Department of Communication Sciences and Disorders, Bloomsburg University of Pennsylvania.
Am J Audiol. 2020 Jun 8;29(2):143-151. doi: 10.1044/2019_AJA-19-00025. Epub 2020 Mar 17.
Purpose The purpose of this study was to compare questionnaire-based and performance-based screening tools as predictors of an auditory processing disorder (APD) diagnosis. The questionnaire-based screening tools used were the Children's Auditory Performance Scale, Fisher's Auditory Problems Checklist, and Buffalo Model Questionnaire-Revised. The performance-based screening tools were from the SCAN-3 screening tests, that is, Auditory Figure Ground, Competing Words Free Recall (CW-FR), and Gap Detection Test. Predictability was ascertained by comparing the scores from screening tools with those from diagnostic APD tests and with the final diagnosis of APD. Research Design This study is a retrospective single-observation study. Method The screening and diagnostic test results were retrospectively analyzed from the medical records of 85 individuals (female = 39) aged 7-23 years who were seen for APD assessment at Bloomsburg University's Clinic for Hearing and Balance. Each participant was assessed with at least two questionnaire-based and at least two performance-based screening tools. Results Spearman correlation coefficient analysis showed a moderate relationship within questionnaire-based screening tools, whereas there was no relationship between questionnaire- and performance-based tools. Notably, the performance-based CW-FR screening tool showed a significant relationship with five diagnostic tests. The questionnaire-based screening tools did not predict APD diagnosis. The performance-based tool CW-FR (φ = 0.33) and the SCAN-3 screening battery (φ = 0.44) predicted the diagnosis of APD. Conclusion A performance-based screening tool or battery can be used to determine whether additional diagnostic APD evaluation is warranted. Referral for diagnostic assessment should not be based solely on questionnaire-based screening tools.
目的 本研究旨在比较基于问卷和基于表现的筛查工具作为听觉处理障碍（APD）诊断的预测指标。使用的基于问卷的筛查工具包括儿童听觉表现量表、Fisher 听觉问题清单和水牛模型问卷修订版。基于表现的筛查工具来自 SCAN-3 筛查测试，即听觉图形背景、竞争词自由回忆（CW-FR）和间隙检测测试。通过将筛查工具的得分与诊断性 APD 测试的得分以及 APD 的最终诊断进行比较来确定可预测性。
研究设计 本研究是一项回顾性单观察研究。
方法 从在 Bloomsburg 大学听力和平衡诊所接受 APD 评估的 85 名个体（女性=39）的病历中回顾性分析筛查和诊断测试结果。每个参与者都接受了至少两种基于问卷和至少两种基于表现的筛查工具的评估。
结果 Spearman 相关系数分析显示，基于问卷的筛查工具之间存在中度关系，而问卷和基于表现的工具之间没有关系。值得注意的是，基于表现的 CW-FR 筛查工具与五项诊断测试有显著关系。基于问卷的筛查工具不能预测 APD 诊断。基于表现的工具 CW-FR（φ=0.33）和 SCAN-3 筛查电池（φ=0.44）预测了 APD 的诊断。
结论 可以使用基于表现的筛查工具或电池来确定是否需要进行额外的 APD 诊断评估。不应仅基于基于问卷的筛查工具来决定是否转诊进行诊断评估。
