聽覺中樞處理功能測驗之發展

本研究旨在發展一套評量聽覺中樞處理功能的測驗，測驗選取係以美國聽語學會2005年提出之聽覺中樞處理功能新定義爲依據，各測驗均採非語音、最簡約及電腦作答原則編製，包括頻率分辨、間隔察覺、音高型態辨識、時長型態辨識、雙耳異訊音高及聽覺辨位等六項測驗。研究對象爲國小三年級聽覺正常兒童，包括預試樣本30人、正式施測樣本100人、重測與效標效度樣本31人。研究顯示聽覺中樞處理功能測驗之內部一致性介於.83到.94之間，相隔十週後之重測信度介於.41到.88之間，且得分不受試題呈現先後次序的影響；在效度部分包括專家效度、效標效度、透過因素分析以及驗證性因素分析取得之構念效度之證據。本研究依據上述各項研究結果，針對實際在臨床施測與解釋提出各項建議。

關鍵字

非語音；電腦化測驗；聽覺中樞處理功能測驗

並列摘要

The purpose of the study is to develop the Central Auditory Processing Test Battery (CAPTB). The six tests were chosen according to the definition made by American Speech-Language-Hearing Association in 2005. Test composition followed these principles: First, non-speech materials were adopted as the stimuli; second, the test was designed as a computer-assisted system, in which low level of effort was required of subjects to make responses. Participants were 3rd graders with normal hearing, including 30 for pre-testing, 100 for formal testing, and 31 for re-test and criteria validity test. The CAPTB included frequency discrimination, gap detection, pitch pattern recognition, duration pattern recognition, dichotic pitch, and lateralization tests. The main results were as follows: (1) The internal consistency reliability ranged from .83 to .94, and the test-retest correlation coefficient of test scores was between .41 and .88; (2) The expert validity, criterion-related validity, and construct-related validity were satisfactory. Suggestions for the application of the CAPTB and future research were offered and discussed.