[Reliability, trainability and stability of auditory discrimination performance in 2 computer-assisted assessment and training methods].
OBJECTIVE
The present study focuses on the possibilities and effects of training dyslexic children in tone and phoneme discrimination tasks.


METHODS
A computer program was developed to train dyslexic children to discriminate between tone and speech stimuli. The correlation between auditory discrimination and reading and orthography performance was then tested in a preliminary study of n = 63 children. In a prospective study 44 children were assigned to one of three paralyzed groups: tone training, phoneme training or a control group. Upon completion of the initial diagnostics for all groups, the two training groups received four weeks of discrimination training, after which all three groups were immediately re-tested for the first time. Parallel thereto all children underwent specific training in reading and orthography at their school. Six months later all were re-tested a second time.


RESULTS
Both test methods showed a high reliability (rn = .94; .95). Significant correlations between auditory discrimination and reading and orthography performance were confirmed. Auditory discrimination was significantly trainable. Specific training effects, as well as independent developmental effects were found. While the training effects of phoneme discrimination were stable over six months, those of tone discrimination were not.


CONCLUSIONS
The central auditory discrimination between tone and phoneme stimuli can be trained successfully in dyslexic children and might also affect their reading and orthography performance.
Bischof
J
J
Abteilung für Kinder- und Jugendpsychiatrie der Psychiatrischen Klinik, Ruprecht-Karls-Universität Heidelberg.
Gratzka
V
V
Strehlow
U
U
Haffner
J
J
Parzer
P
P
Resch
F
F
D002648:Child; D003194:Computer-Assisted Instruction; D004410:Dyslexia / Q000175:diagnosis / Q000628:therapy*; D004519:Education, Special; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010700:Phonetics; D010897:Pitch Discrimination; D011446:Prospective Studies; D011932:Reading; D015203:Reproducibility of Results; D013018:Sound Spectrography; D013067:Speech Perception; D014956:Writing