AudiologyOnline Phone: 800-753-2160


Innocaption Mobile - July 2024

SCAN-C: Screening or Diagnostic Tool

Jeanane M Ferre, PhD, CCC-A

January 18, 2010

Share:

Question

We currently use the SCAN-C to screen children for APD disorders. We would like to offer our clients more than just results from a screening. I have heard conflicting information regarding the SCAN. Some say it is truly only a screening for APD, while others claim that it is diagnostic in nature. Which is correct?

Answer

The SCAN (before it was ever -C, or -A) was designed to screen auditory processing skills, specifically dichotic listening (by way of competing words and competing sentences tests) and auditory closure (by way of filtered words and auditory figure-ground tests). It's -1SD from the mean "pass-fail" criterion is, in general, the "cut-off" of choice for a screening instrument. It does a pretty good job of screening these skills. That it lacks a temporal screening task is an issue for some as temporal processing is such an important skill. Since its debut, some professionals have pointed to so-called over-referrals based on SCAN-C results, as if that's a bad thing. It's not. I, for one, would much rather have a client fail a screener and then "pass" the diagnostic battery than the other way around. That's the goal of screening - to cast a broad net for those at-risk for a disorder so that they may be directed to appropriate examiners for diagnostic testing. However, since its debut, a number of audiologists have chosen to use the SCAN-C or SCAN-A as part of their diagnostic battery. It is not good scientific methodology to use any tool designed for screening to diagnose as, typically, screening tests have not be validated on a population of listeners with known neurologic disorder, but instead rely simply on what's outside the "norm" to determine pass-fail. Remember, screeners identify those "at-risk" and diagnostic tests rule in/rule out the disorder and specify its nature. Tests designed to screen for CAPD should be used to screen for the disorder, not as a diagnostic tool. To do otherwise risks "diagnosing" a problem that may not exist, which wastes resources and disserves our clients.

Jeanane M. Ferre, PhD Audiologist, CCC-A. Fellow of American Speech-Language-Hearing Association Central Auditory Evaluation and Treatment Oak Park, IL.


Jeanane M Ferre, PhD, CCC-A


Related Courses

Cortical Auditory Evoked Potentials in a Pediatric Practice
Presented by Shanda Brashears, AuD
Recorded Webinar
AudiologyOnline

Presenter

Shanda Brashears, AuD
Course: #39954Level: Advanced1 Hour
  'Very nice overview of this topic!'   Read Reviews
This course explores how to use the Cortical Auditory Evoked Potential for verifying hearing technologies on the user, evaluating the severity of Auditory Neuropathy Spectrum Disorder, and evaluating pediatric patients with Auditory Processing Disorders. Real world Cortical tracings and how to apply normative data to them are discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Interprofessional Practice to Holistically Treat APD: An Evidenced-based Approach
Presented by Maia Magder, MS, CCC-SLP, David Jedlicka, AuD
Recorded Webinar
Department of Defense

Presenters

Maia Magder, MS, CCC-SLPDavid Jedlicka, AuD
Course: #38166Level: Intermediate1 Hour
  'I liked the two perspectives from two different specialies'   Read Reviews
This course will focus on treatment of APD in context of interprofessional practice and holistic approach.. A review of previous methodology will first be reviewed, then will be followed by evidence of an interprofessional approach and why this is a preferred method. Concomittant diagnoses most closely associated with APD in military professions will be discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

20Q: Auditory Processing Disorders - Is There a Gold Standard?
Presented by Andrew J. Vermiglio, AuD
Text/Transcript
AudiologyOnline

Presenter

Andrew J. Vermiglio, AuD
Course: #39454Level: Intermediate2 Hours
  'So interesting!'   Read Reviews
This course describes the origins and current views on the auditory processing disorder (APD) construct. This course includes a discussion of the identification of the “gold” or reference standard test (or test battery) used for the diagnosis of an APD.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Using Amplification to Address Functional Hearing Loss and Auditory Processing Disorders
Presented by Gail Whitelaw, PhD
Recorded Webinar
AudiologyOnline

Presenter

Gail Whitelaw, PhD
Course: #37924Level: Intermediate1 Hour
  'Clear excellent presentation'   Read Reviews
This presentation is designed to discuss the role of hearing aids/amplification in the treatment of functional hearing losses/auditory processing disorders.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Auditory Processing Disorder and Blast Trauma
Presented by Gail Whitelaw, PhD
Recorded Webinar
AudiologyOnline

Presenter

Gail Whitelaw, PhD
Course: #31270Level: Advanced1 Hour
  'Having withed with blast injury patients this is a very good explanation of these patients'   Read Reviews
This course will focus on the current approach to blast trauma and the role of the audiologist in working with this population. Characteristics, assessment tools, and treatment will be discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.