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. |
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| 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 |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 185830440 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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Jun2025, Vol. 68 Issue 6, p2978-2991. 14p. – Name: Subject Label: Subject Terms Group: Su 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> – Name: SubjectGeographic Label: Geographic Terms Group: Su 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] – Name: AbstractSuppliedCopyright Label: Group: Ab 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 PhysicalDescription: Pagination: PageCount: 14 StartPage: 2978 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 Type: general – SubjectFull: Children's hospitals Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Electronic health records Type: general – SubjectFull: Statistics Type: general – SubjectFull: Medical needs assessment Type: general – SubjectFull: Health care teams Type: general – SubjectFull: United Kingdom Type: general Titles: – TitleFull: Multidisciplinary Clinical Assessment and Interventions for Childhood Listening Difficulty and Auditory Processing Disorder: Relation Between Research Findings and Clinical Practice. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Moore, David R. – PersonEntity: Name: NameFull: Lin, Li – PersonEntity: Name: NameFull: Bhalerao, Ritu – PersonEntity: Name: NameFull: Caldwell-Kurtzman, Jody – PersonEntity: Name: NameFull: Hunter, Lisa L. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10924388 Numbering: – Type: volume Value: 68 – Type: issue Value: 6 Titles: – TitleFull: Journal of Speech, Language & Hearing Research Type: main |
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