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Semin Hear 2015; 36(04): 296-310
DOI: 10.1055/s-0035-1564460
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Optimizing Performance in Adult Cochlear Implant Users through Clinician Directed Auditory Training

Geoff Plant
1   Hearing Rehabilitation Foundation, Somerville, Massachusetts
,
Claire Marcus Bernstein
2   Department of Hearing, Speech, and Language Sciences, Rehabilitation Engineering Research Center on Technology for Deaf and Hard of Hearing, Gallaudet University, Washington, DC
,
Harry Levitt
3   Advanced Hearing Concepts, Bodega Bay, California
› Author Affiliations
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Publication History

Publication Date:
26 October 2015 (online)

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Abstract

Clinician-directed auditory training using the KTH Speech Tracking Procedure can be a powerful approach for maximizing outcomes with adult cochlear implant (CI) users. This article first reviews prior research findings from an 8-week clinician-directed auditory training (AT) program using speech tracking that yielded significant gains in speech tracking rate and sentence recognition scores following training. The second focus of the article is to illustrate the value of intensive face-to-face long-term AT using speech tracking with adult CI users. A detailed case study report is presented that demonstrates major ongoing and progressive gains in tracking rate, sentence recognition, and improvements in self-perceived competence and confidence over the course of intensive long-term training. Given the potential of both short- and long-term clinician-directed auditory training via KTH speech tracking to help CI users reach their optimal performance level, consideration for more widespread clinical use is proposed in the overall rehabilitation of adult CI users.

Keywords

Auditory training - cochlear implants - aural rehabilitation - speech tracking
 

  • References

  • 1 Steyger P, Sorkin D, Miller T , et al. Workshop on mobile and web auditory training apps for hearing impaired adults-translational and scientific challenges. Paper presented at: Assoc Res Otolaryngol Ann Meeting; February 21–25, 2015; Baltimore, MD
    PubMedGoogle Scholar
  • 2 Zhang M, Miller A, Campbell MM. Overview of nine computerized, home-based auditory-training programs for adult cochlear implant recipients. J Am Acad Audiol 2014; 25 (4) 405-413
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Bernstein C, Bakke M, Mazevski A , et al. Benefits of speech tracking training on sentence recognition, tracking rate, and self-assessed communication function in adult cochlear implant users. J Acad Rehab Audiol 2012; 45: 11-39
    PubMedGoogle Scholar
  • 4 Boothroyd A. Adapting to changed hearing: the potential role of formal training. J Am Acad Audiol 2010; 21 (9) 601-611
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Fu QJ, Galvin III JJ. Maximizing cochlear implant patients' performance with advanced speech training procedures. Hear Res 2008; 242 (1-2) 198-208
    CrossrefPubMedGoogle Scholar
  • 6 Merabet LB, Pascual-Leone A. Neural reorganization following sensory loss: the opportunity of change. Nat Rev Neurosci 2010; 11 (1) 44-52
    CrossrefPubMedGoogle Scholar
  • 7 Miller J, Watson C, Kistler D, Wightman F, Preminger J. Preliminary evaluation of the Speech Perception Assessment and Training System (SPATS) with hearing-aid and cochlear-implant users. Proc Meet Acoust 2008; 2: 1-9
    PubMedGoogle Scholar
  • 8 Regan M . App developed by Johns Hopkins undergrads gives cochlear implant users access to auditory training; August 11, 2014; Available at: http://hub.jhu.edu/2014/08/11/cochlear-implants/ . Accessed February 23, 2015
    PubMed
  • 9 De Filippo CL, Scott BL. A method for training and evaluating the reception of ongoing speech. J Acoust Soc Am 1978; 63 (4) 1186-1192
    CrossrefPubMedGoogle Scholar
  • 10 Gnosspelius J, Spens K. A computer-based speech tracking procedure. STL-QPSR 1992; 1: 131-137
    PubMedGoogle Scholar
  • 11 Boothroyd A. CasperSent: a program for computer-assisted speech perception testing and training at the sentence level. J Acad Rehab Audiol 2008; 41: 30-50
    PubMedGoogle Scholar
  • 12 Dillon H, James A, Ginis J. Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. J Am Acad Audiol 1997; 8 (1) 27-43
    PubMedGoogle Scholar
  • 13 Demorest ME, Erdman SA. Development of the communication profile for the hearing impaired. J Speech Hear Disord 1987; 52 (2) 129-143
    CrossrefPubMedGoogle Scholar
  • 14 Plant G. TeenTrax. Innsbruck. Austria: MED-EL; 2007
    Google Scholar
  • 15 Plant G, Anderson I. TesTrax. Innsbruck. Austria: MED-EL; 2005
    Google Scholar
  • 16 Plant G. Speech Stuff: Speech Testing and Training Resources for Teenagers and Young Adults. Somerville, MA: Hearing Rehabilitation Foundation; 2001
    Google Scholar
  • 17 Boothroyd A, Hanin L, Hnath T. A sentence test of speech perception: reliability, set equivalence, and short term learning. In: Internal Rep. No. RC110: New York, NY: Speech and Hearing Sciences Research Center, Graduate School and University Center, City University of New York; 1985
    PubMedGoogle Scholar
  • 18 Plant G. SpeechTrax. Innsbruck, Austria: MED-EL; 2002
    Google Scholar
  • 19 Plant G. The Emperor's New Clothes. Somerville, MA: Hearing Rehabilitation Foundation; 2015
    Google Scholar
  • 20 Colvin G. Talent Is Overrated. New York, NY: Portfolio; 2008
    Google Scholar
  • 21 Kimball M. Shane Parrish on deliberate practice. July 16, 2013 . Available at: http://blog.supplysideliberal.com/post/55575432544/shane-parrish-on-deliberate-practice/ . Accessed February 23, 2015
    PubMedGoogle Scholar
  • 22 Sweetow RW, Sabes JH. The need for and development of an adaptive Listening and Communication Enhancement (LACE) program. J Am Acad Audiol 2006; 17 (8) 538-558
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Taylor B, Shrive A. The economics of computer-based auditory training. July 7, 2008 . Available at: http://www.audiologyonline.com/articles/pf_article_detail.asp?article_id=2060/ . Accessed February 22, 2015
    PubMedGoogle Scholar
  • 24 Sweetow RW, Sabes JH. Auditory training and challenges associated with participation and compliance. J Am Acad Audiol 2010; 21 (9) 586-593
    Article in Thieme ConnectPubMedGoogle Scholar
  • 25 Chisolm TH, Saunders GH, Frederick MT, McArdle RA, Smith SL, Wilson RH. Learning to listen again: the role of compliance in auditory training for adults with hearing loss. Am J Audiol 2013; 22 (2) 339-342
    CrossrefPubMedGoogle Scholar
  • 26 Levitt H, Oden C, Simon H, Noack C, Lotze A. Entertainment overcomes barriers of auditory training. Hearing J 2011; 64: 40-42
    PubMedGoogle Scholar
  • 27 Durity R. Auditory training for severely hearing–impaired adults. In Sims D, Walter G, Whitehead R, , eds. Deafness and Communication: Assessment and Training. Baltimore, MD: Williams & Wilkins; 1982: 307
    Google Scholar
  • 28 Jacobs M. Speech communication (speech reading) for the severely and profoundly hearing-impaired young adult. In: Sims D, Walter G, Whitehead R, , eds. Deafness and Communication: Assessment and Training. Baltimore, MD: Williams & Wilkins; 1982: 289
    Google Scholar
  • 29 Ericsson K, Krampe R, Tesch-Romer C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev 1993; 100: 393-406
    PubMedGoogle Scholar
  • 30 Gladwell M. Outliers: The Story of Success. New York, NY: Back Bay Books; 2008
    Google Scholar
  • 31 Boothroyd A. Improving speech understanding by increasing time on task: Evidence of benefit?. Paper presented at: The Fifth International Adult Aural Rehabilitation Conference; June, 2009; Tampa, FL
    PubMedGoogle Scholar