본문 바로가기
KERD
논문KCI 등재

청각장애 영유아의 청각언어인지재활(KARI)을 이용한 조기 중재 효과 연구

Study of Early Intervention Effect Using Korean Auditory, Language, and Cognitive Rehabilitation for Infants with Hearing Loss

김진숙|김도균|유희순
한국청각언어재활학회 (Korean Academy of Audiology)|2019.04|Audiology and Speech Research|제15권 제2호|pp. 119-134

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

Early InterventionInfantsHearing loss.Aural rehabilitation영유아·청각재활·한국형 영유아 청각언어인지재활·조기중재·청력손실.Korean Auditory language and cognitive Rehabilitation for Infants (KARI)

초록

Purpose: The present study was aimed to identify the effect of early intervention using Korean Auditory, language, and cognitive Rehabilitation for Infants (KARI) program for the hearing-impaired infants. Methods: The KARI program composed with the evaluation materials, parent education and counseling materials, professional guidelines were applied to 12 infants from 1 to 24 months old once a week. The evaluation materials were Korean version of LittlEARS¢ç Auditory Questionnaire (LEAQ-K), Categories of Auditory Performance (CAP), Infant-Toddler Auditory & Communicative Behavioral Checklist (IT-ACBC), Sequenced Language Scale for Infants (SELSI), Korean MacArthur-Bates Communicative Development Inventories (K MB CDI), and Communication and Symbolic Behavior Scales: Developmental Profile (CSBS DP). Results: The scores of LEAQ-K, CAP, and IT-ACBC were enhanced from 23.27 to 27.55, 4.14 to 4.36, and 48.05 to 61.53. SELSI scores in receptive and expressive languages increased from 24.76 and 19.59 to 31.12 and 24.41. K MB CDI scores increased in expressive and receptive vocabularies and gesture and play from 10.00, 62.60 and 23.60 to 59.00, 111.00 and 47.80. CSBS DP scores increased from 37.50 to 46.71. After applying KARI, the early intervention effects were shown in scores of the evaluation materials with the statistical significances (p < 0.05) in LEAQ-K, IT-ACBC, SELSI, receptive vocabulary in K MB CDI, and CSBS DP checklist. Conclusion: The current results support that KARI is an effective rehabilitation tool for the early intervention to the hearing-impaired infants. When given the suitable rehabilitation at the early stage, the hearing-impaired infants can develop the early communication skills near to normal range.

Abstract

Purpose: The present study was aimed to identify the effect of early intervention using Korean Auditory, language, and cognitive Rehabilitation for Infants (KARI) program for the hearing-impaired infants. Methods: The KARI program composed with the evaluation materials, parent education and counseling materials, professional guidelines were applied to 12 infants from 1 to 24 months old once a week. The evaluation materials were Korean version of LittlEARS¢ç Auditory Questionnaire (LEAQ-K), Categories of Auditory Performance (CAP), Infant-Toddler Auditory & Communicative Behavioral Checklist (IT-ACBC), Sequenced Language Scale for Infants (SELSI), Korean MacArthur-Bates Communicative Development Inventories (K MB CDI), and Communication and Symbolic Behavior Scales: Developmental Profile (CSBS DP). Results: The scores of LEAQ-K, CAP, and IT-ACBC were enhanced from 23.27 to 27.55, 4.14 to 4.36, and 48.05 to 61.53. SELSI scores in receptive and expressive languages increased from 24.76 and 19.59 to 31.12 and 24.41. K MB CDI scores increased in expressive and receptive vocabularies and gesture and play from 10.00, 62.60 and 23.60 to 59.00, 111.00 and 47.80. CSBS DP scores increased from 37.50 to 46.71. After applying KARI, the early intervention effects were shown in scores of the evaluation materials with the statistical significances (p < 0.05) in LEAQ-K, IT-ACBC, SELSI, receptive vocabulary in K MB CDI, and CSBS DP checklist. Conclusion: The current results support that KARI is an effective rehabilitation tool for the early intervention to the hearing-impaired infants. When given the suitable rehabilitation at the early stage, the hearing-impaired infants can develop the early communication skills near to normal range.

참고문헌 (34)

  1. American Academy of Pediatrics, "Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs", Pediatrics, 120(4), pp.898~921 (2007)
  2. Archbold, S., "Categories of auditory performance", Annals of Otology, Rhinology and Laryngology, 166(Supplement), pp.312~314 (1995)
  3. Ertmer, D. J., "Vocal development in young children with cochlear implants:Profiles and implications for intervention", Language, Speech, and Hearing Services in Schools, 33(3), pp.184~195 (2002)
  4. Korean-Development Screening Test for Infants and Children (K-DST), "Eun, B. L.", Korea Centers for Disease Control and Prevention, ~ (2014)
  5. Fenson, L., "MacArthur Communicative Development Inventories: User’s Guide and Technical Manual" (1993), Singular Publishing Group
  6. Jeddi, Z., "Aural rehabilitation in children with cochlear implants : A study of cognition, social communication, and motor skill development", Cochlear Implants International, 15(2), pp.93~100 (2014)
  7. 김진숙, "조기청능재활프로그램 개발을 위한 영아의 발성패턴 연구", Audiology and Speech Research, 8(1), pp.61~77 (2012), 한국청각언어재활학회
  8. 김진숙, "국내 영아의 발성 및 조음발달 목록 개발", Audiology and Speech Research, 13(2), pp.141~160 (2017), 한국청각언어재활학회
  9. 김리석, "인공와우이식 아동의 장기간 청각 수행력의 발달", 대한이비인후-두경부외과학회지, 45(1), pp.18~21 (2002), 대한이비인후과학회
  10. 2014 Disabled People Status Survey, "Kim, S. H.", Institute for Health and Social Affairs, ~ (2014)
  11. Kim, Y. T., "Sequenced Language Scale for Infants" (2003), Paradise Welfare Foundation
  12. Kim, Y. T., "Preschool Receptive-Expressive Language Scale" (2003), Seoul Community Rehabilitation Center
  13. Kishon-Rabin, L., "Prelexical vocalization in normal hearing and hearing-impaired infants before and after cochlear implantation and its relation to early auditory skills", Ear and Hearing, 26(4 Suppl), pp.17S~29S (2005)
  14. 이지연, "영유아용 의사소통과 상징행동 체크리스트의 표준화를 위한 예비연구", 인간발달연구, 11(4), pp.37~54 (2004), 한국인간발달학회
  15. 이미숙, "LEOPARD 증후군 아동의 인공와우이식 후 청능재활 사례 연구", 특수아동교육연구, 13(3), pp.357~370 (2011), 한국특수아동학회[DOI]
  16. Nathani, S., "Assessing vocal development in infants and toddlers", Clinical Linguistics and Phonetics, 20(5), pp.351~369 (2006)
  17. National Institutes of Health, "Early identification of hearing impairment in infants and young children", NIH Consens Statement, 11(1), pp.1~24 (1993)
  18. 노진아, "장애 영유아를 위한 부모 참여 중재 연구의 동향 및 WWC 평가 지표에 의한 분석: 국내외 단일대상 연구를 중심으로", 특수아동교육연구, 16(2), pp.425~453 (2014), 한국특수아동학회[DOI]
  19. Pae, S. Y., "Korean MacArthur-Bates Communicative Development Inventories (K M-B CDI) User’s Guide and Technical Manual" (2011), Mindpress
  20. 박혜진, "Ling 6 Sound 검사의 이해와 적용", Audiology and Speech Research, 12(4), pp.195~203 (2016), 한국청각언어재활학회
  21. 박경연, "영유아 청각 및 의사소통 행동 체크리스트 개발 연구", Audiology and Speech Research, 12(2), pp.65~73 (2016), 한국청각언어재활학회
  22. Rhoades, E. A., "Auditory-Verbal Practice: Toward a Family-Centered Approach" (2016), Hakjisa
  23. Rossi, K., "Learn to Talk Around the Clock: A Professional’s Early Intervention Toolbox" (2003), Alexander Graham Bell Association for the Deaf and Hard of Hearing
  24. Schauwers, K., "Normal hearing and language development in a deaf-born child", Otology and Neurotology, 25(6), pp.924~929 (2004)
  25. 손미나, "한국어 LittlEARS® Auditory Questionnaire를 이용한 건청과 청각장애 아동의 듣기 발달 연구", Audiology and Speech Research, 11(1), pp.45~62 (2015), 한국청각언어재활학회
  26. Tait, M. E., "Age at implantation and development of vocal and auditory preverbal skills in implanted deaf children", International Journal of Pediatric Otorhinolaryngology, 71(4), pp.603~610 (2007)
  27. Watkins, S., "SKI-HI Curriculum: Family-Centered Programming for Infants and Young Children with Hearing Loss" (2004), Utah State University
  28. Wetherby, A. M., "Communication and Symbolic Behavior Scales Developmental Profile (CSBS DP)" (2002), The Brookes Publishing
  29. Multi-Country Assessment of National Capacity to Provide Hearing Care, "WHO", World Health Organization, ~ (2013)
  30. 유희순, "애착육아와 청각언어인지 재활", Audiology and Speech Research, 14(1), pp.11~22 (2018), 한국청각언어재활학회
  31. 윤지은, "일측성 고심도 난청 영아의 조기청능재활 사례 보고", Audiology and Speech Research, 12(2), pp.115~125 (2016), 한국청각언어재활학회
  32. 윤미선, "청각장애영유아 조기중재: 의사소통 능력의 평가", Communication Sciences and Disorders, 15(1), pp.1~19 (2010), 한국언어청각임상학회
  33. Yoshinaga-Itano, C., "Identification of hearing loss after age 18 months is not early enough", American Annals of the Deaf, 143(5), pp.380~387 (1998)
  34. Yoshinaga-Itano, C., "The Colorado Newborn Hearing Screening Project: Effects on speech and language development for children with hearing loss", Journal of Perinatology:Official Journal of the California Perinatal Association, 20(8 pt 2), pp.S132~S137 (2000)

관련 논문AI추천

A Case Report on Infant Aural Rehabilitation Using Korean Auditory, Language, and Cognitive Rehabilitation for InfantsChaekyung Mun, Chaeyeon Yu, Jinsook Kim한국청각언어재활학회 · Audiology and Speech Research2024 · 제20권 제3호일측성 고심도 난청 영아의 조기청능재활 사례 보고김진숙, 박혜진, 윤지은한국청각언어재활학회 · Audiology and Speech Research2016 · 제12권 제2호영유아 청각 및 의사소통 행동 체크리스트 개발 연구김진숙, 박경연한국청각언어재활학회 · Audiology and Speech Research2016 · 제12권 제2호한국어 LittlEARS® Auditory Questionnaire를 이용한 건청과 청각장애 아동의 듣기 발달 연구김진숙, 박혜진, 손미나한국청각언어재활학회 · Audiology and Speech Research2015 · 제11권 제1호영유아 청각행동발달검사 개발을 위한 기초연구이미숙, 장현숙한국청각언어재활학회 · Audiology and Speech Research2010 · 제6권 제1호영유아 청각 및 의사소통 행동 체크리스트의 신뢰도와 타당도 검증김진숙, 박경연한국청각언어재활학회 · Audiology and Speech Research2017 · 제13권 제3호

이 간행물의 다른 논문 (7건)

바이모달 보청기 적합 문헌 고찰오수희pp. 71-77오차행렬과 Shepard’s 법칙을 적용한 말지각 지도 (NRF)김여주, 박시훈, 곽찬범, 유성화, 이동욱, 마선미, 한우재pp. 78-83청각장애이해 프로그램이 일반학생의 청각장애 및 청각장애학생과의 통합교육에 대한 인식에 미치는 효과김찬미, 이재희pp. 84-94외이도수화기보청기의 이어팁 형태와 고막보청기의 폐쇄효과 비교박지혜, 이경원pp. 95-100비직업 소음 노출 이력 설문지 개발김세아, 한우재pp. 101-110
원문 보기