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Article ; Online: Remote Assessment of Verbal Memory in Youth With Cochlear Implants During the COVID-19 Pandemic.

Kronenberger, William G / Montgomery, Caitlin J / Henning, Shirley C / Ditmars, Allison / Johnson, Courtney A / Herbert, Carolyn J / Pisoni, David B

American journal of speech-language pathology

2021  Volume 30, Issue 2, Page(s) 740–747

Abstract: Purpose Youth with cochlear implants (CIs) are at risk for delays in verbal short-term memory (STM ... validity of remote testing methods (teleassessment) of verbal STM/WM in youth with CIs as a method ... of addressing COVID-19-related restrictions on FTF test administration. Method Tests of verbal STM/WM ...

Abstract Purpose Youth with cochlear implants (CIs) are at risk for delays in verbal short-term memory (STM)/working memory (WM), which adversely affect language, neurocognitive, and behavioral outcomes. Assessment of verbal STM/WM is critical for identifying and addressing these delays, but standard assessment procedures require face-to-face (FTF) administration. The purpose of this study was to determine the feasibility and validity of remote testing methods (teleassessment) of verbal STM/WM in youth with CIs as a method of addressing COVID-19-related restrictions on FTF test administration. Method Tests of verbal STM/WM for nonwords, digit spans, letter-number sequences, sentences, and stories were individually administered by speech-language pathologists over a teleassessment platform to 28 youth (aged 9-22 years) with CIs and 36 same-aged normal-hearing peers. Examiners, parents, and participants completed quality and satisfaction ratings with the teleassessment procedure. Teleassessment scores were compared to results of tests obtained at FTF visits an average of 1.6 years earlier. Results Quality and satisfaction ratings for teleassessment were high and in almost all cases did not differ between the CI and normal-hearing samples. Youth with CIs scored lower than normal-hearing peers on measures of verbal STM/WM, and scores for digit span and letter-number sequencing did not differbetween teleassessment and FTF methods. Correlations across teleassessment and FTF visits were strong for digit span, letter-number sequencing, and sentence memory, but were more modest for nonword repetition. Conclusion With some caveats, teleassessment of verbal STM/WM was feasible and valid for youth with CIs.
MeSH term(s) Adolescent ; COVID-19/epidemiology ; Case-Control Studies ; Child ; Cochlear Implants/adverse effects ; Cochlear Implants/psychology ; Feasibility Studies ; Female ; Humans ; Male ; Memory, Short-Term ; Pandemics ; SARS-CoV-2 ; Speech Perception ; Speech-Language Pathology/methods ; Telemedicine/methods
Language English
Publishing date 2021-03-18
Publishing country United States
Document type Journal Article ; Research Support, N.I.H., Extramural ; Validation Study
ZDB-ID 1154406-5
ISSN 1558-9110 ; 1058-0360
ISSN (online) 1558-9110
ISSN 1058-0360
DOI 10.1044/2021_AJSLP-20-00276
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