Graeme Clark Collection

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Author: Blamey, Peter × Subject: audiology × Subject: cochlear implants ×

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    Research in auditory training
    Blamey, Peter J. ; Alcantara, Joseph I. (Academy of Rehabilitative Audiology, 1994)
    Speech perception and communication can improve as a result of experience, and auditory training is one way of providing experiences that may be beneficial. One of the most important factors influencing the effectiveness of auditory training is the amount of experience the client already has. Other factors include the severity of the hearing loss, the sensory device used, the environment, personal qualities of the client and clinician, the type of training, and the type of evaluation used. Despite a long history of clinical practice, the effects of these factors have been investigated in few controlled studies. Even in special cases where training has an obvious role, such as adults using cochlear implants, there has been little objective comparison of alternative training methods. One reason for this is the difficulty of carrying out definitive experiments that measure changes in performance over time in the presence of many confounding variables. These variables may also help to explain the apparently contradictory results that can be found in the literature on auditory training and in the diverse points of view expressed by practicing clinicians. Issues and methods appropriate for research in auditory training among adult clients are discussed with reference to the needs of modem clinical practice.
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    Issues in long-term management of children with cochlear implants and tactile devices [Abstract]
    COWAN, ROBERT ; DOWELL, RICHARD ; Barker, Elizabeth ; GALVIN, KARYN ; DETTMAN, SHANI ; SARANT, JULIA ; RANCE, GARY ; Hollow, Rod ; BLAMEY, PETER ; Clark, Graeme M. ( 1994)
    For many children with severe and profound hearing losses, conventional hearing aids are unable to provide sufficient amplification to ensure good oral communication and/or in the case of very young children, development of speech and language. Traditionally a number of these children have opted for the use of sign language alone or in Total Communication approaches as a primary means of communication. The advent of multiple channel cochlear implants for children and the continuing development of multiple channel speech processing tactile devices provide auditory approaches to resolving communication difficulties for these children. The successful use of such devices depends on a number of factors including the information provided through the aid; the ease of use, convenience and reliability of the aid; the individual communication needs of the child; and the habilitation and management program used with the device. Long-term data has shown that children continue to show increased speech perception benefits from improvements in speech processing and from further experience with these devices. Habilitation and management programs must therefore be geared to meet the changing needs of children as they progress and of families as children mature and face new challenges. Habilitation must address specific individual needs in speech perception and in speech production. For very young children, benefits of improved speech perception should have an impact on the development of speech and language, and habilitation and management must emphasise the need for language growth.