청능훈련이 보청기 착용 아동의 어음인지에 미치는 효과
Efficacy of Auditory Training on Speech Recognition in Children Wearing Hearing Aids
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Purpose: Auditory training is known to be helpful for reduced speech-in-noise recognition abilities. The purpose of this study was to evaluate the efficacy of 8-week auditory training for children using hearing aids. Also, the retention effect of training was determined from 1-month and 4-month follow-up tests after the completion of training. Methods: Eight children with hearing aids participated in eight sentence-in-noise training sessions over eight weeks (one session per week, 40-minute training per session). Each child completed training lessons concentrating on closed-set speech-in-noise training with matching pictures. To evaluate the efficacy of the auditory training, word recognition score (WRS) and sentence recognition score (SRS) were measured at quiet, 10, 5, 0 dB signal-to-noise ratio (SNR) conditions. Speech-in-noise performances were assessed immediately after the auditory training and again after one month and four months during which no training conducted. Sentences and talkers for tests were different from those used in the auditory training. The auditory behavior in everyday life questionnaire (ABEL) test was also conducted as a parental subjective questionnaire before and after the auditory training. Results: The word and sentence recognition abilities were significantly improved after the auditory. The improvement was observed in both quiet and noisy conditions, even at the most unfavorable SNR condition. The ABEL score was also enhanced after the auditory training. From the individual data, the 8-week auditory training influenced positively the abilities of speech recognition and parentreported auditory behaviors. Both scores of WRS and SRS in noise were maintained until 4 months after the completion of the auditory training. Conclusion: A 8-week pediatric auditory training may lead to improved speech-in-noise recognition and auditory behaviors in children with hearing aids, regardless of listening conditions. The efficacy of the auditory training was maintained until 4-month follow-up.
Abstract
Purpose: Auditory training is known to be helpful for reduced speech-in-noise recognition abilities. The purpose of this study was to evaluate the efficacy of 8-week auditory training for children using hearing aids. Also, the retention effect of training was determined from 1-month and 4-month follow-up tests after the completion of training. Methods: Eight children with hearing aids participated in eight sentence-in-noise training sessions over eight weeks (one session per week, 40-minute training per session). Each child completed training lessons concentrating on closed-set speech-in-noise training with matching pictures. To evaluate the efficacy of the auditory training, word recognition score (WRS) and sentence recognition score (SRS) were measured at quiet, 10, 5, 0 dB signal-to-noise ratio (SNR) conditions. Speech-in-noise performances were assessed immediately after the auditory training and again after one month and four months during which no training conducted. Sentences and talkers for tests were different from those used in the auditory training. The auditory behavior in everyday life questionnaire (ABEL) test was also conducted as a parental subjective questionnaire before and after the auditory training. Results: The word and sentence recognition abilities were significantly improved after the auditory. The improvement was observed in both quiet and noisy conditions, even at the most unfavorable SNR condition. The ABEL score was also enhanced after the auditory training. From the individual data, the 8-week auditory training influenced positively the abilities of speech recognition and parentreported auditory behaviors. Both scores of WRS and SRS in noise were maintained until 4 months after the completion of the auditory training. Conclusion: A 8-week pediatric auditory training may lead to improved speech-in-noise recognition and auditory behaviors in children with hearing aids, regardless of listening conditions. The efficacy of the auditory training was maintained until 4-month follow-up.
참고문헌 (39)
- 안표희, "청능훈련을 위한 환경음원의 개발", Audiology and Speech Research, 12(2), pp.82~88 (2016), 한국청각언어재활학회
- Alonso, R., "The efficacy of formal auditory training in children with(central)auditory processing disorder : Behavioral and electrophysiological evaluation", Brazilian Journal of Otorhinolaryngology, 75(5), pp.726~732 (2009)
- 백신성, "청능훈련을 위한 가로세로 단어판 개발", Audiology and Speech Research, 12(2), pp.103~108 (2016), 한국청각언어재활학회
- Burk, M. H., "Effects of long-term training on aided speech-recognition performance in noise in older adults", Journal of Speech, Language, and Hearing Research, 51(3), pp.759~771 (2008)
- 최재희, "한국어 버전 일상생활 청각행동 설문지의 신뢰도와 타당도", Audiology and Speech Research, 13(1), pp.19~27 (2017), 한국청각언어재활학회
- 최위주, "음악을 이용한 청능훈련이 인공와우착용 아동에 있어서 어음인지와 작업기억력에 미치는 효과", Audiology and Speech Research, 13(1), pp.70~77 (2017), 한국청각언어재활학회
- Crandell, C. C., "Classroom acoustics for children with normal hearing and with hearing impairment", Language, Speech, and Hearing Services in Schools, 31(4), pp.362~370 (2000)
- Ferguson, M. A., "Benefits of phoneme discrimination training in a randomized controlled trial of 50-to 74-year-olds with mild hearing loss", Ear and Hearing, 35(4), pp.e110~e121 (2014)
- Ferguson, M. A., "Auditory training can improve working memory, attention, and communication in adverse conditions for adults with hearing loss", Frontiers in Psychology, 6, pp.556~ (2015)
- Fu, Q. J., "Benefits of music training in Mandarin-speaking pediatric cochlear implant users", Journal of Speech, Language, and Hearing Research, 58(1), pp.163~169 (2015)
- Green, T., "Computer-based connectedtext training of speech-in-noise perception for cochlear implant users", Trends in Hearing, 23 (2019)
- Henshaw, H., "Efficacy of individual computerbased auditory training for people with hearing loss: A systematic review of the evidence", PLoS One, 8(5), pp.e62836~ (2013)
- Jamieson, D. G., "Speech intelligibility of young school-aged children in the presence of real-life classroom noise", Journal of the American Academy of Audiology, 15(7), pp.508~517 (2004)
- 조윤영, "보청기 착용 노인의 청능훈련 사례", Audiology and Speech Research, 9(2), pp.190~194 (2013), 한국청각언어재활학회
- Kim, Y. T., "Content and reliability analyses of the preschool receptive-expressive language scale(PRES)", Communication Sciences and Disorders, 5(1), pp.1~25 (2000)
- Klatte, M., "Does noise affect learning? A short review on noise effects on cognitive performance in children", Frontiers in Psychology, 4, pp.578~ (2013)
- Klatte, M., "Effects of noise and reverberation on speech perception and listening comprehension of children and adults in a classroom-like setting", Noise and Health, 12(49), pp.270~282 (2010)
- 이재인, "아동용 청능훈련 도구의 개발 및 검증", Audiology and Speech Research, 13(2), pp.123~132 (2017), 한국청각언어재활학회
- Lee, J. H., "Korean Speech Audiometry (KSA)" (2010), Hakjisa
- 이재희, "저하된 단어인지도를 보이는 장기 보청기 착용자의 청능훈련 사례", Audiology and Speech Research, 12(3), pp.190~194 (2016), 한국청각언어재활학회
- 이장원, "청능훈련용 객관식형 문장음원의 예비평가", Audiology and Speech Research, 12(2), pp.97~102 (2016), 한국청각언어재활학회
- 임은희, "이야기와 질문을 이용한 청능훈련 도구개발에 관한 연구", Audiology and Speech Research, 12(2), pp.109~114 (2016), 한국청각언어재활학회
- Yones Lotfi, "Effects of an Auditory Lateralization Training in Children Suspected to Central Auditory Processing Disorder", Journal of Audiology & Otology, 20(2), pp.102~108 (2016), 대한청각학회
- Mishra, S. K., "Auditory cognitive training for pediatric cochlear implant recipients", Ear and Hearing, 39(1), pp.48~59 (2018)
- Mishra, S. K., "Auditory learning in children with cochlear implants", Journal of Speech Language and Hearing Research, 58(3), pp.1052~1060 (2015)
- Nanjundaswamy, M., "Computer-based auditory training programs for children with hearing impairment-A scoping review", International Archives of Otorhinolaryngology, 22(1), pp.88~93 (2018)
- Oba, S. I., "Digit training in noise can improve cochlear implant users’ speech understanding in noise", Ear and Hearing, 32(5), pp.573~581 (2011)
- 박시훈, "청능훈련 효과에 대한 한국어 데이터베이스 기반의 체계적인 문헌 고찰", Audiology and Speech Research, 15(3), pp.145~159 (2019), 한국청각언어재활학회
- Park, Y., "Noise condition and characteristics for an elementary school in urban area", Journal of Environmental Science and Technology Research Center, 11(1), pp.23~30 (2001)
- Rayes, H., "Systematic review of auditory training in pediatric cochlear implant recipients", Journal of Speech, Language, and Hearing Research, 62(5), pp.1574~1593 (2019)
- Rochette, F., "Long-term effects of auditory training in severely or profoundly deaf children", Annals of the New York Academy of Sciences, 1169, pp.195~198 (2009)
- Rochette, F., "Music lessons improve auditory perceptual and cognitive performance in deaf children", Frontiers in Human Neuroscience, 8, pp.488~ (2014)
- Roman, S., "Auditory training improves auditory performance in cochlear implanted children", Hearing Research, 337, pp.89~95 (2016)
- 신진배, "Effects of the Target Talker Gender and the Number of Competing Talkers on Acceptable Noise Level (ANL) of Korean Normal-Hearing Adults", Audiology and Speech Research, 6(2), pp.146~152 (2010), 한국청각언어재활학회
- Stelmachowicz, P. G., "The importance of high-frequency audibility in the speech and language development of children with hearing loss", Archives of Otorhinolaryngology-Head and Neck Surgery, 130(5), pp.556~562 (2004)
- Sullivan, J. R., "Auditory training of speech recognition with interrupted and continuous noise maskers by children with hearing impairment", The Journal of the Acoustical Society of America, 133(1), pp.495~501 (2013)
- Valente, D. L., "Experimental investigation of the effects of the acoustical conditions in a simulated classroom on speech recognition and learning in children", The Journal of the Acoustical Society of America, 131(1), pp.232~246 (2012)
- Wu, J. L., "Effects of computer-assisted speech training on Mandarin-speaking hearing-impaired children", Audiology and Neurotology, 12(5), pp.307~312 (2007)
- 여성희, "보청기 착용자를 대상으로 문장을 이용한 소음 하 청능훈련의 효과에 관한 연구", Audiology and Speech Research, 10(1), pp.65~75 (2014), 한국청각언어재활학회