Assessment of Listening Skills Flashcards
The sole purpose of this is to get to know the child.
“EVALUATION IS GETTING TO KNOW THE CHILD AND THE FAMILY”
During diagnostic therapy, we don’t normally diagnose, what we do is we plot the skills
“EVALUATION IS THE PROCESS OF USING ASSESSMENT TOOLS/STRATEGIES TO ARRIVE AT A DIAGNOSIS
Evaluation requires:
Knowledge of norms
Knowledge of testing strategies
Observational skills
Creative intuition
Empathy
Scrutinising all aspects of behaviour
MODELS OF AUDITORY ASSESSMENT
○ Developmental Model
○ Auditory Processing Model
○ Combined Model
an assessment where you ask yourself, at what age is my patient actually performing at?
Developmental Auditory Assessment
Developmental Auditory Assessment is based on
Based on ages and stages of typical development of listening and spoken language comprehension
Developmental Auditory Assessment is for children who
who are ideal aural habilitation candidates or applied for use with children who are fit with technology and enter intervention in infancy or early childhood.
HOW TO DO DEVELOPMENTAL AUDITORY ASSESSMENT?
Strategy 1 - developmental and RL benchmarks
Strategy 2 - informal questionaires
Strategy 3 - formal tests
Strategy 4 - compute HA
What is strategy 1 of developmental auditory assessment
Be familiar with typical auditory developmental and
receptive language benchmarks
the end goal of the hierarchy of listening
function
development of comprehension
development of listening function divided into 3
Doreen Pollack’s Hearing and Speech Scale
describes the benchmarks in listening behavior of
typically developing children from birth to age 18
months.
Hierarchy of Early Auditory Responses (Hear)
Chart
based on different curricula and this is made by Morrison
Auditory Language Comprehension
Benchmarks
made for children from birth to 4 years of age
across different domains including social
communication, cognition; not just listening
Integrated Scales of Development
what is strategy 2 of developmental auditory assessment?
Use informal checklists and questionnaires that compare
a child’s listening skills to typically-developing peers
The checklists/questionnaires that you will be using should be:
- Appropriate for the child’s age
- Yields the kinds of scores that you need
- Assesses the listening behaviors and RL aspects that you want
● Popular questionnaire that we can use.
● This is by MedEl, one of the provides of cochlear implants in the PH.
● Self-administered by the parents.
Littlears Auditory Questionnaire (LEAQ)
A companion for the integrated skills of development
Track a listening child checklist
What is strategy 3 of developmental auditory assessment?
Use standardized assessments that are normed with
typically-developing children
Give examples of assessments of developmental auditory
○ Global assessments of RL
○ Specific assessments of RL
○ Global assessments about specific language domains
what is strategy 4 of developmental auditory assessment?
use child’s chronological age and hearing age to interpret performance
what is the developmental model?
is hierarchical, orderly and sequential based on data that indicate typical developmental milestones stages and ages
what is auditory processing model?
hierarchical, orderly and sequential BUT the skills and the sequence are guided by how listeners process a signal in order to comprehend it.
Based on characteristics of the spoken language stimulus and hierarchy of responses that listeners can make to that stimulus
auditory processing model
Recommended for children who begin listening later in life
auditory processing model
t or f:
Auditory responses cannot take place without stimuli
true
Auditory responses cannot take place without stimuli
provide framework for breaking down listening into smaller subskills
Auditory skills hierarchies
the Erber Model suggests that
a syllable is a lower level stimulus than the sentence because a syllable is less complex than a sentence
what is stratgey 1 of audiroy processing model
assess auditory skill levels
t or f
A child’s auditory skills develop more slowly and often requires specific teaching that targeted small steps
true
FUNCTIONAL ASSESSMENTS AND CHECKLISTS (That employ an auditory hierarchy)
Parent Questionnaires
Caleffe-Schenck and Anderson Auditory Skills Checklists
Functional Auditory Performance Indicators
St. Gabriel’s Checklists
an adaptation of the meaningful auditory integration scale. Both are parent interviews that were developed as a means for tracking a child’s responses to auditory stimuli pre- and post-cochlear implantation.
Infant Toddler Meaningful Auditory Integration Scale
IT-MAIS is commonly used for
more commonly in used because children typically receive cochlear implants in infancy or toddlerhood today.
3 main areas of IT-MAIS
VOCALIZATION
ALERTING TO SOUNDS
DERIVING MEANING FROM SOUNDS
a 35 item parent questionnaire designed to track a child’s auditory responsiveness over time.
Cincinnati Auditory Skills
items are classified according to the response levels in the Erber Hierarchy: detection, discrimination, identification, and comprehension.
Cincinnati Auditory Skills
checklist be administered about every 3 months.
Cincinnati Auditory Skills
27 items that each describe an auditory behavior proceeding from auditory awareness, detection, and finishing with listening on the telephone and in background noise.
Auditory Skills Checklist
Assesses auditory skills in 7 categories
Functional Auditory Performance Indicators (FAPI)
how the child is aware that an auditory stimulus is present.
sound awareness
if the child can attend to sounds and associate a variety of auditory stimuli with their sound source.
sound is meaningful
if the child can monitor the sound he/she hears.
auditory feedback
child may demonstrate this skill by responding to sound, when amplification is turned on by vocalizing in order to monitor when the amplification is working and/or by noticing his/her vocalizations.
auditory feedback
localizing sound source. The child searches for and/or finds the auditory stimulus.
localization
how a child distinguishes the different charactersitics of different sounds including environmental, suprasegmental charactersitics of speech, nontrue and true words.
auditory discrimination
how the child can hear, remember, repeat, and recall, a series of numbers. This scale is developmentally appropriate for children who are 2 years and older.
short term auditory memory
child is observed if he/she can utilize auditory information to process language.
linguistic auditory processing
T or F
in FAPI approximately, 4-8 skills can be addressed simultaneously.
True
FAPI 3 presentation conditions:
With Visual
At close range within 3 feet
And at a Distance
in FAPI child’s response to the probe is scored along the 4 levels of attainment:
Not present
Emerging
In process
Acquired
Checklist across multiple developmental domains
St. Gabriel’s Checklist
Auditory processing model STRATEGY 1: How to implement
- Before assessment: check equipment, conduct Ling 6 Sound Test
- Select tool appropriate to a child’s developmental age
- What skill do you like to assess?
- Is the language level that is assessed appropriate for the child under consideration?
what is startegy 2 of auditory processing model
Assess discrimination/identification
T or F
Discrimination assessment can identify the speech contrasts that require more focus input and practice so that the child actually perform well.
True
assess informally by noting what the child understands or fails to understand in conversation and in play
Informal AX
used for children who are more ready for structured assessment.
Picture Identification
have the child select from nonsense syllable that varies in speech feature being evaluated
Syllable identification
can yield useable information about the child’s ability to discriminate speech
Information from audiological speech perception testing
- There are no choices
- In here the child is just listening without any choices
open set tasks
Informal Assessments
- IT-MAIS
- Cincinnati Auditory Skills Checklist
- Anderson Auditory Skills Checklist
Picture Identification
- Early Speech Perception Test
- Compass Test of Auditory Discrimination
- Word Intelligibility by Picture Identification
- GASP (Glendonald Auditory Screening Procedure)
STRATEGY 2: Implementation
- device check, ling 6 sound test
- Pay attention to how a child responds to your input as early as the start of the ax period
- consider use of functional ax/checklists
- Consider structured assessment
- Refer back to audiologist
