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Volume 8 Issue 1 (pdf) - Andrew John Publishing Inc

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aLL things CentraL |<br />

Screening Measures for Auditory<br />

Processing Disorders<br />

By Kim L. Tillery, PhD, CCC-A<br />

kltillery@gmail.com<br />

About the Author<br />

Dr. Kim L. Tillery, professor and chairperson of the Department of Communication<br />

Disorders and Sciences at the State University of New York at Fredonia also has a private<br />

practice in diagnosing and treating individuals with (C)APD. She has been honoured to<br />

present 90 workshops or presentations at national, international, and regional conferences,<br />

and authored and co-authored several chapters and journal articles on (C)APD.<br />

While there are questionnaires and<br />

screening tests that are used<br />

routinely in clinics and schools there are<br />

some points to keep in mind. One point<br />

is that a questionnaire is only as good as<br />

who is answering the questions. A story<br />

comes to mind – of a psychologist who<br />

administers a well-recognized questionnaire<br />

to rate attention behaviours.<br />

While the psychologist’s comprehensive<br />

evaluation revealed a significant attention<br />

disorder, the teacher’s ratings were found<br />

within normal ranges on the attention<br />

questionnaire. The psychologist telephoned<br />

the teacher to discuss the rating<br />

scores and was surprised to hear that the<br />

teacher “does not believe in attention<br />

disorders.”<br />

A second point is that if we need to<br />

control for fatigue, noise, and attention<br />

during the administration of the APD test<br />

battery, then the same precautions need<br />

to be applied when screening measures<br />

are being administered. These tests<br />

should be administered in a quiet room,<br />

and in the morning to enhance reliable<br />

test results. False positive test results can<br />

be related to the test conditions.<br />

There is an advertisement in the ASHA<br />

Leader marketing AP screening tools for<br />

ages 3 to 59. Thanks to Robert Keith we<br />

have new versions of the SCAN: one for<br />

adults/adolescents and one for children.<br />

The original SCAN (1986) test was<br />

considered a screening measure. The<br />

newest versions contain three screening<br />

measures and several diagnostic tests to<br />

be given if the individual fails the<br />

screening measure or if there is a referral<br />

for a diagnostic evaluation. The<br />

screening tool for very young ages is the<br />

Auditory Skills Assessment (ASA)<br />

(Geffner & Goldman, 2010) measuring<br />

discrimination ability in noise, proper<br />

understanding of nonsense words,<br />

blending phonemes, recognizing rhymes<br />

and ability to sequence nonverbal<br />

(music) sounds. A third choice is the<br />

Differential Screening Test for Processing<br />

(DSTP) (Richards and Ferre, 2006)<br />

which is the only test available that<br />

screens at various levels of auditory and<br />

language to identify areas for further<br />

evaluation.<br />

Pearson ProduCts<br />

Auditory Skills Assessment for ages 3.6<br />

to 6.11 years<br />

SCAN–3:C Tests for Auditory Processing<br />

Disorders in Children (SCAN-3:C) ages<br />

5 to 12 years<br />

SCAN–3:A Tests for Auditory Processing<br />

Disorders in Adolescents and Adults<br />

(SCAN-3:A)<br />

LinguisYsteMs<br />

Differential Screening Test for Processing<br />

(DSTP) for ages 6 to 12.11 years<br />

Canadian Hearing Report 2013;8(1):17.<br />

REVUE CANADIENNE D’AUDITION | CANADIAN HEARING REPORT 17

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