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针对学龄期听觉处理障碍儿童的干预措施:一项范围综述

Interventions for School-Aged Children with Auditory Processing Disorder: A Scoping Review.

作者信息

Bigras Jacynthe, Lagacé Josée, El Mawazini Ahmed, Lessard-Dostie Héloïse

机构信息

School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada.

出版信息

Healthcare (Basel). 2024 Jun 7;12(12):1161. doi: 10.3390/healthcare12121161.

Abstract

(1) Background: Auditory processing (AP) disorder is associated with learning difficulties and poses challenges to school-aged children in their daily activities. This scoping review identifies interventions and provides audiologists with protocol insights and outcome measures. (2) Methods: A systematic search of both peer-reviewed and grey literature (January 2006 to August 2023) covered ten databases. Studies included had the following characteristics: (i) published in French or English; (ii) participants were school-aged, and had a normal audiogram, AP difficulties or disorder, and no cognitive, developmental, congenital or neurological disorder (with the exception of learning, attention, and language disabilities); (iii) were intervention studies or systematic reviews. (3) Results: Forty-two studies were included, and they predominantly featured auditory training (AT), addressing spatial processing, dichotic listening, temporal processing and listening to speech in noise. Some interventions included cognitive or language training, assistive devices or hearing aids. Outcome measures listed included electrophysiological, AP, cognitive and language measures and questionnaires addressed to parents, teachers or the participants. (4) Conclusions: Most interventions focused on bottom-up approaches, particularly AT. A limited number of top-down approaches were observed. The compiled tools underscore the need for research on metric responsiveness and point to the inadequate consideration given to understanding how children perceive change.

摘要

(1) 背景:听觉处理(AP)障碍与学习困难相关,给学龄儿童的日常活动带来挑战。本范围综述确定了干预措施,并为听力学家提供方案见解和结果测量方法。(2) 方法:对同行评审文献和灰色文献(2006年1月至2023年8月)进行系统检索,涵盖十个数据库。纳入的研究具有以下特征:(i) 以法语或英语发表;(ii) 参与者为学龄儿童,听力图正常,有AP困难或障碍,且无认知、发育、先天性或神经障碍(学习、注意力和语言障碍除外);(iii) 为干预研究或系统综述。(3) 结果:纳入42项研究,主要特点是听觉训练(AT),涉及空间处理、双耳分听、时间处理和噪声中言语聆听。一些干预措施包括认知或语言训练、辅助设备或助听器。列出的结果测量方法包括电生理、AP、认知和语言测量方法以及针对家长、教师或参与者的问卷。(4) 结论:大多数干预措施侧重于自下而上的方法,尤其是AT。观察到的自上而下的方法数量有限。汇编的工具强调了对测量反应性进行研究的必要性,并指出在理解儿童如何感知变化方面考虑不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d673/11203214/20403d7ffff2/healthcare-12-01161-g001.jpg

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本文引用的文献

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