AST Flashcards
Why is waiting an important strategy?
give them opportunity to process what they have heard and think about their response
develops auditory feedback loop
What is the purpose of “I hear that” language use?
making sense of detection
putting words to what they are supposed to be doing
modelling the language so they can imitate/produce an approximation
short term audition goal = demonstrate hearing a sound by saying “I hear that”
What is an auditory closure task?
starting a sentence and asking them to finish it
ex. “happy birthday to…”
What do kids with hearing loss struggle the most with?
auditory multi-tasking
What accompanies the strain of hearing loss on communication?
increases incidence of social isolation, depression, cognitive decline, dementia
most people wait 8.5 years on average to seek treatment, compromising benefits of early intervention
Given the impacts of hearing loss, what are some things therapy needs to address?
adjustment and bonding to hearing technology
auditory processing deficits from auditory deprivation
emotional wellness related to auditory function
re-establishing human connection
auditory cognitive deficits and overall cognitive fitness
Who are the recipients of CI? Who is getting AR services?
adults = 70%
children = 30%
yet all children 0-7 qualify for free aural rehab and approximately 92% receive 1:1
only a handful of adults receive 1:1 aural rehab and it is often paid for out of pocket
- computer assisted used more often
What are the 3 types of aural rehabiliation?
1:1 aural rehab (AST or AVT)
- best, individualized to meet needs
computer assisted aural rehab (CAAR)
group aural rehab
What are the pros of CAAR programs?
immediate feedback
can be used at any time
affordable or free
provides general info about listening skills development
great resource for higher level listening tasks
accessible
What are the cons of CAAR programs?
too easy or too hard
not representative of real life listening
poor sound quality
not individualized
minmal skill carryover
prevents family member participation
What is AST?
auditory skills training
auditory based aural rehab intervention for older children, teens, adults, and their families
9 principles, 7 of which begin with “coach and guide CI user and family member to”
application of strategies, conditions, and procedures that promote optimal acquisition of listening skills so newly acquired auditory potential can be maximized
How does AST promote human connection?
coaches families to create positive listening experiences for CI user with familiar voices and conversations during daily routines and home and work
hierarchy of auditory skill development using meaningful conversations with important partners
listening to real voices in real time in real life
How is AST different than AVT?
for older listeners
family members are also primary clients so they can learn strategies that can support listener towards independence in listening skills
- vs. AVT where parents are primary client
What are the 6 possible conditions in which one would seek AST?
late diagnosis
discharged from AVT
haven’t caught up yet
want to improve
progressive hearing loss
new technology
How must AST clinician deal with AB change?
common themes and errors but different for everyone
recognize ABC errors and distinguish them from errors that may occur because of other factors (ex. inadequate auditory access)
take time and positive listening experiences to resolve
