Speech, vocabulary & functional listening outcomes
UK National Paediatric Bilateral Audit.
Julie Brinton11 April 2013
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Measures chosen• Categories of Auditory Performance II (CAPII)
– Rating scale administered by parent, teacher of the deaf, SLT etc
• Speech Intelligibility Rating (SIR)
– Rating scale administered by parent, teacher of the deaf, SLT etc
• British Picture Vocabulary Scale 3 (BPVS3)
– Standardised test with norms from hearing children administered by SLT
Categories of Auditory Performance II0 No awareness of environmental sounds /voice
1 Awareness of environmental sounds
2 Response to speech sounds
3 Identification of environmental sounds
4 Discrimination of speech sounds without lip reading
5 Understanding of common phrases without lip reading
6 Understanding of conversation without lip reading
7 Use of telephone with known speaker
8 Follows group conversation in a reverberant room or where there is some interfering noise, such as a classroom or restaurant
9 Use of telephone with an unknown speaker in unpredictable context
4
n= 270 17 119 31 44 47
5
n= 359 413 270 305 119 161 44 45
6
n= 11 82 42 29 46
Speech Intelligibility Rating
Rating Description
1 No intelligible speech or recognisable words
2 Intelligible single words, connected speech is unintelligible
3 Connected speech is intelligible if listener concentrated hard
4 Connected speech is intelligible with slight difficulty
5 Intelligible speech with little/no concentration on part of listener
8
n= 261 16 113 34 44 48
9
n= 359 428 261 301 113 158 44 46
BPVS
BPVS 3• Norm referenced test of receptive vocabulary
• Standardised on 3278 children
• Age range 3 years to 16 years 11 months
• Standard scores were calculated
– mean standard score=100 – 1 standard deviation = 15
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12
n= 10 93 17 78 24 22 9
13
n= 17 2 24 5 9 8
Summary• Children with simultaneous implants “catch up”
with the older sequentially implanted children who have had more hearing experience in functional listening
• At 3 years post implantation the simultaneously implanted children acquire fairly intelligible speech
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