Young deaf children with hearing aids or cochlear implants: early assessment package for monitoring progress

Young deaf children with hearing aids or cochlear implants: early assessment package for monitoring progress
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DOI:
10.1016/j.ijporl.2004.08.016
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发表时间:
2005-02-01
影响因子:
1.5
通讯作者:
Gregory, S
Gregory, S
中科院分区:
医学4区
文献类型:
--
作者:
Nikolopoulos, TP;Archbold, SM;Gregory, S

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背景:目前很少有评估方法来评估使用助听器和人工耳蜗的幼聋儿童的治疗进展。目的:介绍和描述一个早期评估包,包括听觉感知,沟通/语言发展,以及非常年幼的聋儿的语言产生。主要结果测量:七个评估测量(听力进步概况,听觉表现类别,Tait视频分析,故事-叙述评估程序,实际语言技能概况,语音可理解性评级和实际语言技能概况)已经在诺丁汉人工耳蜗项目中专门开发,另外一个(有意义的听觉整合量表)被修改为在软件包中使用。此外,还包括两项商业测试(日常沟通技能语用分析和学前语言量表),以完成整套测试。方法:本文描述了每一种测量方法,如何使用它,以及它的时间框架。此外,两个案例研究证明了整个包的有用性。结果和结论:诺丁汉早期评估包(NEAP)提供了一个框架,用来评估年幼的聋儿在现实生活中的听力和语言交流的使用。简便、可靠、及时有效,可用于日常临床实践。NEAP在设计上是创新的,并提供了一种结构化的方法来监测非常年幼的失聪儿童,无论是短期还是长期。此外,它允许识别额外的问题和困难领域以及特定的能力和技能。这使临床医生能够确定适当的干预策略。2004爱思唯尔爱尔兰有限公司版权所有。
Background: Very few assessment measures exist for evaluating progress in young deaf children with hearing aids and cochlear implants.Objective: To introduce and describe an early assessment package that covers auditory perception, communication/language development, and speech production in very young deaf children.Main outcome measures: Seven of the assessment measures (Listening Progress Profile, Categories of Auditory Performance, Tait Video Analysis, Stories - Narratives Assessment Procedure, Profile of Actual Linguistic Skills, Speech Intelligibility Rating, and the Profile of Actual Speech Skills) have been specifically developed at the Nottingham Cochlear Implant Programme, and a further one (Meaningful Auditory Integration Scale) was modified for use within the package. Moreover, two commercially available tests (Pragmatics Profile of Everyday Communication Skills and Pre-school Language Scale) are included to complete the package.Methods: The present paper describes each measure, how to use it, and its time frame. In addition, two case studies demonstrate the usefulness of the package as a whole.Results and conclusions: The Nottingham Early Assessment Package (NEAP) offers a framework with which to assess in young deaf children the use of audition and language and communication in real-life situations. Being simple, reliable, and time effective can be used in everyday clinical practice. NEAP is innovative in design and offers a structured approach to monitor very young deaf children, both in short and long term. In addition, it allows the identification of additional problems and areas of difficulty as well as specific abilities and skills. This enables the clinician to determine appropriate intervention strategies. (C) 2004 Elsevier Ireland Ltd. All rights reserved.