Management of Auditory Processing Difficulties Virtually: A Case Study

Abstract

Difficulty hearing in the presence of background noise is a common complaint heard by audiologists. This can be accompanied by additional difficulty in classrooms and other difficult listening situations. This was recently exacerbated by the coronavirus disease 2019 (COVID-19) shutdowns and the accompanying mask usage and virtual meetings. This article describes one such patient seen during the recent shutdown. This patient reported difficulty hearing during her college coursework for her music performance major. She was an established otology patient with an extensive middle ear history including multiple surgeries. During the shutdown, she virtually consulted with the auditory processing disorders clinic at the recommendation of her otologist to discuss her college-related difficulty and pursue educational accommodations. Challenges and solutions for seeing this patient and other, similar patients virtually are discussed as well as a review of how this patient proceeded and how the knowledge gained from this patient could apply to others with similar concerns.

Keywords

virtual learning - auditory processing disorder - central auditory processing disorder - conductive hearing loss - hearing aids

Publikationsverlauf

Artikel online veröffentlicht:
02. August 2021

• References

• 1 Atcherson SR, Mendel LL, Baltimore WJ. et al. The effect of conventional and transparent surgical masks on speech understanding in individuals with and without hearing loss. J Am Acad Audiol 2017; 28 (01) 58-67
• 2 Tips for Helping Students With Hearing Loss in Virtual and In-Person Learning Settings. Accessed February 18, 2021 at: https://www.asha.org/aud/tips-for-helping-students-with-hearing-loss-in-virtual-and-in-person-learning-settings/
• 3 Audiology Worldnews. Accessed February 18, 2021 at: https://www.audiology-worldnews.com/awareness/3984-is-wearing-face-coverings-making-hearing-problems-more-obvious-and-urgent
• 4 Musiek FE, Baran JA, James Bellis T. et al. AAA. Clinical Practice Guidelines: Diagnosis, treatment, and management of children and adults with central auditory processing disorder. 2010. Accessed February 18, 2021 at: https://audiology-web.s3.amazonaws.com/migrated/CAPDGuidelines8-2010.pdf_539952af956c79.73897613.pdf
• 5 Hind SE, Haines-Bazrafshan R, Benton CL, Brassington W, Towle B, Moore DR. Prevalence of clinical referrals having hearing thresholds within normal limits. Int J Audiol 2011; 50 (10) 708-716
• 6 de Wit E, Visser-Bochane MI, Steenbergen B, van Dijk P, van der Schans CP, Luinge MR. Characteristics of auditory processing disorders: a systematic review. J Speech Lang Hear Res 2016; 59 (02) 384-413
• 7 Emanuel DC. The auditory processing battery: survey of common practices. J Am Acad Audiol 2002; 13 (02) 93-117
• 8 Pang J, Beach EF, Gilliver M, Yeend I. Adults who report difficulty hearing speech in noise: an exploration of experiences, impacts and coping strategies. Int J Audiol 2019; 58 (12) 851-860
• 9 Katz J, Chasin M, English K, Hood L, Tillery K. Handbook of Clinical Audiology. 7th ed.. Wolters Kluwer Health; 2015
• 10 Roup CM, Post E, Lewis J. Mild-gain hearing aids as a treatment for adults with self-reported hearing difficulties. J Am Acad Audiol 2018; 29 (06) 477-494
• 11 Moncrieff D. Age- and gender-specific normative information from children assessed with a dichotic words test. J Am Acad Audiol 2015; 26 (07) 632-644
• 12 Amemane R, Gundmi A, Madikeri Mohan K. Effect of Carnatic music listening training on speech in noise performance in adults. J Audiol Otol 2021; 25 (01) 22-26
• 13 Yeend I, Beach EF, Sharma M, Dillon H. The effects of noise exposure and musical training on suprathreshold auditory processing and speech perception in noise. Hear Res 2017; 353: 224-236
• 14 Nunneley CE, Fishman M, Sundheim KM. et al. Leading synchronous virtual teaching sessions. Clin Teach 2021; 18 (03) 231-235
• 15 NAL Update: Impact of Face Masks and Face Shields on Communication - Hearing Review. Accessed February 18, 2021 at: https://www.hearingreview.com/hearing-products/accessories/infection-control/nal-update-impact-of-face-masks-and-face-shields-on-communication
• 16 Newman CW, Weinstein BE, Jacobson GP, Hug GA. The hearing handicap inventory for adults: psychometric adequacy and audiometric correlates. Ear Hear 1990; 11 (06) 430-433
• 17 Newman CW, Weinstein BE, Jacobson GP, Hug GA. Test-retest reliability of the hearing handicap inventory for adults. Ear Hear 1991; 12 (05) 355-357
• 18 Woolf E, Roup C. Using the Adult Auditory Performance Scale to Identify Self-Perceived Hearing Difficulties. Published online 2019 https://cpb-us-w2.wpmucdn.com/u.osu.edu/dist/b/12444/files/2015/03/AAA-2019-Poster_Woolf-Roup-14yvmgr.pdf
• 19 Musiek FE, Shinn JB, Jirsa R, Bamiou DE, Baran JA, Zaida E. GIN (gaps-in-noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear 2005; 26 (06) 608-618
• 20 Musiek FE. The frequency pattern test. Hear J 2002; 55 (06) 58
• 21 Moncrieff DW, Wilson RH. Recognition of randomly presented one-, two-, and three-pair dichotic digits by children and young adults. J Am Acad Audiol 2009; 20 (01) 58-70
• 22 Wilson RH, McArdle RA, Smith SL. An evaluation of the BKB-SIN, HINT, QuickSIN, and WIN materials on listeners with normal hearing and listeners with hearing loss. J Speech Lang Hear Res 2007; 50 (04) 844-856
• 23 Wosik J, Fudim M, Cameron B. et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc 2020; 27 (06) 957-962
• 24 Ravi R, Gunjawate DR, Yerraguntla K, Driscoll C. Knowledge and perceptions of teleaudiology among audiologists: a systematic review. J Audiol Otol 2018; 22 (03) 120-127
• 25 Stropahl M, Besser J, Launer S. Auditory training supports auditory rehabilitation: a state-of-the-art review. Ear Hear 2020; 41 (04) 697-704
• 26 Pienkowski M. On the etiology of listening difficulties in noise despite clinically normal audiograms. Ear Hear 2017; 38 (02) 135-148
• 27 Davidson A, Marrone N. A clinically valuable interaction in the midst of COVID-19 and beyond: a viewpoint on the importance of patient-centered outcomes in rehabilitative audiology. Perspect ASHA Spec Interest Groups 2020; 5 (04) 940-945