The Effect of LENA (Language ENvironment Analysis) for Children with Hearing Loss in Denmark including a Pilot Validation for the Danish Language

This study aimed to investigate whether day-long recordings with Language Environment Analysis (LENA) can be utilized in a hospital-based Auditory Verbal Therapy (AVT) program in Denmark for children with hearing loss and to conduct a pilot validation in the Danish language. A license for the LENA s...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-05, Vol.13 (9), p.2688
Main Authors: Josvassen, Jane Lignel, Hedegaard, Victoria Amalie Michael, Jørgensen, Mie Lærkegård, Percy-Smith, Lone
Format: Article
Language:English
Subjects:
Algorithms
Care and treatment
Children
Children & youth
Comparative analysis
Consent
Diagnosis
Families & family life
Health aspects
Hearing disorders in children
Hearing loss
Investigations
Language
Listening
Medical screening
Otolaryngology
Parents & parenting
Patient outcomes
Software
Speaking
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Summary:This study aimed to investigate whether day-long recordings with Language Environment Analysis (LENA) can be utilized in a hospital-based Auditory Verbal Therapy (AVT) program in Denmark for children with hearing loss and to conduct a pilot validation in the Danish language. A license for the LENA system (LENA SP) was purchased, and trials were offered to three families enrolled in the AVT program. Each family made two day-long recordings with 3-4 months in between and received feedback during the therapy sessions. From 18 × 10-min clips randomly pulled out of the recordings, a comparison of adult word counts (AWC) between the LENA algorithm counts and the counts made by two human transcribers was made and used for the pilot validation. LENA proved to be valuable as a guiding tool for Danish parents. Pilot validation showed good correlations and an acceptable limit of agreement (LoA). LENA holds the potential for Danish validation and use in AVT/clinical practice. When used in clinical practice, parents must be informed of the biases and limitations, and possible ethical issues must be considered. Because of the GDPR rules, there is a need to discuss the possibility of implementing this tool clinically in Denmark and the EU.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13092688