Validation of the LittlEARS® Auditory Questionnaire in children with normal hearing
Validation of the LittlEARS® Auditory Questionnaire in children with normal hearing
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DOI：
10.1016/j.ijporl.2009.09.036
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发表时间：
2009-12-01
影响因子：
1.5
通讯作者：
Brachmaier, J.
中科院分区：
文献类型：
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作者：
Coninx, F.;Weichbold, V.;Brachmaier, J.
随着越来越多的儿童在婴儿期接受人工耳蜗植入，有必要对言语前和早期言语听觉技能进行有效的评估。LittlEARS (R)听觉问卷是LittlEARS (R)测试电池的第一个模块。LittlEARS (R)听力问卷的开发和试点，以评估听力正常儿童和听力受损儿童的听觉行为，这些儿童在24个月前接受了人工耳蜗或助听器。本文介绍了两项研究的结果：一项是对说德语的正常听力儿童的LittlEARS (R)听力问卷进行验证，另一项是对15种不同语言的正常听力儿童进行问卷调整和管理后发现的规范曲线进行验证。方法：采用218名5 ~ 24月龄听力正常的德国和奥地利儿童的听力评分，形成标准曲线。问卷从德语原版翻译成英语，后来又翻译成其他15种语言。根据3309例正常听力婴幼儿父母的回答，发现回归曲线。将每种语言的曲线与原始的德语验证曲线进行比较。结果：第一项研究的结果是一条规范曲线，反映了听觉行为的年龄依赖性，可靠性和同质性作为听觉行为的衡量标准，以及期望值和临界值作为年龄函数的计算。第二项研究的结果表明，所有改编语言的回归曲线与德语范数曲线基本相等，没有发现统计学上的显著差异。结论：LittlEARS (R)听觉问卷是一种有效的、独立于语言的工具，可用于评估听力正常的婴幼儿早期听觉行为。本研究的结果表明，LittlEARS (R)听觉问卷也可以非常有用地记录儿童目前的放大进展，提供植入的证据，或强调在其他发展领域的随访需求。2009爱思唯尔爱尔兰有限公司版权所有。
Objectives: With more children receiving cochlear implants during infancy, there is a need for validated assessments of pre-verbal and early verbal auditory skills. The LittlEARS (R) Auditory Questionnaire is presented here as the first module of the LittlEARS (R) test battery. The LittlEARS (R) Auditory Questionnaire was developed and piloted to assess the auditory behaviour of normal hearing children and hearing impaired children who receive a cochlear implant or hearing aid prior to 24 months of age. This paper presents results from two studies: one validating the LittlEARS (R) Auditory Questionnaire on children with normal hearing who are German speaking and a second validating the norm curves found after adaptation and administration of the questionnaire to children with normal hearing in 15 different languages.Methods: Scores from a group of 218 German and Austrian children with normal hearing between 5 days and 24 months of age were used to create a norm curve. The questionnaire was adapted from the German original into English and then 15 other languages to date. Regression curves were found based on parental responses from 3309 normal hearing infants and toddlers. Curves for each language were compared to the original German validation curve.Results: The results of the first study were a norm curve which reflects the age-dependence of auditory behaviour, reliability and homogeneity as a measure of auditory behaviour, and calculations of expected and critical values as a function of age. Results of the second study show that the regression curves found for all the adapted languages are essentially equal to the German norm curve, as no statistically significant differences were found.Conclusions: The LittlEARS (R) Auditory Questionnaire is a valid, language-independent tool for assessing the early auditory behaviour of infants and toddlers with normal hearing. The results of this study suggest that the LittlEARS (R) Auditory Questionnaire could also be very useful for documenting children's progress with their current amplification, providing evidence of the need for implantation, or highlighting the need for follow-up in other developmental areas. (C) 2009 Elsevier Ireland Ltd. All rights reserved.