Challenges with listening skills and processing auditory information is different from having a hearing loss!
It is a deficit in the ability to attend to or process auditory information that a child is hearing. It is not a symptom of another cognitive or language disorder.
Children with these challenges may have difficulty:
Discriminating sounds that are similar to each other
Comprehending speech in more noisy environments
Following directions
Spelling, reading, and understanding verbal information at school
Assessment:
Gathering a spontaneous sample of a child's speech through naturalistic play environments.
Strength:
Provides more rounded information about the child's communication abilities and functions.
A less structured format allows better client-clinician relationship that allows a child to feel more comfortable communicating with them.
Weakness:
A testing format that lacks structure and requires more flexibility and quick thinking by the clinician to elicit target behaviors/utterances
CTOPP-2 is a norm-referenced test that measures phonological processing skills related to reading. Many of the subtests can provide insight information to how a child is processing the sounds and if such difficulties are related to their listening abilities.
Strength:
Helps identify students with phonological processing difficulties who might possibly experience difficulties with reading later on in their development.
Also helps identify students whose phonological skills are significantly below their peers.
It has 12 subtests that assess a wide range of areas such as:
sound matching
phoneme isolation
blending nonwords
segmenting nonwords, etc.
Weakness:
Many of the subtests might be compromised with tasks that might be unfamiliar to both the examiner and examinee.
Language Intervention:
A treatment that trains a child's ear to discriminate similar sounds and attend to them by listening to recordings of themselves or others producing them.
Strength:
Can start off treatment in a quiet space and then slowly build to a noisier environment to model more of the child's natural surroundings.
Treatment starts off with discriminating between similar sounds others produce and later can expand to producing those sounds and self-regulation.
Weakness:
This approach may lack naturalness, as children are asked to engage in direct therapy methods with repetitions and much practice
A therapy technique that helps the child practice discriminating between similar sounds, an example being /pat/ and /bat/.
Strength:
Many methods that can be used to facilitate this technique like:
Rhyming
Sound segments
Repetition
Blending
Helps develop letter-sound correspondence, which in turn can help develop better reading skills.
Weakness:
Speech and reading abilities may improve, but late intervention may hinder the rate of improvement. The earlier a child starts therapy, the better, and preferably before reading education starts in the general education classrooms.
Alternative ways to increase access to sound for children with sound processing difficulties:
Some children may have an increase in difficulty when processing sound in noisy environments, which would limit their intake of information in the classroom as compared to their peers. Changing the learning environment for them can be crucial to the comprehension of the material being taught. Some ways this symptom can be counteracted is through the use of an FM (frequency-modulated) system in the classroom, preferential seating, and classroom amplification (sound field) devices.
References:
Bellis, T. J., & Bellis, J. D. (2015). Central auditory processing disorders in children and adults. Handbook of clinical neurology, 129(1), 537–556. https://doi.org/10.1016/B978-0-444-62630-1.00030-5
Dickens, R. H., Meisinger, E. B., & Tarar, J. M. (2015). Test Review: Comprehensive Test of Phonological Processing–2nd ed. (CTOPP-2) by Wagner, R. K., Torgesen, J. K., Rashotte, C. A., & Pearson, N. A. Canadian Journal of School Psychology, 30(2), 155–162. https://doi.org/10.1177/ 0829573514563280
Keith, R. W. (1999). Clinical issues in central processing auditory disorders. Language, Speech, and Hearing Services in Schools. https://pubs.asha.org/doi/full/10.1044/0161-1461.3004.339
Wagner, R., Torgesen, J., et al. (2013). Comprehensive test of phonological processing second edition. Pearson Assessments. https://www.pearsonassessments.com/store/usassessments /en/Store/Professional-Assessments/Speech-%26-Language/Comprehensive-Test-of-Phonological-Processing-%7C-Second-Edition/p/100000737.html