Test--Retest Reliability and Minimal Detectable Change of Randomized Dichotic Digits in Learning-Disabled Children: Implications for Dichotic Listening Training.

Background: Evaluation of dichotic listening to digits is a common part of many studies for diagnosis and managing auditory processing disorders in children. Previous researchers have verified test--retest relative reliability of dichotic digits results in normal children and adults. However, detect...

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Publicado en:Journal of the American Academy of Audiology Vol. 29; no. 3; pp. 223 - 234
Autores principales: Mahdavi, Mohammad Ebrahim, Pourbakht, Akram, Parand, Akram, Jalaie, Shohreh
Formato: research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
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        atl: Test--Retest Reliability and Minimal Detectable Change of Randomized Dichotic Digits in Learning-Disabled Children: Implications for Dichotic Listening Training.
      aug:
        au:
          Mahdavi, Mohammad Ebrahim
          Pourbakht, Akram
          Parand, Akram
          Jalaie, Shohreh
        affil: Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Test-Retest Reliability Evaluation
          Dichotic Listening Tests Evaluation
          Learning Disorders In Infancy and Childhood
          Instrument Validation
          Human
          Male
          Female
          Child
          Repeated Measures
          Nonexperimental Studies
          Auditory Perceptual Disorders Diagnosis
          Rehabilitation of Persons with Hearing Loss In Infancy and Childhood
          Auditory Perception
          Uncertainty
          Pearson's Correlation Coefficient
          Intraclass Correlation Coefficient
          Confidence Intervals
          Clinical Assessment Tools
          Child: 6-12 years
          Male
          Female
      ab: Background: Evaluation of dichotic listening to digits is a common part of many studies for diagnosis and managing auditory processing disorders in children. Previous researchers have verified test--retest relative reliability of dichotic digits results in normal children and adults. However, detecting interventionrelated changes in the ear scores after dichotic listening training requires information regarding trial-totrial typical variation of individual ear scores that is estimated using indices of absolute reliability. Previous studies have not addressed absolute reliability of dichotic listening results. Purpose: To compare the results of the Persian randomized dichotic digits test (PRDDT) and its relative and absolute indices of reliability between typical achieving (TA) and learning-disabled (LD) children. Research Design: A repeated measures observational study. Study Sample: Fifteen LD children were recruited from a previously performed study with age range of 7-12 yr. The control group consisted of 15 TA schoolchildren with age range of 8-11 yr. Data Collection and Analysis: The Persian randomized dichotic digits test was administered on the children under free recall condition in two test sessions 7-12 days apart. We compared the average of the ear scores and ear advantage between TA and LD children. Relative indices of reliability included Pearson's correlation and intraclass correlation (ICC2,1) coefficients and absolute reliability was evaluated by calculation of standard error of measurement (SEM) and minimal detectable change (MDC) using the raw ear scores. Results: The Pearson correlation coefficient indicated that in both groups of children the ear scores of test and retest sessions were strongly and positively (greater than 10.8) correlated. The ear scores showed excellent ICC coefficient of consistency (0.78-0.82) and fair to excellent ICC coefficient of absolute agreement (0.62--0.74) in TA children and excellent ICC coefficients of consistency and absolute agreement in LD children (0.76-0.87). SEM and SEM% of the ear scores in TA children were 1.46 and 1.44% for the right ear and 4.68 and 5.47% for the left ear. SEM and SEM% of the ear scores in LD children were 4.55 and 5.88% for the right ear to 7.56 and 12.81% for the left ear. MDC and MDC% of the ear scores in TA children varied from 4.03 and 3.99% for the right ear to 12.93 and 15.13% for the left ear. MDC and MDC% of the ear scores in LD children varied from 12.57 and 16.25% for the right ear to 20.89 and 35.39% for the left ear. Conclusions: The LD children indicated test--retest relative reliability as high as TA children in the ear scores measured by PRDDT. However, within-subject variations of the ear scores calculated by indices of absolute reliability were considerably higher in LD children versus TA children. The results of the current study could have implications for detecting real training-related changes in the ear scores.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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