AJA Papers in Press
Published online April 7, 2011

American Journal of Audiology 2011; doi:10.1044/1059-0889(2011/10-0019)

American Journal of Audiology 2011;20:48.

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Article

Survey of the Diagnosis and Management of Auditory Processing Disorders

Diana C. Emanuel

Towson University

Kristen N. Ficca

Ear, Nose & Throat Associates of Chester County

Peggy Korczak

Towson University

Corresponding Author: Diana C. Emanuel, Ph.D., CCC-A, Audiology Graduate Program Director, Towson University, Dept. ASLD, 8000 York Road, Towson, MD 21252-0001, demanuel{at}towson.edu, 410-704-2417 voice/410-704-2417 (fax).

Purpose: A survey of audiologists' diagnosis and intervention protocols for Auditory Processing Disorder (APD) was conducted to determine current protocols and compare results with published recommendations.

Method: A survey was distributed by mail to 515 American Speech-Language-Hearing Association (ASHA) audiology members who listed APD as an area of expertise and via e-mail to Educational Audiology Association (EAA) members. The survey was completed by 195 audiologists.

Results: The majority of respondents reported using AP test batteries selected based on clinical experience, review of the literature, and attendance at professional conferences. The most popular tests were dichotic, monaural low redundancy speech, and temporal processing tests. Treatment and management recommendations were usually customized for each patient based on deficits found in behavioral AP testing. The majority of respondents indicated audiologists are responsible for APD diagnosis (97%) and recommendation of treatment/management (81%); in contrast, only 40% of respondents indicated audiologists were responsible for providing treatment/management.

Conclusions: Audiologists are selecting AP test batteries based on the age and case history of the patient, which is in accordance with recent national guidelines. Audiologists are primarily responsible for APD diagnosis and recommending treatment/management. APD treatment is provided by speech-language pathologists, educators, and audiologists.


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