Department of Audiology & Speech-Language Pathology, University of North Texas, Denton.
Lang Speech Hear Serv Sch. 2024 Oct 16;55(4):1054-1067. doi: 10.1044/2024_LSHSS-23-00168. Epub 2024 Jul 15.
Individuals diagnosed with autism spectrum disorder (ASD) often exhibit auditory processing issues, including poor speech recognition in background noise and dichotic processing (integration of different stimuli presented to the two ears). Auditory training could mitigate these auditory difficulties. However, few auditory training programs have been designed to target specific listening deficits for students with ASD. The present study summarizes the development of an innovative, one-on-one, clinician-developed speech-in-noise (SIN) training program that has not been previously described and an existing dichotic auditory training program to address common auditory processing deficits in students with ASD.
Twenty verbal students with ASD, ages 7-17 years, completed a one-on-one, clinician-developed SIN training program and a commercially available dichotic training program 2-3 times a week (30-45 min per session) for 12 weeks. Maximum and minimum training levels from the SIN and dichotic training programs were analyzed statistically to document changes in training level over the training period.
Analyses of the pre- and posttraining data revealed significant improvements in training level for both the SIN and dichotic training programs.
Overall, the proposed SIN training resulted in significant improvements in training level and may be used along with dichotic training to improve some of the most common auditory processing issues documented in verbal individuals with ASD requiring minimal support. Both types of auditory training may be implemented in one-on-one therapy in clinics and in the schools.
被诊断患有自闭症谱系障碍(ASD)的个体通常表现出听觉处理问题,包括在背景噪声中语音识别能力差和双听处理(整合呈现给两只耳朵的不同刺激)差。听觉训练可以减轻这些听觉困难。然而,很少有听觉训练计划是针对 ASD 学生的特定听力缺陷设计的。本研究总结了一种创新的、一对一的、由临床医生开发的语音噪声(SIN)训练计划的发展,该计划以前没有描述过,以及现有的双听听觉训练计划,以解决 ASD 学生常见的听觉处理缺陷。
20 名言语表达的 ASD 学生,年龄在 7-17 岁之间,每周接受 2-3 次一对一的、由临床医生开发的 SIN 训练计划和一种商业上可用的双听训练计划(每次 30-45 分钟),共 12 周。对 SIN 和双听训练计划的最大和最小训练水平进行了统计学分析,以记录训练期间训练水平的变化。
对训练前后数据的分析显示,SIN 和双听训练计划的训练水平都有显著提高。
总的来说,所提出的 SIN 训练导致了训练水平的显著提高,并且可以与双听训练一起使用,以改善在需要最小支持的言语 ASD 个体中记录到的一些最常见的听觉处理问题。这两种类型的听觉训练都可以在诊所和学校的一对一治疗中实施。