AVT Flashcards
What is AVT?
auditory verbal therapy
form of early intervention used with infants and young children (<7) with hearing loss and their families
follow 10 principles outlined by AGBell Academy
guide and coach the listening partner and child in the use of strategies to scaffold auditory learning and achieve AVT goals
application of strategies, conditions, and procedures that promote the optimal acquisition of listening skills so newly acquired auditory potential can be maximized and spoken language can be developed through listening
What is auditory/language deprivation?
lack of language/sound exposure as a result of hearing loss
immediate
can cause reorganization of sensory processing centres in the brain
Who does AVT prioritize?
parents = primary agents of change
alleviating parental stress around communication
help parents learn how to make spoken language easy to hear
helping parents learn that LSLLOs (listening and spoken language opportunities) are abundant during naturally occurring conversations
What are some of the characteristics of AVT?
evidence-based
follows developmental milestones of children who are not DHOH
holistic, social interactions are essential for development and functioning
individualized to meet needs of child and family
emphasizes development of listening and spoken language through natural play, singing, games, routines, and daily family life
What are the 6 domains of development in AVT?
audition - what does the child hear, localize, understand, and remember
speech - what speech sounds are heard and need to be targeted
language - expressive and receptive
cognition - non-verbal and verbal cognitive skills
communication - how does the child communicate wants and needs
literacy - reading, writing, drawing
What are some variables that influence AVT outcomes?
child’s hearing and overall health
intervention skills of professionals
collaboration between professionals
health literacy and education of parents
parental trust in services
adverse childhood events
child intelligence and learning style
type degree and configuration of hearing loss
age of diagnosis and beginning intervention
consistency of hearing technology use
What does the research show are positive factors for success in AVT?
consistent hearing aid use
early intervention and amplification
higher non-verbal IQ
higher parental education
What are some things an AVT practitioner would want to know about a new child on caseload?
birth, health, and developmental history
etiology of hearing loss/audiologic profile
chronological and hearing age
how child communicates
child’s interests
languages spoken at home
parent’s desired outcomes
What are the 6 (7) goals of an AVT practitioner?
create positive listening environment
enhance auditory perception of speech
facilitate listening in auditory only condition
facilitate auditory processing
promote knowledge of language
facilitate spoken language and cognition
stimulate independent learning
What do we look for when watching an AVT session?
do they detect sounds?
do they identify sounds?
do they follow directions?
what do they say/do to communicate?
how would you describe listening conditions?
did the practitioner or parent use any strategies?
How do we verify auditory access and functioning in AVT?
six sound test (m, oo, ee, ah, sh, s)
talk about thing before showing/doing
look for signs of detection, discrimination, identification, and comprehension
tell parents what we see until they can assess themselves
What is auditory brain change?
process brain goes through when adjusting auditory signals provided by hearing technology
initially very distorted and messy, with listening practice and education the brain and listener can sort it out
- why hearing age is important
When does best LSL learning happen?
during repetitive, enjoyable, and meaningful activities
brain is adaptable and will learn in positive conditions with repetition and practice
What are some strategies to enhance speech perception (aka acoustic highlighting)
whispering the word
internal rehearsal (auditory feedback loop)
elongate sound or put stress on a sound or word
singing word or phrase
auditory contrasts
change speed of phrase
What are some strategies that facilitate auditory processing?
wait!!!
ask “what did you hear”
3 strikes and then repeat
adjust speech rate
chunk/segment longer phrases
reword or provide alternative messages
