Auditory Identification

Activity: Phoneme-based training

Phoneme-based training is used to discriminate the difference between phonemes at the syllable or word level (Tye-Murray, 2020).

EBP: "For poor performers (for whom speech recognition in noise is nearly impossible), phonemic contrast training may best improve speech perception performance in quiet" (Quian-Jie et al., 2007)

"Phoneme-based training may present nonsense syllables in vowel-consonant-vowel context....one rationale for phoneme-based training is that learning to discriminate phonemes in nonsense syllables is akin to acquiring the 'building blocks' of language, and this learning will generalize to recognizing larger speech units such as words and sentences (e.g., Moore, Rosenberb, & Coleman, 2005)" (Tye-Murray, 2020).

Goal: In 6 months, when presented with a CVC or VCV word, the adult will verbally imitate the exact word presented with 80% accuracy across 2 consecutive sessions independently as measured by self, communication partner and/or SLP.

Activity: 11 CVC or VCV words will be verbally presented randomly to the patient. In the CVC words, only the vowel changes (e.g., /bat/ and /bet/). In the VCV words, only the consonant changes (e.g., /aka/ and /aba/). The clinician measures which verbally presented nonsense word is accurately identified and which phoneme was heard by the patient when there is an error.

Impairment: Adults with hearing loss wearing cochlear implants

Activity Breakdown

Step 1: In the beginning of the session, the clinician will verbally present the vowel CVC or consonant VCV word.

Step 2: The patient will repeat the CVC or VCV word heard verbally.

Step 3: The clinician will record results in the matrix data collection and present a new VCV or CVC word.

Step 4: After taking data on all the words, the clinician presents results to the patient and they practice distinguishing between the words by over articulating the word and reading it aloud together.

Step 5: Steps 1-3 are repeated at the end of the session.

Hierarchy Cuing

Independently: The patient verbally repeats the word accurately

Repetition: The patient can ask for a repeptition of the word verbally presented.

** no other cues are given while taking data, as the clinician wants to know exactly which vowels/consonants in CVC or VCV forms are the most challenging to the patient.

Overview with the patient

The clinician and the patient will over articulate and read the words together. They will talk about the difference between each word and repeat the phoneme-based training before the end of the session.

Data Collection Example for Consonants:

(Henry, B., 2015)

Data Collection Example for Vowels:

(Henry, B., 2015)

en_rehab_ci_adult_homebasedauditory_trainingmanual_clinicianguide_n585130_585131_iss3_jul15_0.99mb.pdf

Adult Cochlear Implant Home-Based Auditory Training

References:

Henry, B. (2015). Adult cochlear implant home-based auditory training guide for clinicians. Cochlear.

Qian-Jie, F. & Galvin III, J.J. (2007) Perceptual learning and auditory training in cochlear implant recipients. Trends in Amplification. Sage Publications.11(3).

Tye-Murray, N. (2020). Foundations of aural rehabilitation children, adults, and their family members. Plural Publishing.

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