Comparison of Questionnaire-Based and Performance-Based Screening Tools as Predictors of Auditory Processing Disorder

2020 ◽  
Vol 29 (2) ◽  
pp. 143-151
Author(s):  
Mohsin Ahmed Shaikh ◽  
Brittanie Baker ◽  
Amanda Levy

Purpose The purpose of this study was to compare questionnaire-based and performance-based screening tools as predictors of an auditory processing disorder (APD) diagnosis. The questionnaire-based screening tools used were the Children's Auditory Performance Scale, Fisher's Auditory Problems Checklist, and Buffalo Model Questionnaire–Revised. The performance-based screening tools were from the SCAN-3 screening tests, that is, Auditory Figure Ground, Competing Words Free Recall (CW-FR), and Gap Detection Test. Predictability was ascertained by comparing the scores from screening tools with those from diagnostic APD tests and with the final diagnosis of APD. Research Design This study is a retrospective single-observation study. Method The screening and diagnostic test results were retrospectively analyzed from the medical records of 85 individuals (female = 39) aged 7–23 years who were seen for APD assessment at Bloomsburg University's Clinic for Hearing and Balance. Each participant was assessed with at least two questionnaire-based and at least two performance-based screening tools. Results Spearman correlation coefficient analysis showed a moderate relationship within questionnaire-based screening tools, whereas there was no relationship between questionnaire- and performance-based tools. Notably, the performance-based CW-FR screening tool showed a significant relationship with five diagnostic tests. The questionnaire-based screening tools did not predict APD diagnosis. The performance-based tool CW-FR (φ = 0.33) and the SCAN-3 screening battery (φ = 0.44) predicted the diagnosis of APD. Conclusion A performance-based screening tool or battery can be used to determine whether additional diagnostic APD evaluation is warranted. Referral for diagnostic assessment should not be based solely on questionnaire-based screening tools.

2021 ◽  
Author(s):  
Tracey-Lee Cloete ◽  
Harsha Kathard

BACKGROUND Effective screening is required to facilitate the early identification of central auditory processing disorder (CAPD) - a deficit within the central auditory nervous system, which can have a significant effect on a child’s listening, learning and communication. While several screening tools have been proposed, there is a lack of contextually appropriate tools that take the needs of a multilingual society, like South Africa (SA), into consideration. OBJECTIVE This study aims to develop a contextually appropriate CAPD screening protocol for children (aged 7 to 12 years) in SA. The specific study aims are: (1) to develop a contextually appropriate screening protocol for CAPD in primary school children in SA, and (2) to evaluate the feasibility of implementing the developed protocol in primary school children in SA. METHODS The study will follow a developmental, mixed methods research design, implemented in two phases. Phase 1 will be applied to address aim 1. The aim will be achieved by (i) conducting a systematic review (i.e. objective 1.1); (ii) applying the nominal group technique (NGT) on experts to identify criteria for an appropriate protocol (i.e. objective 1.2); and (iii) using a combination of expert consultations, questionnaires and rating scales (administered to experts) to devise an appropriate screening protocol (i.e. objective 1.3). Once the protocol is developed, it will be implemented by the recommended end-users. Thereafter, a feasibility study will be conducted in Phase 2 to evaluate the implementation of the protocol. This phase will include field testing the protocol and a focus group discussion with end-users. For Phase 1, the narrative synthesis approach will be used to analyse systematic review data. For the NGT the researcher will tally the participants’ ratings to identify the list of criteria for an appropriate protocol. Content analysis and descriptive statistics will be performed to analyse the expert ratings of the protocols. For Phase 2, descriptive statistics will be performed to summarise features of the study sample and measures used. Thematic analysis will be conducted to analyse the focus group data. RESULTS Ethical clearance was obtained from the university’s Human Research Ethics Committee (HREC reference number 636/2020) and the Western Cape Education Department granted the researchers permission to recruit educators and learners from primary schools in the area. The systematic review for objective 1.1. was completed and findings outlined the test properties, benefits, and limitations of existing CAPD screening tools. Face-to-face data collection was postponed due to the global COVID-19 pandemic. Participant recruitment for objective 1.2 is currently underway and the anticipated completion date for data collection is July 2022. CONCLUSIONS The present study will aim to advance CAPD screening practice by proposing a process to develop a contextually appropriate protocol. The researcher will apply this process in the South African context to develop a CAPD screening protocol for primary school children in SA. CLINICALTRIAL Not applicable.


CJEM ◽  
2017 ◽  
Vol 20 (5) ◽  
pp. 753-761 ◽  
Author(s):  
Antoine Laguë ◽  
Philippe Voyer ◽  
Marie-Christine Ouellet ◽  
Valérie Boucher ◽  
Marianne Giroux ◽  
...  

AbstractObjectivesIn the fast pace of the Emergency Department (ED), clinicians are in need of tailored screening tools to detect seniors who are at risk of adverse outcomes. We aimed to explore the usefulness of the Bergman-Paris Question (BPQ) to expose potential undetected geriatric syndromes in community-living seniors presenting to the ED.MethodsThis is a planned sub-study of the INDEED multicentre prospective cohort study, including independent or semi-independent seniors (≥65 years old) admitted to hospital after an ED stay ≥8 hours and who were not delirious. Patients were assessed using validated screening tests for 3 geriatric syndromes: cognitive and functional impairment, and frailty. The BPQ was asked upon availability of a relative at enrolment. BPQ’s sensitivity and specificity analyses were used to ascertain outcomes.ResultsA response to the BPQ was available for 171 patients (47% of the main study’s cohort). Of this number, 75.4% were positive (suggesting impairment), and 24.6% were negative. To detect one of the three geriatric syndromes, the BPQ had a sensitivity of 85.4% (95% CI [76.3, 92.0]) and a specificity of 35.4% (95% CI [25.1, 46.7]). Similar results were obtained for each separate outcome. Odds ratio demonstrated a higher risk of presence of geriatric syndromes.ConclusionThe Bergman-Paris Question could be an ED screening tool for possible geriatric syndrome. A positive BPQ should prompt the need of further investigations and a negative BPQ possibly warrants no further action. More research is needed to validate the usefulness of the BPQ for day-to-day geriatric screening by ED professionals or geriatricians.


2020 ◽  
Vol 131 ◽  
pp. 109848
Author(s):  
Valentinos Sofokleous ◽  
Maria Marmara ◽  
Georgios K. Panagiotopoulos ◽  
Stellina Mouza ◽  
Maria Tsofidou ◽  
...  

1983 ◽  
Vol 14 (2) ◽  
pp. 66-74 ◽  
Author(s):  
Barbara Culatta ◽  
Judith L. Page ◽  
Jane Ellis

This study investigated the use of a story retelling task as a mechanism for screening integrated communicative performance. Comparisons were made between story retelling performance and performance on two standardized screening tools for kindergarten, readiness, and first-grade children. Results suggest that story retelling is a more stringent measure of integrated communicative performance.


Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3899
Author(s):  
Camilla Fiorindi ◽  
Gabriele Dragoni ◽  
Stefano Scaringi ◽  
Fabio Staderini ◽  
Anita Nannoni ◽  
...  

Background: Accurate identification of malnutrition and preoperative nutritional care in Inflammatory Bowel Disease (IBD) surgery is mandatory. There is no validated nutritional screening tool for IBD patients. We developed a novel nutritional screening tool for IBD patients requiring surgery and compared it with other tools. Methods: we included 62 consecutive patients scheduled for elective surgery. The IBD Nutritional Screening tool (NS-IBD) was developed to screen patients for further comprehensive assessment. NRS-2002, MUST, MST, MIRT, SaskIBD-NR are compared with the new test. All screening tests were subsequently related to new GLIM criteria. Results: according to GLIM criteria, 25 (40%) IBD patients were malnourished (15 CD and 10 UC, 33% vs. 63%, p = 0.036). Stage 1 malnutrition was reported in ten patients, while stage 2 was detected in 15 patients. The comparison of each nutritional risk tool with GLIM criteria showed sensitivity of 0.52, 0.6, 0.6, 0.84, 0.84 and 0.92 for SASKIBD-NR, MUST, MST, NRS-2002, MIRT, and the new NS-IBD, respectively. Conclusions: in IBD, currently adopted nutritional screening tools are characterized by a low sensitivity when malnutrition diagnosis is performed with recent GLIM criteria. Our proposed tool to detect malnutrition performed the best in detecting patients that may require nutritional assessment and preoperative intervention.


Author(s):  
Ehsan Negin ◽  
Saeid Farahani ◽  
Saeidreza Babaei ◽  
Reza Faryadras ◽  
Samane Sadat Sadat Barootiyan

Background and Aim: The majority of auditory processing guidelines use questionnaires or che­cklists as screening tools. The Buffalo Model Questionnaire (BMQ) is a well-known and sen­sitive questionnaire to be used along with the Buffalo Model diagnostic test battery. The revi­sion for the Buffalo Model Questionnaire-Revised (BMQ-R) implemented to improve the readability of the BMQ, reducing the completion time and increasing the ease of scoring for  the audiologist. The purpose of this study was  to develop and investigate the psychometric properties of the Persian version of BMQ-R (P-BMQ-R). Methods: After cross-cultural adaptation of the questionnaire, the validity and reliability were determined, also the norms for the children in age ranges between 7 and 12 were generated. Results: Findings of this study revealed strong content and face validity of the questionnaire. Scores of the test and retest were correlated (r > 0.9) strongly and positively based on Spear­man correlation coefficient. Conclusion: The Persian version of BMQ-R  (P-BMQ-R) is a valid and reliable tool and is suitable to use in everyday practice. Keywords: Questionnaire; auditory processing disorder; Buffalo model questionnaire; cross-cultural adaptation; Buffalo model questionnaire-revised


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245683
Author(s):  
Vanessa Hax ◽  
Rafaela Cavalheiro do Espírito Santo ◽  
Leonardo Peterson dos Santos ◽  
Mirian Farinon ◽  
Marianne Schrader de Oliveira ◽  
...  

Introduction In view of the method of diagnosing sarcopenia being complex and considered to be difficult to introduce into routine practice, the European Working Group on Sarcopenia in Older People (EWGSOP) recommends the use of the SARC-F questionnaire as a way to introduce assessment and treatment of sarcopenia into clinical practice. Only recently, some studies have turned their attention to the presence of sarcopenia in systemic sclerosis (SSc).There is no data about performance of SARC-F and other screening tests for sarcopenia in this population. Objective To compare the accuracy of SARC-F, SARC-CalF, SARC-F+EBM, and Ishii test as screening tools for sarcopenia in patients with SSc. Methods Cross-sectional study of 94 patients with SSc assessed by clinical and physical evaluation. Sarcopenia was defined according to the revised 2019 EWGSOP diagnostic criteria (EWGSOP2) with assessments of dual-energy X-ray absorptiometry, handgrip strength, and short physical performance battery (SPPB). As case finding tools, SARC-F, SARC-CalF, SARC-F+EBM and Ishii test were applied, including data on calf circumference, body mass index, limitations in strength, walking ability, rising from a chair, stair climbing, and self reported number of falls in the last year. The screening tests were evaluated through receiver operating characteristic (ROC) curves. Standard measures of diagnostic accuracy were computed using the EWGSOP2 criteria as the gold standard for diagnosis of sarcopenia. Results Sarcopenia was identified in 15 (15.9%) patients with SSc by the EWGSOP2 criteria. Area under the ROC curve of SARC-F screening for sarcopenia was 0.588 (95% confidence interval (CI) 0.420–0.756, p = 0.283). The results of sensitivity, specificity, positive likelihood ratio (+LR), negative likelihood ratio (-LR) and diagnostic Odds Ratio (DOR) with the EWGSOP2 criteria as the gold standard were 40.0% (95% CI, 19.8–64.2), 81.0% (95% CI, 71.0–88.1), 2.11 (95% CI, 0.98–4.55), 0.74 (95% CI, 0.48–1.13) and 2.84 (95% CI, 0.88–9.22), respectively. SARC-CalF and SARC-F+EBM showed better sensitivity (53.3%, 95% CI 30.1–75.2 and 60.0%, 95% CI 35.7–80.2, respectively) and specificity (84.8%, 95% CI 75.3–91.1 and 86.1%, 95% CI 76.8–92.0, respectively) compared with SARC-F. The best sensitivity was obtained with the Ishii test (86.7%, 95% CI 62.1–96.3), at the expense of a small loss of specificity (73.4%, 95% CI 62.7–81.9). Comparing the ROC curves, SARC-F performed worse than SARC-CalF, SARC-F+EBM and Ishii test as a sarcopenia screening tool in this population (AUCs 0.588 vs. 0.718, 0.832, and 0.862, respectively). Direct comparisons between tests revealed differences only between SARC-F and Ishii test for sensitivity (p = 0.013) and AUC (p = 0.031). Conclusion SARC-CalF, SARC-F+EBM, and Ishii test performed better than SARC-F alone as screening tools for sarcopenia in patients with SSc. Considering diagnostic accuracy and feasibility aspects, SARC-F+EBM seems to be the most suitable screening tool to be adopted in routine care of patients with SSc.


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