The need for and development of an adaptive Listening and Communication Enhancement (LACE™) program
The need for and development of an adaptive Listening and Communication Enhancement (LACE™) program
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DOI：
10.3766/jaaa.17.8.2
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发表时间：
2006-09-01
影响因子：
1.2
通讯作者：
Sabes, Jennifer Henderson
中科院分区：
文献类型：
--
作者：
Sweetow, Robert W.;Sabes, Jennifer Henderson
长期以来，听觉训练一直被提倡加强沟通，但从来没有时间或成本效益。本文介绍了概念的发展，以家庭为基础的，交互式的自适应计算机程序，旨在从事成年听力受损的听众在助听器的安装过程中，提供听力策略，建立信心，并解决认知变化的老化过程中的特点。在5个临床试验机构采用组间、受试者内设计进行了一项调查，包括测试前和测试后的客观和主观测量。65名受试者被随机分为两组，一组在基线测试后立即接受LACE（TM）（听力和沟通增强），另一组作为对照组，为期一个月，然后作为交叉组接受培训。结果显示，除了一项结果指标外，所有经过培训的受试者都有统计学显著改善。家庭为基础的听力康复的广泛实施所面临的障碍进行了讨论。
Auditory training has long been advocated to enhance communication but has never been time or cost-effective. This article describes the concepts underlying the development of a home-based, interactive adaptive computer program designed to engage the adult hearing-impaired listener in the hearing-aid-fitting process, provide listening strategies, build confidence, and address cognitive changes characteristic of the aging process. An investigation using a between-group, within-subject design with pre- and post-test objective and subjective measures was conducted at five clinical sites. Sixty-five subjects were randomly placed into two groups, one receiving LACE(TM) (Listening and Communication Enhancement) immediately following baseline testing and one serving as a control for one month and then receiving training as a crossover group. Results showed statistically significant improvements for the trained subjects on all but one of the outcome measures. Barriers facing the widespread implementation of home-based aural rehabilitation are discussed.