家长与听觉口语师对听障儿童听能技巧评估的一致性探讨

A Study of the Consistency of Parental and Professional Evaluations of Auditory Skills in Children with Hearing Impairment

目的探讨家长与听觉口语师评估听障儿童听能技巧的一致性。方法采用听能技巧检核表（auditory skills checklist，ASC）对50位听障儿童的家长和听觉口语师进行检测评估。结果整体上，家长与听觉口语师的评分呈显著正相关，且两组评分者的评分无显著差异。对4个听能阶段进行分析，发现两组评分的平均值在各听能阶段分别呈现显著正相关，家长评分皆高于听觉口语师评分，但仅在理解阶段达到显著差异（P〈0．05）。结论在评估听障儿童，尤其是年龄较小儿童的听能技巧时，应同时考虑家长和专业人员的观察角度，两者可能存在差异。此外，听能技巧检核表是可供听觉口语师和相关专业人员用于指导家长观察听能技巧及监控听障儿童听能技巧发展的临床工具。

Objective To examine whether parental and professional evaluations are consistent. Methods The parents and auditory verbal therapists of 50 children with hearing loss were recruited from Children＇s Hearing Foundation（CHF）in Taiwan. The mean age of children with hearing loss was 57 months. All of them have been receiving auditory verbal therapy （AVT） from CHF. The Chinese version of Auditory Skills Checklist（ASC） was administered to evaluate the functional auditory skills of these children. Both the parents and the auditory verbal therapists were asked to fill in the Chinese version of ASC. Results There was a strong positive correlation between parents＇ and therapists＇ ratings. And t-test showed no significant difference between them. For each of the four auditory developmental stages, there was a positive correlation between parents＇ and therapists＇ evaluations. The parents＇ ratings were higher than the therapists＇, but there was a significant difference only for the comprehension stage（P〈0.05）. Conclusion When evaluating the auditory skills of children with hearing loss, especially for the younger ones, both parents＇ and professionals＇ observation should be included because the ratings may be inconsistent. Additionally, ASC is a practical tool for auditory verbal therapists and other professionals for guiding parents to observe their children＇s functional auditory skills and for monitoring children＇s progress.