This course will explore strategies to identify peripheral versus central cognitive factors that may contribute to auditory processing deficits, or complicate assessment and treatment of auditory processing dysfunction. Information will include strategies to reduce the influence of higher cognitive dysfunction, and avoid possible confounds associated with peripheral hearing loss.
Course created on August 24, 2023
- After this course, participants will be able to specify at least two conditions, documented exposures, or comorbidities that raise the need to minimize or avoid possible central and/or peripheral confounds.
- After this course, participants will be able to name at least three auditory processing tests that minimize attention and memory demands in testing for auditory processing deficits.
- After this course, participants will be able to list at least two auditory processing tests, or stimuli, that can be used to avoid or reduce the potential influence of peripheral hearing loss.
- After this course, participants will be able to describe both the benefits and limitations of using objective measures of auditory function (e.g. electrophysiology) in auditory processing assessment batteries.
|5-20 Minutes||Non-modular nature of the brain|
|20-30 Minutes||Cognitive considerations for APD assessment|
|30-40 Minutes||Patient-specific factors affecting auditory function (peripheral and central)|
|40-60 Minutes||Methods to minimize impacts of peripheral dysfunction an APD test results|
Dr. Guillory has been providing CAPD testing for over 30 years in both pediatric and VA settings. She obtained a Master’s Degree in 1979 at the University of Missouri, and a Doctorate in Audiology in 2001 in Central Michigan University’s initial online AuD program. She has been dedicated to preceptorship for many years and is passionate about teaching doctoral externs and practicing audiologists how to perform central auditory nervous system assessment, vestibular assessment, and electrophysiological testing.
Dr. Papesh is a research investigator at the VA RR&D National Center for Rehabilitative Auditory Research in Portland, OR. Her research focuses on diagnosis and rehabilitation of Veterans and Service Members with auditory processing disorders (APD). Her credentials include a clinical doctorate of audiology (Au.D.) and a dual Ph.D. in Hearing Science and Neural Science, as well as a postdoctoral Advanced Research Fellowship in Polytrauma and Traumatic Brain Injury Rehabilitation awarded by the VA Office of Academic Affiliations. Over the past eight years at the NCRAR, she has focused on bringing together subjective, behavioral, and electrophysiological measurement techniques to assess alterations in central nervous system processing among patients with blast exposure, traumatic brain injuries and posttraumatic stress disorder (PTSD). She recently completed a project investigating the effects of high-intensity blast exposure and PTSD on the ability of the auditory system to “gate” or “filter” incoming information. This work has revealed crucial differences in how these two conditions affect auditory processing. Currently, Dr. Papesh is the Principal Investigator on a VA RR&D Career Development Award entitled “Physiological Assessment of Auditory Processing Disorders in TBI”, and is a co-Investigator on several other projects related to hearing difficulties in patients with clinically normal hearing thresholds. She is also highly active in clinical and research domains related to APD across the VA, including as an active contributing member of the VA/DoD Auditory Processing Disorder Working Group, facilitator of an APD listserv for VA audiologists and speech-language pathologists involved in APD testing, and spearheading a retrospective records review of Veterans evaluated for APD in the VA system.
Financial: Melissa Papesh is an employee of the Dept. of Veteran Affairs. Non-financial: Melissa Papesh has no relevant non-financial relationships to disclose.
Sponsor Disclosure: This Course is presented by Department of Defense in partnership with AudiologyOnline.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Course participation information
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American Speech-Language-Hearing Assn.
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International Hearing Society
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Kansas Department for Aging and Disability Services
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New Zealand Audiological Society
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