青少年和成人 SCAN-3 亲自施测与远程施测结果的比较：听觉处理障碍筛查子测试

Perspectives of the ASHA special interest groups Pub Date : 2024-05-07 DOI:10.1044/2024_persp-23-00191

Allison Hatcher, Brian K. Weiler

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引用次数: 0

摘要

言语病理学中的许多标准化评估都可以通过远程实践进行。然而，关于现场测试和远程测试之间评估实施等效性的文献报告却很有限。针对青少年和成人的 SCAN-3：听觉处理障碍测试（SCAN-3:A）被语言病理学家和听力学家广泛用于筛查听觉处理障碍（APD）。本研究的目的是比较 SCAN-3:A 筛查子测试的现场施测和远程施测结果，以确定两种施测环境下的重复测试一致性。 11 名听力正常的本科生和研究生分别接受了 SCAN-3:A的间隙检测、无词竞争回忆（CW-FR）和听觉图形地（AFG）筛查子测试的现场测试和远程练习，并对不同测试的顺序进行了平衡。为适应远程评估的需要，我们还做了专门的修改。三项子测试的通过/未通过判定一致率均超过 80%。在CW-FR和AFG子测试中，发现现场评分和远程评分之间存在显著的相关性（p < .05）。在 CW-FR 分测验中，不同施测类型的平均分差异并不显著（p = .921），但在 AFG 分测验中差异显著（p < .05）。这些初步研究结果为在遵守特定建议的前提下远程管理 SCAN-3:A 提供了初步的、部分的支持。据报告，远程管理存在一些技术挑战和其他后勤限制。https://doi.org/10.23641/asha.25632135

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A Comparison of In-Person and Remote Administration Results of the SCAN–3 for Adolescents and Adults: Tests for Auditory Processing Disorders Screening Subtests

Many standardized assessments in speech-language pathology can be administered via telepractice. However, the literature is limited on reporting the equivalency of assessment administration between in-person and remote testing. The SCAN–3 for Adolescents and Adults: Tests for Auditory Processing Disorders (SCAN-3:A) is widely used by speech-language pathologists and audiologists to screen for auditory processing disorder (APD). The purpose of this study was to compare in-person and remote administration results on the screening subtests of the SCAN-3:A to determine test–retest consistency across the two settings. Eleven undergraduate and graduate students with normal hearing were administered the Gap Detection, Competing Words–Free Recall (CW-FR) and Auditory Figure Ground (AFG) screening subtests from the SCAN-3:A both in-person and via telepractice with the order counterbalanced across administrations. Specific modifications were made to accommodate remote assessment. Screening pass/fail decisions were above 80% agreement for each of the three subtests. Significant correlations ( p < .05) between in-person and remote scores were found for the CW-FR and AFG subtests. The mean score difference between administration type was not significant for the CW-FR subtest ( p = .921) but was significant for the AFG subtest ( p < .05). These preliminary findings provide tentative, partial support for remote administration of the SCAN-3:A with adherence to specific recommendations. Some technical challenges were reported as well as other logistical limitations associated with remote administration. Recommendations to accommodate telepractice considerations for remote screening of APD are provided. https://doi.org/10.23641/asha.25632135

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Perspectives of the ASHA special interest groups

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