SLP and comprehensive auditory rehabilitation (Ray et al., 2021)

Background: Standards for auditory rehabilitation are currently lacking for adults who receive cochlear implants. Speech recognition outcomes are highly variable, and many adults with cochlear implants present with suboptimal performance. Functional real-life communication abilities are not routinely measured clinically and are not strongly linked to performance on traditional measures of speech recognition. In fact, even individuals with relatively good speech recognition outcomes often present with persistent communication difficulties. In contrast to pediatric cochlear implant users, speech-language pathologists are not routinely involved in the rehabilitation of adults who receive cochlear implants.Purpose: The purpose of this article is to describe the value of including a speech-language pathologist in a comprehensive approach to auditory rehabilitation for adults with cochlear implants.Method: The theoretical and clinical foundations of incorporating a speech-language pathologist into an adult auditory rehabilitation program are discussed. A description of the skills and potential roles of the speech-language pathologist for providing adult cochlear implant rehabilitation services is presented, along with potential barriers to implementation.Conclusion: Person-centered management of postlingually deafened adults with cochlear implants can be augmented by a more complete approach utilizing the skill set of a speech-language pathologist.Supplemental Material S1. Example of comprehensive assessment measures used to develop individualized plans of care in the comprehensive auditory rehabilitation (CAR) approach. Ray, C., Taylor, E., Vasil, K. J., Zombek, L., Baxter, J. H., & Moberly, A. C. (2021). The value of speech-language pathologists in auditory rehabilitation for adults with cochlear implants. American Journal of Speech-Language Pathology. Advance online publication. https://doi.org/10.1044/2021_AJSLP-20-00189

背景：当前针对接受耳蜗植入术成人的听觉康复标准尚不完善。言语识别结果存在高度变异，众多接受耳蜗植入术的成人表现出次优的康复效果。在临床实践中，功能性的现实生活沟通能力并未得到常规测量，且与传统的言语识别测试结果关联性不强。事实上，即便在言语识别结果相对良好的个体中，也常常存在持续的沟通障碍。与儿童耳蜗植入使用者形成对比的是，言语语言治疗师并未常规参与接受耳蜗植入术成人的康复治疗。目的：本文旨在阐述将言语语言治疗师纳入成人耳蜗植入术患者全面听觉康复方案中的价值。方法：讨论了将言语语言治疗师融入成人听觉康复项目的理论及临床基础。阐述了言语语言治疗师在提供成人耳蜗植入术康复服务中所具备的技能和潜在角色，以及实施过程中可能遇到的障碍。结论：对于后天聋哑的成人耳蜗植入术患者，以人为中心的康复管理可以通过更全面的方法，利用言语语言治疗师的技能组合得到加强。补充材料S1：在全面听觉康复（CAR）方法中，用于制定个性化护理计划的综合评估措施的示例。Ray, C., Taylor, E., Vasil, K. J., Zombek, L., Baxter, J. H., & Moberly, A. C. (2021). 言语语言治疗师在成人耳蜗植入术听觉康复中的价值。美国言语语言病理学杂志。在线预发布。https://doi.org/10.1044/2021_AJSLP-20-00189