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Clinical Forum
July 2011

Auditory Processing Disorder and Auditory/Language Interventions: An Evidence-Based Systematic Review

Publication: Language, Speech, and Hearing Services in Schools
Volume 42, Number 3
Pages 246-264

Abstract

Purpose

In this systematic review, the peer-reviewed literature on the efficacy of interventions for school-age children with auditory processing disorder (APD) is critically evaluated.

Method

Searches of 28 electronic databases yielded 25 studies for analysis. These studies were categorized by research phase (e.g., exploratory, efficacy) and ranked on a standard set of quality features related to methodology and reporting.

Results

Some support exists for the claim that auditory and language interventions can improve auditory functioning in children with APD and those with primary spoken language disorder. There is little indication, however, that observed improvements are due to the auditory features of these programs. Similarly, evidence supporting the effects of these programs on spoken and written language functioning is limited.

Conclusion

The evidence base is too small and weak to provide clear guidance to speech-language pathologists faced with treating children with diagnosed APD, but some cautious skepticism is warranted until the record of evidence is more complete. Clinicians who decide to use auditory interventions should be aware of the limitations in the evidence and take special care to monitor the spoken and written language status of their young clients.

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Information & Authors

Information

Published In

Language, Speech, and Hearing Services in Schools
Volume 42Number 3July 2011
Pages: 246-264

History

  • Received: Mar 3, 2010
  • Accepted: Jul 21, 2010
  • Published in issue: Jul 1, 2011

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Key Words

  1. auditory processing disorder
  2. auditory intervention
  3. spoken language disorder
  4. primary language disorder

Authors

Affiliations

Marc E. Fey [email protected]
University of Kansas Medical Center, Kansas City
Gail J. Richard
Eastern Illinois University, Charleston
Donna Geffner
St. Johns University, Queens, NY
Alan G. Kamhi
University of North Carolina at Greensboro
Larry Medwetsky
Rochester Hearing and Speech Center, Rochester, NY
Diane Paul
American Speech-Language-Hearing Association, Rockville, MD
Deborah Ross-Swain
The Swain Center, Santa Rosa, CA
Geraldine P. Wallach
California State University Long Beach
Tobi Frymark
American Speech-Language-Hearing Association, Rockville, MD
Tracy Schooling
American Speech-Language-Hearing Association, Rockville, MD

Notes

Correspondence to Marc Fey: [email protected]
Editor: Marilyn Nippold
Associate Editor: Ilsa Schwarz

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  • Auditory Processing Disorder: Protocols and Controversy, American Journal of Audiology, 10.1044/2023_AJA-23-00035, 32, 3, (614-639), (2023).
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  • Oral language comprehension interventions in school-age children and adolescents with developmental language disorder: A systematic scoping review, Autism & Developmental Language Impairments, 10.1177/23969415211010423, 6, (2021).
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