Speech Audiometry and Spanish–English Bilinguals: Challenges in Clinical Practice Purpose The Spanish–English bilingual population has been on a steady rise in the United States and is projected to continue to grow. Speech audiometry, a key component of hearing care, must be customized for this linguistically unique and diverse population. Method The tutorial summarizes recent findings concerning Spanish–English ... Tutorial
Tutorial  |   September 01, 2014
Speech Audiometry and Spanish–English Bilinguals: Challenges in Clinical Practice
 
Author Affiliations & Notes
  • Lu-Feng Shi
    Long Island University, Brooklyn, NY
  • Disclosure: The author has declared that no competing interests existed at the time of publication.
    Disclosure: The author has declared that no competing interests existed at the time of publication.×
  • Correspondence to Lu-Feng Shi: lu.shi@liu.edu
  • Editor: Larry Humes
    Editor: Larry Humes×
  • Associate Editor: N/A
    Associate Editor: N/A×
Article Information
Hearing Disorders / Cultural & Linguistic Diversity / Tutorial
Tutorial   |   September 01, 2014
Speech Audiometry and Spanish–English Bilinguals: Challenges in Clinical Practice
American Journal of Audiology, September 2014, Vol. 23, 243-259. doi:10.1044/2014_AJA-14-0022
History: Received April 11, 2014 , Revised June 26, 2014 , Accepted July 7, 2014
 
American Journal of Audiology, September 2014, Vol. 23, 243-259. doi:10.1044/2014_AJA-14-0022
History: Received April 11, 2014; Revised June 26, 2014; Accepted July 7, 2014

Purpose The Spanish–English bilingual population has been on a steady rise in the United States and is projected to continue to grow. Speech audiometry, a key component of hearing care, must be customized for this linguistically unique and diverse population.

Method The tutorial summarizes recent findings concerning Spanish–English bilinguals' performance on English and Spanish speech audiometric tests in the context of the psychometric properties of the tests and the language and dialect profile of the individual (language status, history, stability, competency, and use). The tutorial also provides arguments for evaluating bilingual clients in Spanish, in English, or in both languages, which may serve as rationales in support of varied bilingual clinical practices. Last, the tutorial provides information regarding Spanish speech audiometry, including available tests, issues that clinicians may encounter when administering them, and dialectal consideration.

Conclusions It is a challenge as well as an opportunity for clinicians to expand service to the Spanish–English bilingual community. Understanding the characteristics of the individual and the test is essential for ensuring quality services to the bilingual client.

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