Attention Deficits: Is it ADD/ADHD or APD?

Children with attention deficits can be hard to diagnose. Is it attention deficit disorder (ADD)/ Attention Deficit Hyper Activity Disorder (ADHD) or is it an Auditory Processing Disorder (APD)? Auditec offers tools to help professionals correctly diagnose children so that appropriate steps can be taken to manage the attention deficit.

Many professionals still rely on solely on subjective information such as observations by parents and teachers to diagnose ADD/ADHD. However, there is an objective, quantifiable test to help diagnose (or rule out) ADD/ADHD as a cause of the child’s attention deficit. It is called the Auditory Continuous Performance Test (ACPT). This test is a recorded word list given in quiet (no background noise). The child listens and responds to a target word. It is a pass or fail test with normative data on ages 6-11.

Auditec provides established and reliable tests like the Auditory Continuous Performance Test. With these tools, skilled professionals can confidently diagnose children with the correct disorder(s). Then recommendations can be customized according to the diagnosis to help the patient succeed in life. “Problem kids” become superheroes, and their skilled professionals do too!

Cochlear Implant Testing

Auditec customers often tell us they need tools to test cochlear implant users. We sell three recordings specifically designed for cochlear implant users as well as many other tests that could be used with cochlear implant patients. The three tools are 1) Lexical Neighborhood Test/Multi-syllabic Lexical Neighborhood Test (LNT/MLNT), 2) BKB-SIN, and 3) Minimal Auditory Capabilities (MAC). All three of these include recordings and instructions so that customers can test cochlear implant patients with confidence.

Since children with cochlear implants generally perform poorly on the PBK word list, it is not a recommended recording for cochlear implant patients.  Instead, we recommend the Lexical Neighborhood Test/ Multi-syllabic Lexical Neighborhood Test (LNT/MLNT). It was specifically created to assess open-set speech performance in cochlear implant children.

Since cochlear implant users report speech recognition is more difficult in noise, audiologists need a tool to test cochlear implant patients with noise. The BKB-SIN (Speech In Noise) uses sentences in four-talker noise at varying signal-to-noise ratios. This test has also been used to determine cochlear implant candidacy.

If traditional speech materials are too difficult to evaluate hearing ability in an adult cochlear implant patient, we recommend the Minimal Auditory Capabilities (MAC) Battery. It includes gross sound identification, inflection detection, contrast detection, accent discrimination, and word identification with subtests such as question/statement, vowel recognition, spondee recognition, noise/voice, accent, SPIN High-context sentence,  familiar sound recognition, monosyllabic word discrimination, and more.

The LNT/MLNT, BKB-SIN, and MAC Battery are three different tools audiologist can use for cochlear implant patients. However, there are other recording selections in Auditec’s catalog that may be suitable depending for your your needs such as noise recordings, environmental sounds, or auditory training. Auditec gladly provides professionals with the tools they need to help their unique set of patients succeed in life.

Therapy in Action

The power to help your patients is within reach. If your patient has a specific ear deficit on dichotic listening tasks, consider the Constraint-Induced Auditory Training Program (CIAT). It is appropriate therapy for children with dyslexia, persons with hypersensitivity to noise, adults with aphasia, or anyone who would like to improve their listening ability. The most common question we get about this training program is: what would this therapy look like inside my organization?

One of the greatest advantages to CIAT therapy is the enormous selection of materials. Twelve compact discs of recorded material is included in the standard version. Another benefit of the CIAT is the included manual on CD-Rom. It provides a wealth of information like an overview, background, case studies, exercises and worksheets. The only equipment you need is a CD player and stereo headphones. You might begin by asking your patient (or patient’s parents) to commit to two 30-minute sessions for six weeks. You can be flexible and slow down the program or accelerate the program to suit the patient’s needs.

Therapy begins with over two CDs with exercises like dichotic digits, dichotic consonant-vowels, dichotic letters, and dichotic sentences. The patient will listen and respond as the therapist scores. After the exercises are complete, the patient moves onto short stories in noise and then a much longer story in noise. The stories are a listening task with no set exercise or scoring, but the therapist may ask occasional questions about what is happening in the story to make sure the listener is engaged.  Auditec now  includes a complimentary backup of the longer story (discs 5-12) with every purchase of the CIAT – Standard and Longer Story versions. This backup allows professionals to loan this portion of the CIAT to their patients for self-administration at home.

Auditec has received positive feedback about the use of this program. Their patients are experiencing improvement thanks to their caring audiologists. Will your patients be next? Email auditec.kb@gmail.com with your state/country to receive an exact quote with ordering instructions for the Constraint-Induced Auditory Therapy (CIAT) Standard.

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Speech Discrimination for Children

For speech discrimination testing in adults, audiologists often choose either the W-22 or NU-6. If they want to shorten the testing time, they will use a list that is ordered by difficulty or a short interval recording. However, the choice between word recognition tests becomes more complicated when it comes to children because there are several to choose from. I am often asked: Which test is best? There is not one clear answer because the best test depends on the age range of your patients.

If your patients’ age range is 12 and older, you can confidently administer the adult word lists such as the W-22 Form A or NU-6 Form A. Depending on the vocabulary of the child, you may choose to administer these lists to kids a little younger than 12. The administrator must start the recording, then the patient simply repeats the word he or she hears it on the recording.

The PBK-50 Form A word list was designed for lower grade school age children. The PBK is similar to the W-22 or NU-6 word list except the vocabulary is more appropriate for this younger age group. Again, the patient simply repeats the word as he or she hears on the recording.

WIPI 2

The Word Intelligibility by Picture Identification (WIPI) fits a lower age range of 5 to 8 year olds. This test makes use of a picture book (sample at left). The child listens to the recording, then points to the pictured representation of the word as he or she hears it. There are six choices on each page. Aside from being easier for younger children, it is also beneficial for the test administrator to see the selection by using picture-pointing since the child may be difficult to understand.

image005The Northwestern University-Children’s Perception of Speech (NU-CHIPS) test reaches an even younger age range. Ages 2-5 can also be tested by administering this picture-pointing test. As you can see from the pictures at right, there are less choices for the younger child to select from as they listen to the recording.

The test an audiologist administers to a child should be appropriate for his or her age group (or language age). If the test is too easy or too hard, the test results may not show his or her true ability to discriminate speech. Therefore, it may be necessary to purchase one or more tests for your patients depending on the patient age range. You have been entrusted to evaluate the hearing of these amazing kids so it is up to you to utilize the best and most appropriate tests available.

Auditec, Inc. is Proud to be a Small Business

Auditec, Inc. is proud to be a small business. If you are a professional working for a small organization, we completely understand how much hard work and dedication it takes to keep things running smoothly. I hope you will take time today to congratulate yourself on your hard work and relax for a few minutes. Go grab a cup of gourmet coffee. Indulge in a long afternoon walk. Take your kid out for ice cream. You might be able to relate to this apron we sometimes wear around here. The craft paint writing is small, but this is what it says:

I AM THEdownload (2)
receptionist
order department
shipping department
customer service
accounts payable
accounts receivable
mail taker
copy maker
meter setter
fax fixer
computer wizard “wrong”
BUT I WON’T DO WINDOWS!

According to ISO, 90% of the world’s businesses are small and medium sized. You are an important piece of a much bigger puzzle. From our small business to yours, we wish you a happy weekend!

Are MP3s Appropriate for Auditory Testing?

Auditec, Inc. is proud to be a small business with a long history. We have been serving professionals with auditory test materials in a variety of formats since 1972.
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Long before the Sony Walkman was invented, Auditec sold its auditory test recordings on reels.

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Next, Auditec sold auditory test materials on cassette tapes. Believe it or not, we still get requests for this discontinued format. At one point in time, Auditec even made its recordings available on digital audio tapes (DATs).

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Now, Auditec provides quality audio recordings on compact discs. Customers can combine multiple recordings to one disc and play it using their CD player or computer.

MP3s are a convenient next step for professionals who want to use portable equipment that does not take up a lot of space like iPods, iPads, and MP3 players. (This article was edited on March 23, 2017 to include recent research by Jennifer M. Brace and Robert W. Keith.) Recent research has concluded normal listeners tested using the mp3 audio files of speech discrimination tests produce the same valid results as when tested using the wav audio files on compact discs.

Other Category

The following items cannot be easily categorized. Some purposes of the following recordings include auditory attention, rhythm investigation, and attention-getting stimuli. Click on the test name to learn more about the product.

⇒Need help figuring out what recording is right for your patients? We are happy to help! Email your questions to auditecinfo@auditec.com.

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Auditory Continuous Performance Test© (ACPT)

The Auditory Continuous Performance Test© (ACPT) was developed to screen for auditory attention deficits. It can aid in the diagnosis of ADD or ADHD in children 6 through 11. The child listens to a list of words and raises a thumb every time he or she hears the target word. Total test time is approximately 15 minutes. Watch the video! (See below.)

The ACPT includes a) audio recording, b) manual and score forms¹ as printable pdf files. The 46-page manual is comprised of sections on administration and scoring, interpretation, and test development.

©COPYRIGHT NOTICE: Auditec’s recordings are protected by copyright. One backup is permitted. Sharing, uploading to servers, publishing to the internet, and all other forms of distribution are prohibited. Email questions regarding copyright to auditecinfo@auditec.com.

Available from Auditec, Inc. Use the “Buy Now” button below or call 1-800-669-9065 (from US) or 314-416-1050 (outside the US) to order. FREE shipping to contiguous US locations.

Auditory Continuous Performance Test© (ACPT) (CD Format); Item 226; Price $184.00 USD + S&H*      Buy Now Button

*INTERNATIONAL CUSTOMERS: Importers are responsible for duties and taxes. Auditec advises your organization to contact your government to estimate tax prior to ordering.

¹Although record forms are now included with the recording as a printable pdf file, ACPT record forms can be purchased separately in paper format HERE.  

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Where Can I Find……

Auditec offers a wide selection of products including word recognition tests (in English, Spanish, and French), auditory processing tests, and auditory training programs. We sell 80 tests in over 200 variations. Some of our most popular recordings are the NU-6 Ordered by Difficulty Version II, Spanish Auditory Test CD, and Constraint Induced Auditory Therapy (CIAT).

 

Auditec is always in search of additional tests for our catalog. If you have a test that is recorded, researched, and ready to sell, email auditecinfo@auditec.com for more information on how to get your test into the hands of other audiologists by designating Auditec, Inc. as your primary test manufacturer and distributor.

Dichotic Category

The following items are dichotic recordings or contain some portion that is dichotic. Click on the item name to learn more about the product.

⇒Didn’t find what you were looking for? Check these related categories SPEECH IN NOISE or AUDITORY PROCESSING DISORDER (APD).

⇒Need help figuring out what recording is right for your patients? We are happy to help! Email your questions to auditecinfo@auditec.com.

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