Transcript MED-EL Soundscape Listening Activities

Enhancing Auditory Skills through
Technology and Intentional Listening
Practice
Virgi Mills, M.E.D.
MED-EL Consumer Outreach Manager, Southeast region,
Enhancing Auditory Skills through
Technology and Intentional Listening
Practice
 Thank you for attending this presentation!
 Phone on vibrate, please. (We all live busy lives! If
necessary, please feel free to step out to take a call.)
Disclosures
 Financial:
Salaried employee of MED-EL Corporation as a
Consumer Outreach Manager in the southeast region
 Nonfinancial:
Bilateral cochlear implant recipient of MED-EL
Enhancing Auditory Skills through
Technology and Intentional Listening
Practice
Learner Objectives:
1) Participants will be able to list at least three programs
and organizations that promote awareness and treatment
of hearing loss.
2) Participants will be able to describe the criteria of hearing
aids and cochlear implants.
3) Participants will be able to outline one auditory skills
assessment and three aural rehabilitation tools.
The Ear and Hearing
ear ear canal/ear drum 3 bones
cochlea auditory nerve
brain
How Hearing Aids Work
 Hearing aids make sounds louder
 Hearing aids can not correct the damage to the inner
ear
Hearing Aids Use in Adults
 Only 10-20% of people with hearing loss have ever used
a hearing aid(s).
 20-29% of patients who have used hearing aids at some
point, stop using them.
SOURCES: US Census, Hearing Health Foundation, National Institute of Health,
Hearing Loss Association of America
MED-EL’s SYNCHRONY System
How a cochlear
implant works
Inside the Cochlea
Facts about Hearing Loss
Here are some general guidelines regarding
the incidence of hearing loss:
 3 in 10 people over age 60 have hearing loss
 1 in 6 baby boomers (ages 41-59), or 14.6%, have a
hearing problem
SOURCE: http://www.linresearch.org/
Facts about Hearing Loss
-1 in 14 Generation Xers (ages 29-40), or 7.4%, already
have hearing loss
 At least 1.4 million children (18 or younger) have hearing
problems
SOURCE: http://www.linresearch.org/
Facts about Hearing Loss
 It is estimated that 3 in 1,000 infants are born with severe
to profound hearing loss
SOURCE: http://www.linresearch.org/
Documented Diagnostic Status of
Infants Not Passing Hearing Screening
(national)
National Data from Centers for Disease Control
and Prevention
SOURCE: http://www.cdc.gov/ncbddd/hearingloss/2013data/2013_ehdi_hsfs_summary_b.pdf
Documented Intervention Status of
Infants with Hearing Loss (national)
Documented Intervention Status
of Infants with Hearing Loss
SOURCE: http://www.cdc.gov/ncbddd/hearingloss/2013data/2013_ehdi_hsfs_summary_b.pdf
South Carolina
South Carolina - 2013 Hearing Screening Summary
SOURCE: http://www.cdc.gov/ncbddd/hearingloss/2013data/screen_2013_web-b.pdf
Resources in SC – pediatric hearing loss
First Sound Program, SC Dept. of Health
Newborn Hearing – Identifying Problems Early
SOURCE:
http://www.scdhec.gov/Health/ChildTeenHealth/EarlyChildho
od/NewbornHearingScreening/
Resources in SC – pediatric hearing loss
“BabyNet is South Carolina’s interagency early
intervention system for infants and toddlers under three
years of age with developmental delays, or who have
conditions associated with developmental delays.”
SC First Steps - Baby Net
SOURCE: http://scfirststeps.com/babynet/
Resources in SC – pediatric hearing loss
SC BEGINNINGS
“An expanding nonprofit providing professional expertise,
education and guidance to anyone in South Carolina with
the ability to impact deaf or hard of hearing families.”
SOURCE: http://scbegin.org/
Resources in SC – pediatric hearing loss
Carter Hears!
“Our Vision: We believe that all children, specifically
children with hearing loss, reach their potential in academic,
social, emotional, functional, and spiritual avenues through
conducive learning environments.”
SOURCE: http://www.carterhears.com/
Resources in SC – pediatric hearing loss
This list was not meant to be
comprehensive by any means
MED-EL’s BRIDGE Program
Four Levels of Auditory Skills
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DETECTION: “can you hear this?”
DISCRIMINATION: “does this sound different from that?”
IDENTIFICATION: “what did you hear?”
COMPREHENSION: “what does it mean?”
Adapted from: Erber, N. (1982). Auditory Training.
Washington DC: Alexander Graham Bell Association, pp. 9294.
Strategies for all levels of auditory
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On all waking hours
Come close to me
Talk more
Expansion/extension
Thinking place
Listening first
Signal to noise ratio
Pause-wait
Auditory feedback loop
My voice matters
Music
Books
Parent as model
MED-EL’s BRIDGE program for
Aural Rehabilitation for all ages
 Pediatric Habilitation
 Pediatric Assessment
 Teen Rehabilitation &
 Assessment
 Adult Habilitation
 Adult Assessment
 Resources
Pediatric Auditory Assessments
 LittlEARS® Parent Questionnaire
 Auditory Skills Checklist
Pediatric Auditory Skills Assessment
The LittlEARS® Auditory Questionnaire
Only standardized auditory skills
assessment on the market for
birth to 24 months
Or
Hearing age up to 24 months
LittlEARS® Parent Questionnaire
The LittlEARS® Auditory Questionnaire is
normed
and
acceptable for reimbursement
Reliability?
“Studies show that parent evaluation is a suitable method to
assess development in early childhood and to reflect the
children’s everyday behavior.”
(Bates et al,
1988)
LittlEARS® Auditory Questionnaire
Auditory Skills Checklist
Developed by Nancy S. Caleffe-Schenck
Purpose:
1) Establish auditory goals
2) Track progress made
in auditory areas related to spoken
communication
Auditory Skills Checklist
To track progress, check the appropriate answer
for each item
Skills should be noted if the child responded
using auditory cues only, without any visual
information such as speech reading or sign
language
Teens and Adults with Hearing Loss
 3 in 10 people over age 60 have hearing loss
 1 in 6 baby boomers (ages 41-59), or 14.6%, have a
hearing problem
SOURCE: http://www.linresearch.org/
Teens and Adults with Hearing Loss
 1 in 14 Generation Xers (ages 29-40), or 7.4%, already
have hearing loss
 At least 1.4 million children (18 or younger) have hearing
problems
SOURCE: http://www.linresearch.org/
Hearing Well Contributes to Healthy Aging
~John Briggs
Educational Audiologist
Head of CI Program, Cambridge
Other Age-Related Facts about Hearing Loss
HL is independently linked to
cognitive decline
Older adults with hearing loss
demonstrate:
 a 30-40% increase in
cognitive decline compared to
those with normal hearing
 a 24% increased risk of
cognitive impairment after a
medical incident (stroke, etc.)
Why?
 We aren’t sure…but
possible reasons could
be:
 Increased social isolation
 Increased cognitive load
• The effort of listening
reduces other cognitive task
processes like working
memory
SOURCE: Frank Lin (2010, 2011, 2013) Johns Hopkins, NIH
funded research
Impact of Hearing Loss
Cognitive Overload
 Trying so hard to hear that it makes it hard to actually
absorb what is being said.
 Constant expending of mental energy decoding what is
heard.
 “The brain is so preoccupied with translating the sounds
into words that it seems to have no processing power left
to search through the storerooms of memory for a
response.”
Dr. Frank Lin
Say What?
BETTER HEARING TAKES
PRACTICE
Science Magazine February 2013
AAAS (American Association of the
Advancement of Science)
Results
 Participants understood 20% more words and could
process about 15% more items on a timed test and
showed a 50% increase in neural timing
 Those in the non-training group showed no improvements
in any area
Assessment for teens and adults
Hearing Implant Sound Quality Index
(HISQUI₁₉)
HISQUI
Description
 Questionnaire used to determine an individual’s
perception of sound quality in daily life
 19 questions and individual checks appropriate box
Always Almost Frequently Mostly Occasionally Rarely Never NA
Always
99% 87%
75%
50%
25%
12%
1%
HISQUI
Description
 Converts to a score
 Indicates how poorly or good individual finds sound
quality in everyday listening situations
 Complete questionnaire over time to determine progress
and help identify next steps in hearing loss treatment
and/or AR
HISQU Sample Questions
3. When listening to music, can you effortlessly
distinguish whether one or multiple instruments
are being played simultaneously?
4. When background noise is present, can you
effortlessly participate in a conversation with
friends or family members (e.g. at a party/in a restaurant)?
Aural Rehabilitation for
Pediatrics and Adults
MED-EL Soundscape Listening Activities
SoundScape for Children 6 Years +
Fun shopping game with
fruits and vegetables at the
MED-EL Mart
 5 levels of increasing difficulty
 Choice for listening w/background
music
 Choice of male/female speakers
 PDF file for additional listening practice
SoundScape for Teens
Explore the worlds continents
and oceans with this game
 3 levels of increasing difficulty
 Choice of speakers, male or
female
 A time score with fun facts
provided after each game
 Colorful pictures and additional
activities for download
SoundScape for Adults
Designed for adult users for independent listening
practice
 Offers a variety of listening
conditions
 Provides percentage correct
score
 Repeat button allows as many
repetitions as needed
 PDF file for additional
listening practice
What Else Can We Do?
 Read-a-louds
• With a communication partner
• Following an audiobook
• Read aloud to yourself
 Card Games
 Sentence Repetition/Conversations with
Contextual Support
Encourage the use of ALD’s
 Listening to Music and Television
 Websites/Apps
Bluetooth Connectivity
Audio Cable
Resources for Professionals and
Recipients re: Aural Rehabilitation
American Cochlear Implant Alliance
SOURCE:
http://acialliance.site-ym.com/
Hearing Loss Association of America
SOURCE:
http://www.hearingloss.org/
Aural Rehabilitation Stations
First Station: Free Audio Books
http://www.openculture.com/freeaudiobooks
Second Station: SOUNDSCAPE and free app from
MED-EL called Oceans and Continents
Third Station: live read-a-louds and playing cards
Enhancing Auditory Skills through
Technology and Intentional Listening
Practice
Thank you for your time and attention!
Any questions, please visit the MED-EL table
[email protected]
407-617-7719