數位化聽能訓練網路平台系統之建構與實施成效

The Implementation and Effectiveness of a Teleintervention Platform for Children with Hearing Impairment

劉俊榮(Chun-Jung Liu) ； 林孟穎(Meng-Ying Lin) ； 劉樹玉(Shu-Yu Liu) ； 羅豪章(Hao-Chang Lo) ； 曹傑漢(Chien-Han Tsao) ； 蘇茂昌(Mao-Chang Su)

《台灣耳鼻喉頭頸外科雜誌》 48卷3期 (2013/09) Pp. 234-239

https://doi.org/10.6286/2013.48.3.234

摘要

背景：聽能訓練是聽覺損傷孩童的復健重點，然而面對面的一對一復健方式，常有治療師不足、孩童不能自主練習、家長時間與經濟成本太高等限制，而電腦化復健平台雖然被證實具有復健成效，卻不能隨時監控個案的復健情形。因此本研究目的在建構語詞與音樂聽能訓練的網路平台，探討平台的復健成效，及其與復健者背景變項的關係。方法：本研究以25名聽損學童為對象，透過網路平台進行3個月的聽能訓練，由學童自行決定復健單元、時間與進度。復健平台內容包括語詞與音樂兩個部分，各有30個單元，語詞復健每個單元10題，音樂復健每個單元節奏與旋律各10題。語詞復健內容是從國小社會課程歸納出學童常接觸的生活範疇，而復健材料則是這些範疇中的日常詞彙。音樂復健以鋼琴樂音為刺激音，音高範圍由中央C音到其上五度的G音。學童完成一個聽能訓練單元後，網路平台會回饋答對總分，但不提供每題答對與否的細部結果。結果：網路平台的復健成效，在語詞部分的答對百分比從96.83%進步到98.25%；節奏部分從65.36%進步到73.11%；旋律部分從72.05%進步到78.53%。以上3種復健前後測差異均達到統計顯著水準。性別、輔具類型、聽損程度、以及音樂經驗等背景變項在差異成績上沒有顯著差異。結論：網路聽能訓練平台能突破時空限制，又能隨時監控復健情形，在語詞與音樂的復健上也具有成效，建議未來設計實驗研究，比較面對面、電腦化、網路平台的復健成效。

關鍵字

聽能訓練 ； 網路平台 ； 成效 ； 語詞 ； 音樂

並列摘要

BACKGROUND: With the rapid development of telecommunication and distance technology, new opportunities to provide telepractice programs to children with special needs are increasing. The purpose of this study was to develop a teleintervention program specifically designed for children with hearing loss, and to probe the effectiveness and the possible influencing factors of using this new intervention model.METHODS: 25 children with hearing impairment participated in this study in their summer vacation. The training materials consisted of two major parts: common vocabulary, and music concepts (e.g. rhythm and melody). A paired-t test and an independent t-test were used to analyze the differences between the correct percentages of the last two training sessions (i.e.post-test score) and those of two initial training sessions (i.e. pre-test scores), and the possible influencing variables.RESULTS: The post-training scores were significantly higher than those of pretraining on three auditory perception tasks: word recognition (from 96.83% to 98.25%); rhythm recognition (from 65.36% to 73.11%); and melody recognition (from 72.05% to 78.53%). Independent factors such as: gender, hearing devices, degree of hearing impairment, and previous musical experience were not relevant to the progress of training.CONCLUSIONS: This study indicates that teleintervention held great promise for hearing-related professionals and revealed improved outcomes for children with hearing loss and their families, although continued evaluation of the model and further research was needed.

並列關鍵字

auditory training ； teleintervention platform ； outcome ； word ； music