1. Test results and remediation outcomes for children seen through Australian Hearing’s national CAPD service. Alison King 1, Helen Glyde 2, Sharon Cameron 2, Karin Gillies 1, Harvey Dillon 2, Simone Punch 3, Meagan Ward 3 1 Australian Hearing, Box Hill, Victoria, Australia. 2 National Acoustic Laboratories, Macquarie University, NSW, Australia 3 Australian Hearing, Macquarie University, NSW, Australia World Congress of Audiology, Brisbane, Australia - May 2014

2. Test Protocol Hearing screening LiSN - HC Paed. HA Program LiSN Memory Age DDT Fail Pass Z < -1 Z ≥ -1 SPD Fail Pass (not SPD) Pass Auditor y memory Fail > 7 years Pass Dichotic deficit Fail Testing discontinued Pre-App Q’nnaire, COSI- C < 7 yrs

3. Results 3636 Unknown 23 666 Hearing screenin g Minimal Sensorineural Mild Conductive 4 Pass Memory Z ≥ -1317 Pass (not SPD) 219 Auditory memory Fail 174 Age DDT Pass 362 > 7 yrs 285 Pass 181 Dichotic deficit Fail 104 Testing discontinued < 7 yrs 77 LiSN - HC LiSN Z < -1 349 SPD Fail 130

4. Results - NH 666 Hearing screenin g Minimal Sensorineural Mild Conductive Unknown 23 4 3636Pass LiSN - HC LiSN Z < -1 329 SPD Fail 120 Memory Z ≥ -1307 Pass (not SPD) 209 Auditory memory Fail 167 Age DDT Pass 349 > 7 yrs 273 Pass 173 Dichotic deficit Fail 100 Testing discontinued < 7 yrs 76

5. Remediation Program Home-based auditory training packages with audiologist support during program –SPD - LiSN & Learn, –Memory Deficit - Memory Booster FM system for DDT fail or difficulties in noise Strategies Follow-Up Review COSI-C Teacher version of Listening Inventory For Education (LIFE - Anderson and Smaldino.) Repeat relevant test from battery.

6. Remediation Outcomes – LiSN & Learn Test resultNo. Children (% initial ref) Remediation Commenced Remediation complete at time of analysis Spatial Processing Disorder 130 (19.5%)LiSN & Learn = 5733 (58%) L&L + FM = 128 (66%)

7. LiSN-S results: Pre- vs. Post- training (N=40)

8. Performance in real life, post L&L (n=34)

9. Remediation Outcomes – Memory Booster Test resultNo. Children (% initial ref) Remediation Commenced Remediation complete at time of analysis Memory Deficit174 (26.1%)Memory Booster = 4728 (60%) MB + FM = 54 (80%) Auditory Memory Results NMF PassFail NMRPass36267 Fail5849

10. Memory tests - post-training NMF (n=18)NMR (n=18) NB: Excluded scores of children who were WNL at original test.

11. Performance in real life (n=26)

12. Remediation Outcomes – FM fitting Reasons for FM fitting (n=29) COSI – C final scores (n=16)

13. Other considerations Main reasons for incomplete auditory training –Ongoing at time of data collection L&L = 11%; MB = 10% –Lost contact with families despite numerous attempts L&L = 25%; MB = 52% –Unknown/data unavailable L&L = 43%; MB = 24% Difficulties getting LIFE returned from teachers Setting & evaluating S.M.A.R.T. goals

14. Conclusions 61.3 % of children referred were diagnosed with one of the target auditory processing disorders. Both auditory training programs led to significantly improved test scores (LiSN-S and NMR both WNL) –The majority of children showed significant improvements in real life settings FM fittings yielded improvements in real-life performance. Goal setting, evaluation and teacher questionnaires are vital for evaluating success –Family support essential throughout program –Additional strategies needed to engage teachers in evaluation

15. Contact Australian Hearing www.hearing.com.au www.nal.gov.au Thanks to all the Australian Hearing audiologists who provided the CAPD services and the data that were used in this presentation.