Multidisciplinary Clinical Assessment and Interventions for Childhood Listening Difficulty and Auditory Processing Disorder: Relation Between Research Findings and Clinical Practice.

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Title: Multidisciplinary Clinical Assessment and Interventions for Childhood Listening Difficulty and Auditory Processing Disorder: Relation Between Research Findings and Clinical Practice.
Authors: Moore, David R.1,2,3,4, Lin, Li1, Bhalerao, Ritu1, Caldwell-Kurtzman, Jody1, Hunter, Lisa L.1,2,3,4
Source: Journal of Speech, Language & Hearing Research. Jun2025, Vol. 68 Issue 6, p2978-2991. 14p.
Subject Terms: *Language & languages, *Children with disabilities, *Autism, *Audiometry, *Anxiety, *Caregivers, *Occupational therapy, *Hearing disorders, *Comparative studies, *Hearing, *Asperger's syndrome, *Cognition, *Children, Word deafness, Research funding, Audiology, Children's hospitals, Descriptive statistics, Electronic health records, Statistics, Medical needs assessment, Health care teams
Geographic Terms: United Kingdom
Abstract: Purpose: Listening difficulty (LiD), often classified as auditory processing disorder (APD), has been studied in both research and clinic settings. The aim of this study was to examine the predictive relation between these two settings. In our SICLiD (Sensitive Indicators of Childhood Listening Difficulties) research study, children with normal audiometry, but caregiver-reported LiD, performed poorly on both listening and cognitive tests. Here, we examined results of clinical assessments and interventions for these children in relation to research performance. Method: Study setting was a tertiary pediatric hospital. Electronic medical records were reviewed for 64 children aged 6--13 years recruited into a SICLiD LiD group based on a caregiver report (Evaluation of Children's Listening and Processing Skill [ECLiPS]). The review focused on clinical assessments and interventions provided by audiology, occupational therapy, psychology (developmental and behavioral pediatrics), and speech-language pathology services, prior to study participation. Descriptive statistics on clinical encounters, identified conditions, and interventions were compared with quantitative, standardized performance on research tests. z scores were compared for participants with and without each clinical condition using univariate and logistic prediction analyses. Results: Overall, 24 clinical categories related to LiD, including APD, were identified. Common conditions were Attention (32%), Language (28%), Hearing (18%), Anxiety (16%), and Autism Spectrum Disorder (6%). Performance on research tests varied significantly between providers, conditions, and interventions. Quantitative research data combined with caregiver reports provided reliable predictions of all clinical conditions except APD. Significant correlations in individual tests were scarce but included the SCAN Composite score, which predicted clinical language and attention difficulties, but not APD diagnoses. Conclusions: The variety of disciplines, assessments, conditions, and interventions revealed here supports previous studies showing that LiD is a multifaceted problem of neurodevelopment. Comparisons between clinical- and researchbased assessments suggest a path that prioritizes caregiver reports and selected psychometric tests for screening and diagnostic purposes. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Multidisciplinary Clinical Assessment and Interventions for Childhood Listening Difficulty and Auditory Processing Disorder: Relation Between Research Findings and Clinical Practice.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jun2025, Vol. 68 Issue 6, p2978-2991. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Language+%26+languages%22">Language & languages</searchLink><br />*<searchLink fieldCode="DE" term="%22Children+with+disabilities%22">Children with disabilities</searchLink><br />*<searchLink fieldCode="DE" term="%22Autism%22">Autism</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br />*<searchLink fieldCode="DE" term="%22Caregivers%22">Caregivers</searchLink><br />*<searchLink fieldCode="DE" term="%22Occupational+therapy%22">Occupational therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing%22">Hearing</searchLink><br />*<searchLink fieldCode="DE" term="%22Asperger's+syndrome%22">Asperger's syndrome</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Word+deafness%22">Word deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Audiology%22">Audiology</searchLink><br /><searchLink fieldCode="DE" term="%22Children's+hospitals%22">Children's hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Listening difficulty (LiD), often classified as auditory processing disorder (APD), has been studied in both research and clinic settings. The aim of this study was to examine the predictive relation between these two settings. In our SICLiD (Sensitive Indicators of Childhood Listening Difficulties) research study, children with normal audiometry, but caregiver-reported LiD, performed poorly on both listening and cognitive tests. Here, we examined results of clinical assessments and interventions for these children in relation to research performance. Method: Study setting was a tertiary pediatric hospital. Electronic medical records were reviewed for 64 children aged 6--13 years recruited into a SICLiD LiD group based on a caregiver report (Evaluation of Children's Listening and Processing Skill [ECLiPS]). The review focused on clinical assessments and interventions provided by audiology, occupational therapy, psychology (developmental and behavioral pediatrics), and speech-language pathology services, prior to study participation. Descriptive statistics on clinical encounters, identified conditions, and interventions were compared with quantitative, standardized performance on research tests. z scores were compared for participants with and without each clinical condition using univariate and logistic prediction analyses. Results: Overall, 24 clinical categories related to LiD, including APD, were identified. Common conditions were Attention (32%), Language (28%), Hearing (18%), Anxiety (16%), and Autism Spectrum Disorder (6%). Performance on research tests varied significantly between providers, conditions, and interventions. Quantitative research data combined with caregiver reports provided reliable predictions of all clinical conditions except APD. Significant correlations in individual tests were scarce but included the SCAN Composite score, which predicted clinical language and attention difficulties, but not APD diagnoses. Conclusions: The variety of disciplines, assessments, conditions, and interventions revealed here supports previous studies showing that LiD is a multifaceted problem of neurodevelopment. Comparisons between clinical- and researchbased assessments suggest a path that prioritizes caregiver reports and selected psychometric tests for screening and diagnostic purposes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2025_JSLHR-24-00306
    Languages:
      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Language & languages
        Type: general
      – SubjectFull: Children with disabilities
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Caregivers
        Type: general
      – SubjectFull: Occupational therapy
        Type: general
      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Hearing
        Type: general
      – SubjectFull: Asperger's syndrome
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Word deafness
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Audiology
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      – SubjectFull: Children's hospitals
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Health care teams
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      – SubjectFull: United Kingdom
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      – TitleFull: Multidisciplinary Clinical Assessment and Interventions for Childhood Listening Difficulty and Auditory Processing Disorder: Relation Between Research Findings and Clinical Practice.
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              Text: Jun2025
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              Y: 2025
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