Emanuel Diana C, Ficca Kristen N, Korczak Peggy
Towson University, Towson, MD, USA.
Am J Audiol. 2011 Jun;20(1):48-60. doi: 10.1044/1059-0889(2011/10-0019). Epub 2011 Apr 7.
A survey of audiologists' diagnosis and intervention protocols for auditory processing disorder (APD) was conducted to determine current protocols and compare results with published recommendations.
A survey was distributed by mail to 515 American Speech-Language-Hearing Association audiology members who listed APD as an area of expertise and via e-mail to Educational Audiology Association members. The survey was completed by 195 audiologists.
The majority of respondents reported using auditory processing (AP) test batteries selected based on clinical experience, review of the literature, and attendance at professional conferences. The most popular tests were dichotic, monaural low-redundancy speech, and temporal processing tests. Treatment and management recommendations were usually customized for each patient based on deficits found in behavioral AP testing. The majority of respondents indicated that audiologists are responsible for APD diagnosis (97%) and recommendation of treatment/management (81%); in contrast, only 40% of respondents indicated audiologists were responsible for providing treatment/management.
Audiologists are selecting AP test batteries based on the age and case history of the patient, which is in accordance with recent national guidelines. Audiologists are primarily responsible for APD diagnosis and recommending treatment/management. APD treatment is provided by speech-language pathologists, educators, and audiologists.
开展一项关于听力学家对听觉处理障碍（APD）的诊断及干预方案的调查，以确定当前的方案，并将结果与已发表的建议进行比较。
通过邮件向515名将APD列为专业领域的美国言语-语言-听力协会听力学家成员发放调查问卷，并通过电子邮件向教育听力协会成员发放。195名听力学家完成了该调查。
大多数受访者报告称，他们使用基于临床经验、文献综述和参加专业会议而选择的听觉处理（AP）测试组套。最常用的测试是双耳分听、单耳低冗余言语和时间处理测试。治疗和管理建议通常根据行为AP测试中发现的缺陷为每位患者量身定制。大多数受访者表示，听力学家负责APD诊断（97%）和治疗/管理建议（81%）；相比之下，只有40%的受访者表示听力学家负责提供治疗/管理。
听力学家根据患者的年龄和病史选择AP测试组套，这与最近的国家指南一致。听力学家主要负责APD诊断和推荐治疗/管理。APD治疗由言语-语言病理学家、教育工作者和听力学家提供。
