. Vowels and consonants. |
SKI-HI phase 4 | Environmental discrimination and comprehension. Vocal discrimination and comprehension. Speech sound discrimination and comprehension. Speech use. |
SPICE | Speech Perception Instructional Curriculum and Evaluation. A guide for clinicians. Age 3+, severe-profound HL. 4 skill levels (detection, suprasegmentals, cons/vow perception, connected speech). Pretest. User-friendly. |
Consonant Recognition Training | For adults. Analytic (broken down syllable drills). Audition or audiovisual combo. Mixed efficacy evidence |
Communication Training and Therapy | Strictly pragmatic. use of anticipatory & repair strategies |
Communication Training and Therapy - Anticipatory strategies | Minimize distance. Optimize HA volume. Reduce competing signals. Use situational cues ("not to change the subject but...") |
Communication Training and Therapy - Repair strategies | Ask to repeat all or part of message. Ask to rephrase or simplify. Ask follow-up for confirmation or elaboration. |
Aural Rehab Groups | Informal alternative. 6-10 wks. Education. Support. Skill bldg. Counseling. |
Conversational styles (3) | Passive. Aggressive. Assertive (proactive advocation - most successful). |
Computerized Approaches | Earobics (common core stds, personalized reading solution preK-3). Hearbuilder (phonological awareness). LACE - |
LACE | Listening And Communication Enhancement (brain training exercises for hearing better in noise). Targets HL and aging effects on processing speed, working memory, distractions. |