DOI QR코드

DOI QR Code

A Basic Study for the Development of Multidisciplinary Intervention Guide Map of Auditory Processing Disorders

청각처리장애의 다학문적 중재 안내도 개발을 위한 기초 연구

  • Kim, Soo-Jin (Dept. of Special Education, Baekseok University)
  • 김수진 (백석대학교 특수교육과)
  • Received : 2015.10.13
  • Accepted : 2015.12.20
  • Published : 2015.12.28

Abstract

People with auditory processing disorders(APD) do not exactly understand what they hear with normal hearing levels because of difficulties in the processing of auditory information in auditory nervous system. The purposes of this study are to investigate intervention strategies suggested by current literatures and to develop a guide map for APD intervention. The problem based intervention strategies are customized to the specific deficits of a subtype of Buffalo model and Bellis/Ferre model and general intervention strategies are recommended with compensatory strategy, auditory training, environmental modification and so on. Multidisciplinary team should determine and provide various intervention strategies to improve auditory capabilities of a child with APD intensively and persistently. APD intervention guide map is organized with four steps. It helps clinicians and teachers related with the intervention of APD find appropriate intervention strategies and process in order to reduce difficulties of a child with APD and a suspected APD.

청각처리장애는 정상 청력을 가졌음에도 불구하고 청각신경계에서 청각 정보를 처리하는 과정의 문제로 자신이 들은 소리를 이해하지 못한다. 본 연구는 최근 문헌들이 제시하는 청각처리장애의 중재 방법을 조사하여 청각 처리장애를 가진 아동을 위한 중재 안내도를 마련하고자 하였다. 청각처리장애를 가진 아동은 진단의 구체적 결함에 따라 Buffalo 모델과 Bellis/Ferre 모델의 유형으로 분류되고 결함을 치료하기 위한 문제중심 중재 전략과 결함의 영향을 관리하는 전반적 중재 전략이 결정된다. 그리고 문제중심 중재 전략은 두 모델의 유형별 특징에 따라 맞춤 전략으로 구성되고, 전반적 중재 전략은 보상 전략, 청능훈련, 환경수정 등이 추천된다. 이러한 중재가 진행되기 위해서는 다학문적 팀에 의해 아동의 청각 기능을 향상시킬 수 있는 다양한 중재 방법들을 선정하고 집중적이고 지속적으로 제공하여야 한다. 청각처리장애의 중재 안내도는 청각처리장애 확인, 중재, 재평가, 수정된 중재 단계로 구성되었다. 이 안내도를 통해 청각처리장애가 의심되거나 청각처리장애를 진단 받은 아동의 어려움을 줄이기 위하여 관련 임상가와 교사들이 적절한 중재 방법과 절차를 찾을 수 있도록 돕고자 하였다.

Keywords

References

  1. American Speech-Language-Hearing Association (ASHA), Working group on auditory processing disorders. (Central) auditory processing disorder. ASHA Technical Report, 2005, Feb.
  2. J. Jerger & F. Musiek, Report of the consensus conference on the diagnosis of auditory processing disorders in school-aged children. Journal of the American Academy of audiology, Vol. 11, pp. 467-474, 2000.
  3. G. Chermak, & F. Musiek, Central auditory processing disorders: New perspectives. San Diego, CA: Singular, 1997.
  4. R. Schow & M. Nerbonne, Introduction to audiologic rehabilitation. Allyn and Bacon, 2002.
  5. Dong Il Seok, Review about the nature of central auditory processing disorders. Journal of Special Education : Theory and Practice, Vol. 5, No. 2, pp. 45-70, 2004.
  6. Soo-Jin Kim, Review of overlap in auditory processing disorder and language learning disability & auditory processing disorder and attention-deficit hyperactivity disorder. The Journal of Special Children Education, Vol. 8, No. 1, pp. 333-351, 2006.
  7. J. Katz, Classification of auditory processing disorders. In Katz J., Stecker, N. A., & Henderson, D. (Editors.), Central auditory processing: A transdisciplinary view. (pp. 81-91). St. Louis: Mosby Year Book, Inc, 1992.
  8. T. J. Bellis, & J. M. Ferre, Multidimensional approach to the differential diagnosis of central auditory processing disorders in children. Journal of the American Academy of Audiology, Vol. 10, pp. 39-328. 1999.
  9. Myung Woul Han, Joong Ho Ahn, Jong Woo Chung, The application of diagnostic tools of central auditory processing disorder and their normative value in each age group in Korean. Korean Journal of Otorhinolaryngol-Head Neck Surgery, Vol. 51, pp. 694-698, 2008.
  10. A-Reum Jeon, Hyunsook Jang, Effects of stimulus complexity, attention mode & age on dichotic digit tests. The Journal of Special Education: Theory and Practice, Vol. 10, No. 4, pp. 377-395, 2009.
  11. Hyunsook Jang, Audiologic evaluation of central auditory processing disorders. Korean Academy of Audiology, Vol. 6, pp. 10-18, 2010.
  12. Kyunghee Won & Hyunsook Jang, A study of children's auditory processing performance scale for screening of central auditory processing disorders. Korean Academy of Audiology, Vol. 6, pp. 137-145, 2010.
  13. T. J. Bellis, G. D. Chermak, J. Weihing, & F. E. Musiek, Efficacy of auditory interventions for central auditory processing disorder: A response to fey et al. (2011). Language, Speech, & Hearing Services in Schools, Vol. 43, No. 3, pp. 381-386, 2012. https://doi.org/10.1044/0161-1461(2012/11-0085)
  14. J. Katz, & K. Tillery, Central Auditory Processing. In Ludo Verhoeven & Hans van Balkom (Editors), Classification of developmental language disorders: Theoretical issues and clinical implications. (pp. 191-208). New Jersey: Lawrence Erlbaum Associates, Inc, Publishers, 2004.
  15. D. E. Bamiou, N. Campbell, & T. Sirimanna, Managment of auditory processing disorders. Audiological Medicine, Vol. 4, pp. 46-56, 2006. https://doi.org/10.1080/16513860600630498
  16. J. Katz, APD evaluation to therapy: The Buffalo model. Audiology Online, 2014.
  17. J. Katz & C. Harmon, Phonemic synthesis; Testing and training. In R. Keith(Ed.), Central auditory and language disorders in children.(pp. 145-159). Houston, TX: College-Hill Press, 1981.
  18. P. Tallal, S. L. Miller, G. Bedi, G. Byma, X. Wang, S. S. Nagarajan, C. Schreiner, W. M. Jenkins, & M. M. Merzerich, Language comprehension in language-learning impaired children improved with acoustically modified speech. Science, Vol. 271, pp. 81-84, 1996. https://doi.org/10.1126/science.271.5245.81
  19. P. Lindamood & P. Lindamood, Lindamood Phonological Sequencing (LIPS) program. San Luis Obisop, CA: Gander, 1996.
  20. T. J. Bellis, When the brain can't hear: Unraveling the mystery of auditory processing disorder. New York: Atria Books, 2002.
  21. Minnesota Department of Education, Introduction to auditory processing disorders. Division of Special Education, 2003.
  22. J. M. Ferre, Management Strategies for APD. In Teralandur K. Parthasarathy (Ed.), An introduction to auditory processing disorders in children. (pp. 161-186). Lawrence Erlbaum Associates, Inc., 2006.
  23. K. J. Foli, & H. Elsisy, Influence, education, and advocacy: The pediatric nurse's role in the evaluation and management of children with central auditory processing disorders. Journal for Specialists in Pediatric Nursing, Vol. 15, No. 1, pp. 62-71, 2010. https://doi.org/10.1111/j.1744-6155.2009.00219.x
  24. D. A. DeBonis & D. Moncrieff, Auditory processing disorders: An update for speech-language pathologists. American Journal of Speech-Language Pathology, Vol. 17, pp. 4-18, 2008. https://doi.org/10.1044/1058-0360(2008/002)
  25. D. C. Emanuel, K. N. Ficca, & P. Korczak, Survey of the diagnosis and management of auditory processing disorder. American Journal of Audiology, Vol. 20, No. 1, pp. 48-60, 2011. https://doi.org/10.1044/1059-0889(2011/10-0019)
  26. D. R. Moore, Auditory processing disorder (APD): Definition, diagnosis, neural basis, and intervention. Audiological Medicine, Vol. 4, pp. 4-11, 2006. https://doi.org/10.1080/16513860600568573
  27. G. G. Rosenberg, Classroom acoustics and personal FM technology in the management of APD. Semin Hear, Vol. 23, pp. 309-317, 2002. https://doi.org/10.1055/s-2002-35879
  28. A. Ryan & M. Logue-Kennedy, Exploration of teachers' awareness and knowledge of (central) auditory processing disorder ((C)APD). British Journal of Special Education, Vol. 40, No. 4, pp. 167-174, 2013. https://doi.org/10.1111/1467-8578.12041
  29. F. Musiek, Habilitation and management of auditory processing disorders: Overview of selected procedures. Journal of the American Academy of Audiology, Vol. 10, No. 6, pp. 329-342, 1999.