Effect of a Dichotic Interaural Time Difference Program on Dichotic Listening Deficit of Children with Learning Difficulty.

Background Dichotic listening deficit (DLD) is a common sign in children showing learning problem and is identified during auditory processing assessment. A dichotic listening training program was developed in which the weak ear lags behind the strong ear in time and has certain practices for switch...

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Publicado en:Journal of the American Academy of Audiology Vol. 32; no. 5; pp. 295 - 303
Autores principales: Mahdavi, Mohammad Ebrahim, Rezaeian, Maryam, Zarrinkoob, Homa, Rezaeian, Mohsen, Akbarzadeh, Alireza
Formato: clinical trial research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Thieme Medical Publishing Inc.
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        10.1055/s-0041-1728753
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        atl: Effect of a Dichotic Interaural Time Difference Program on Dichotic Listening Deficit of Children with Learning Difficulty.
      aug:
        au:
          Mahdavi, Mohammad Ebrahim
          Rezaeian, Maryam
          Zarrinkoob, Homa
          Rezaeian, Mohsen
          Akbarzadeh, Alireza
        affil: Department of Audiology, Shahid Beheshti University of Medical Sciences, School of Rehabilitation, Tehran, Iran
      sug:
        subj:
          Learning Disorders In Infancy and Childhood
          Dichotic Listening Tests
          Students, Elementary
          Auditory Perceptual Disorders Therapy
          Treatment Outcomes
          Human
          Program Evaluation
          Hearing Disorders Therapy
          Child
          Clinical Trials
          Schools, Elementary
          Paired T-Tests
          Memory
          Auditory Perception
          Male
          Female
          Child: 6-12 years
          Male
          Female
      ab: Background Dichotic listening deficit (DLD) is a common sign in children showing learning problem and is identified during auditory processing assessment. A dichotic listening training program was developed in which the weak ear lags behind the strong ear in time and has certain practices for switching attention between the ears and auditory memory. Purpose The aim of the present study was to evaluate the effectiveness of this treatment program on dichotic performance of primary school children showing DLD. Research Design A pre/post clinical trial without control study. Study Sample Twenty-five primary school children, aged 7 to 12 years (mean = 9.3 years), showing DLD. Data Collection and Analysis Several primary schools referred the children with learning difficulty to us. We defined learning difficulty as a score of 2 and loweron a five-point scale in at least two primary school courses in the current semester. The children with DLD participated in listening practices three times a week for 10 weeks, each session lasting for 30 minutes. The practices started with one pair of dichotic digits and ended in practice with sentences. The weak ear lag varied from 100 to 1,000 milliseconds. In the last stage of the practices, the precued and postcued directed response aimed at strengthening auditory memory and switching attention between the ears. The results obtained by the tests of dichotic digits, competing words, and competing sentences before and after the intervention were compared using paired t-test. Hedges's g was calculated as the effect size. Results Comparison of the results of pretraining and those of posttraining revealed that the average dominant ear (DE) and nondominant ear (NDE) scores in dichotic listening tests improved significantly with medium-to-large effect sizes. It was also found that the mean change in the NDE score of the children was significantly greater than that of the DE score for all the tests. Conclusions Dichotic interaural time difference training that employed dichotic lag phenomenon followed by directed response practices significantly improved the DE and the NDE scores of the schoolchildren with DLD.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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