FINAL Flashcards
How is conversational fluency measured?
Mean Length Turn
average words spoken during set of N conversational turns
What are 4 ways to evaluate conversational fluency
- Interview
- Questionnaires
- Daily Logs
- Group Discussion
What are 4 types of questionnaires
- Abbreviated Profile of Hearing Aid Benefits
- Client Oriented Scale of Improvement–Effects of daily life
- Hearing Handicap Inventory for Adults/Elderly
- Listening Inventories for Education
4 types of self efficacy experiences
- Mastery–successful communication interaction
- Vicarious–sees others with success
- Verbal Persuastion
- Emotional Arrousal–relaxation
Models for Communcation Strategy Training
- Formal Instruction–Provided info
- Guided Learning
- Real World Practice
Purpose of short term training and two types
When completion of extended CST isn’t possible.
- Materals Approach
- Short Tutorial (ex: “WATCH”)
CST For Children
Focus on effective listening behaviors, teaching to ask for clarity etc
Counseling
Professional Service to help better understand and solve hearing problems
Two types of counseling
- Informational–info about HL, related ativity limitations/participation restrictions. *explicit categorization
- Personal Adjustment–3 approaches. Goal is to increase self worth.
Three approaches to personal adjustment
- Cognitive–modify thought process Ex: “ABC”
- Behavioral–modify behavior
- Affective–modify emotions
Psychological Support
Valuable when patient’s emotional reactions to HL are negative
Intervention Paradigm for Psychological Support
- Communication difficulties affect person with HL as well as frequent/infrequent comm partners
- Changes in attitude
Objectives = better coping, understand, develop new skills to cope
Problem Solving Framework
- Identification
- Exploration
- Resolution
Objectives for AR plan development
- All individuals involved
- individual roles defined
- conditions for objects defined
- establish time frame
Hearing Aid Evaluation
Use patterns
- Use full time
- Rejection
- Intermittent use
Tinnitus Intervention
- Relaxation training
- Biofeedback
- Cognitive training
- Masking devices
- Tinnitius retrainging therapy
Presbycusis
Hearing loss that is age related.
- Neural = loss of sensory cells
- Metabolic = change in blood supply to cochlea
Auditory Processing in Elderly
Changes in central auditory nervous system related to aging
uses “top down”
Life Factors in Elderly
- family/social
- mental health
- self sufficiency
- self concept
Physical/Cognitive variables in Eldery
- Changes in body, arthritis, cataracts, etc
- Dementia, alzheimer’s
Detection of HL in children
two ways
- Failed screening
- Not responding to sound like normal children
Universal Newborn Hearing Screening
or Early Hearing Detection Intervention
“pass/refer” HL detected at 30-40 dB = HL
Screened using OAEs or ABR’s 500-400 Hz
Risks in children with HL
- low birthweight
- low apgar score
- meningitis
- ototoxic medication
- Can occur pre-, peri-, or post natal
*perinatal– anoxia occurs when umbilical cord complications block blood supply
Causes of HL in children
- Genetic
- Syndrome
- Non-syndrome
- Otitis Media w Effusion
- Auditory Processing Disorder
- Auditory Dyssynchrony
Genetic cause of HL in children
>50% incidents
classified by:
- inheritance mode
- syndronomic vs non syndromonic
- audiological configuration
- progressive/age of onset
Auditory Processing Disorders
Inability to differentiate, recognize, understand sounds.
Results from:
trauma, tumors, autism, neurovascular changes
- Localizing
- Discrimination
- meaning to sound
- auditory memory
Early Intervention Types
- center based
- home based
- SKI-HI curriculum
- John Tracy Program
Communication Modes
- Manually coded english–from which manual signs correspond to english words
- Total communication = sign + speech
- multisensory
- auditory-verbal= using residual hearing for spoken language
School/Classroom Placement
Derivatives of Mainstreaming
- Inclusion = integrates all students and activities into daily routine
- Coenrollment = regular teacher + trained teacher for children with HL
Appropriate Accomodations for children with HL
- abbreviated assignments
- aternative test format
- content reduction
- extra credit
Factors of speech proficiency
- intelligibility
- segmental
- suprasegmental
- form