Case Studies of Auditory Processing Assessment and Management for Veterans.
Purpose: Clinical care for patients who report substantial hearing difficulties despite having little or no hearing loss is a topic of great debate within and beyond audiology. Building on our previous retrospective review of veterans evaluated for auditory processing disorders across the Veterans H...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 69; no. 8; pp. 3945 - 3963 |
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| Formato: | Artículo |
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American Speech-Language-Hearing Association
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=196185591&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 196185591 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Aug2026 vid: 69 iid: 8 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 196185591 10.1044/2026_JSLHR-25-00862 ppf: 3945 ppct: 18 formats: fmt: @attributes: type: P size: 837KB tig: atl: Case Studies of Auditory Processing Assessment and Management for Veterans. aug: au: Papesh, Melissa A. affil: U.S. Department of Veterans Affairs Rehabilitation Research and Development, National Center for Rehabilitative Auditory Research, Portland VA Medical Center, OR Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland su: United States Retrospective studies Veterans Word deafness Medical care of veterans Research funding Questionnaires Audiometry Descriptive statistics Medical records Acquisition of data Brain stem Auditory perception Hearing disorders Brain injuries Case studies Auditory evoked response sug: subj: Retrospective studies Veterans United States Administration of Veterans' Affairs Word deafness Medical care of veterans Research funding Questionnaires Audiometry Descriptive statistics Medical records Acquisition of data Brain stem Auditory perception Hearing disorders Brain injuries Case studies Auditory evoked response ab: Purpose: Clinical care for patients who report substantial hearing difficulties despite having little or no hearing loss is a topic of great debate within and beyond audiology. Building on our previous retrospective review of veterans evaluated for auditory processing disorders across the Veterans Health Administration (VHA), the current work presents five such case studies. The goal is to work toward improved patient care by providing a more in-depth view highlighting both strengths and weaknesses of approaches to care for veterans whose hearing difficulties are not explained by hearing loss. Method: Five case studies were selected for review with the goal of identifying individuals with a wide range of etiologies and experiences receiving care for auditory complaints across the VHA. All information provided is taken directly from chart notes available from VHA and Defense Health Agency sources. Results: Etiologies included traumatic brain injury, jet fuel exposure, and nonspecific origins. Some patients experienced well-coordinated care across medical departments, while others experienced repeated barriers and high burdens of self-advocacy while trying to navigate the health care system. Furthermore, differences in the approach of audiologists and speech-language pathologists are highlighted, including differing emphasis on diagnostic tests versus selfreport measures and use of top-down versus bottom-up rehabilitation tools. Conclusion: This work highlights several options likely to improve care for veterans with auditory processing deficits, including greater emphasis on addressing patient-specific needs and goals, improved communication and collaboration between audiology and other medical disciplines, and the potential role for auditory device-based rehabilitation options, even among patients with minimal hearing loss. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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