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

Jane Lignel Josvassen*, Victoria Amalie Michael Hedegaard, Mie Lærkegård Jørgensen, Lone Percy-Smith

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background/Objectives: 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. Methods and materials: 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. Results: LENA proved to be valuable as a guiding tool for Danish parents. Pilot validation showed good correlations and an acceptable limit of agreement (LoA). Conclusions: 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.

Original languageEnglish
Article number2688
JournalJournal of Clinical Medicine
Volume13
Issue number9
Number of pages13
ISSN2077-0383
DOIs
Publication statusPublished - 2024

Keywords

  • AVT (auditory verbal therapy)
  • children with hearing loss
  • early intervention
  • GDPR issues using LENA within the EU
  • LENA (language environment analysis)
  • LENA validation in Danish

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