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L O R R A I N E B R A G G I N S
C I T Y L I T
Developing and evaluating an
initial lipreading assessment for
adults with acquired deafness
The dilemma
There was no actual assessment of lipreading skills in
our initial assessment process for adults being
assessed for joining a lipreading class.
So why weren’t we testing lipreading skills?
Anxious
Loss of identity
Depressed
Afraid
Embarrassed
Angry
Loss of confidence
Insecure
Stigmatised
Suicidal
Arguments against testing for lipreading classes
1. Makes people nervous - doesn’t give a true account
of ability.
2. All learners into first level anyway - non -accredited
courses
3. Lipreading tutors felt a more holistic approach is
appropriate – “It’s more about how you cope”
4. How would you measure lipreading skills?
Why is it so difficult to assess lipreading?
 Only about a third of sounds are clearly visible
 Of those – many look the same as each other
Why else is it so difficult to assess lipreading?
Not just observation of lips and other facial movements
 A complex process:
-processing language
-auditory memory
- visual memory
- short-term memory capacity
-knowledge of syntax and vocabulary
-use of context
-lateral thinking
 Affected by:
- fatigue, mood, interest, distractions
 Affected by the speaker
Rationale for looking at changing the practice
Drawbacks of existing initial assessment:
1. Tutor embarks on teaching course with
- no idea of students’ lipreading levels
- insufficient detail on any language issues
2. All students directed to beginners – no fast track
option for more able lipreaders.
Aim
To develop a lipreading initial assessment task with
these objectives:
1. Quick
2. Valid and reliable
3. Provides useful information on current lipreading
skills and on any support needed
4. Unthreatening
Stage 1 – Devising the test
Quick Useful info on skills No damage to confidence
Task 1 (easy)- Eye skills plus use of context, anticipation
and basic vocabulary (‘synthetic’)
Task 2 (harder) - Eye skills only (‘analytic’)
Task 3 (easy) - Eye skills plus use of context,
anticipation and more complex vocabulary plus use of
language, grammar, mental tie-up skills (‘synthetic’)
Tasks 1 and 3
 SCRIPT task 1 (repetition exercise)
 Please buy me some…
oranges
pears
peaches
grapes
 SCRIPT task 3 (mental tie-up exercise)
1. “I need to go to the garage to fill up with petrol.”
2. “I need to go to the optician’s to pick up my new glasses.”
3. “I need to go to the bank to pay in a cheque.”
4. “I need to go to the post office to post a letter.”
Visible phoneme list (task 2)
Stimulus word Sample responses Score Possible
score
1 Sheep chimp 2 3
2 march boss 1 3
3 Room room 3 3
4 Germ chops 2 3
5 Life love 2 3
6 There there 2 2
7 For for 2 2
8 Bow p 1 2
9 Rope rope 3 3
10 Wave w 1 3
TOTAL SCORE 19 27
Valid and reliable?
How to present the test?
Video versus live?
“the shorter the test, the less reliable”
“If you measure someone on a number of occasions,
for example, you will get a variety of scores” (Green and
Bartram, 1998:32-33)
Stage 2 - Trialling and modifying the test
Stage 3 – Designing the questionnaire
Stage 4 – Piloting and modifying
I strongly
agree
I partly
agree
I don’t
agree or
disagree
I partly
disagree
I strongly
disagree
1.I now have a
clear idea of what
happens in a
lipreading class
2. I felt
comfortable doing
the lipreading
tasks
3.The interview
was the
appropriate length
of time
4.The lipreading
tasks helped me
realise how much I
already lipread
5.I understand
there are
limitations to
lipreading
Stage 5 – Trialling and evaluating the test
Trialling
10 people attended the ‘drop-in’ (Feb 12th – April 9th)
and all 10 did the tasks.
Evaluating
1. Personal diary
2. Questionnaire and SAE
3. Interviews with lipreading teachers
10 people did the test. Possible total score of 27.
0
1
2
3
4
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
No.ofPeople
Score
Test Results Summary - Task 2
Test results
High scores reinforce suggested evidence that we all
acquire lipreading skills unconsciously (Calvert et al, 1997:
593).
2 interviewees who stood out
1. Delayed responses from a non-native English speaker
with severe hearing loss.
2. Concentration issue for person on medication.
Summary of lipreading teachers’ comments:
Re 1. Need to allow more time for him to digest and
process information.
Re 2. Will need more ‘eye breaks’, shorter exercises,
energisers, maybe give copy of lesson in advance.
Questionnaire results: total responses 8
(out of 10 handed out)
I strongly
agree
I partly
agree
I don’t
agree or
disagree
I partly
disagree
I strongly
disagree
1.I now have a
clear idea of what
happens in a
lipreading class
5 3
2. I felt
comfortable doing
the lipreading
tasks
7 1
3.The interview
was the
appropriate length
of time
7 1
4.The lipreading
tasks helped me
realise how much I
already lipread
6 2
5.I understand
there are
limitations to
lipreading
7 1
Comments on questionnaires
“Generous with time”
“Very helpful”
“Very friendly and supportive, thanks”
“Was very friendly and understanding”
“I found the interviewer extremely welcoming, a good listener and
sensitive to my needs. Thank you!”
“It was a very reassuring process”
“Informative, friendly, considerate”
Unexpected Outcome
There were high levels of agreement that tasks helped
them realise how much they could lipread already.
One advantage of testing – “can give students a sense
of accomplishment” (British Council, 2004)
Conclusions
 The data provided by a quick lipreading test in an initial
assessment can sometimes be useful for planning teaching
and anticipating support needs.
 Incorporating a brief test delivered with due consideration,
and at an appropriate point, in the initial assessment
interview, need not adversely affect the relaxed and
unthreatening atmosphere or damage confidence.
 People are unaware of how much they lipread already and a
test that demonstrates this can be motivational and could
be used for that purpose.
What next?
1. Get more feedback throughout the year from the tutor
who will teach these students – were the test results as
relevant as we thought?
2. Continue with the test till June 2015 – note findings and
modify as required.
3. Develop and trial a harder test with more complex
sentences and phonemes (fast track?)
4. Consult more widely with lipreading teachers when I
have more data (June 2015)
5. Extend the ‘drop-in’ time and make advance
appointments for people we are expecting.
References
British Council Testing and assessment
(http://www.teachingenglish.org.uk/article/testing-assessment , 2004) accessed
9.5.14
Calvert G, Bullmore E, Brammer M, Campbell R, Williams S, McGuire P,
Woodruff P, Iversen S, David A (1997) Activation of Auditory Cortex During
Silent Lipreading Science, New series, Vo. 276, No. 5312 (Apr 25, 1997) 593
Green M and Bartram D (1998) Initial assessment to identify learning needs
Bristol: FEDA. (FE matters vol. 2, No 7)
Thank you for listening
Any questions?

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Lorraine Braggins Lipreading assessment 2014

  • 1. L O R R A I N E B R A G G I N S C I T Y L I T Developing and evaluating an initial lipreading assessment for adults with acquired deafness
  • 2. The dilemma There was no actual assessment of lipreading skills in our initial assessment process for adults being assessed for joining a lipreading class. So why weren’t we testing lipreading skills?
  • 3. Anxious Loss of identity Depressed Afraid Embarrassed Angry Loss of confidence Insecure Stigmatised Suicidal
  • 4. Arguments against testing for lipreading classes 1. Makes people nervous - doesn’t give a true account of ability. 2. All learners into first level anyway - non -accredited courses 3. Lipreading tutors felt a more holistic approach is appropriate – “It’s more about how you cope” 4. How would you measure lipreading skills?
  • 5. Why is it so difficult to assess lipreading?  Only about a third of sounds are clearly visible  Of those – many look the same as each other
  • 6.
  • 7. Why else is it so difficult to assess lipreading? Not just observation of lips and other facial movements  A complex process: -processing language -auditory memory - visual memory - short-term memory capacity -knowledge of syntax and vocabulary -use of context -lateral thinking  Affected by: - fatigue, mood, interest, distractions  Affected by the speaker
  • 8. Rationale for looking at changing the practice Drawbacks of existing initial assessment: 1. Tutor embarks on teaching course with - no idea of students’ lipreading levels - insufficient detail on any language issues 2. All students directed to beginners – no fast track option for more able lipreaders.
  • 9. Aim To develop a lipreading initial assessment task with these objectives: 1. Quick 2. Valid and reliable 3. Provides useful information on current lipreading skills and on any support needed 4. Unthreatening
  • 10. Stage 1 – Devising the test Quick Useful info on skills No damage to confidence Task 1 (easy)- Eye skills plus use of context, anticipation and basic vocabulary (‘synthetic’) Task 2 (harder) - Eye skills only (‘analytic’) Task 3 (easy) - Eye skills plus use of context, anticipation and more complex vocabulary plus use of language, grammar, mental tie-up skills (‘synthetic’)
  • 11. Tasks 1 and 3  SCRIPT task 1 (repetition exercise)  Please buy me some… oranges pears peaches grapes  SCRIPT task 3 (mental tie-up exercise) 1. “I need to go to the garage to fill up with petrol.” 2. “I need to go to the optician’s to pick up my new glasses.” 3. “I need to go to the bank to pay in a cheque.” 4. “I need to go to the post office to post a letter.”
  • 12. Visible phoneme list (task 2) Stimulus word Sample responses Score Possible score 1 Sheep chimp 2 3 2 march boss 1 3 3 Room room 3 3 4 Germ chops 2 3 5 Life love 2 3 6 There there 2 2 7 For for 2 2 8 Bow p 1 2 9 Rope rope 3 3 10 Wave w 1 3 TOTAL SCORE 19 27
  • 13. Valid and reliable? How to present the test? Video versus live? “the shorter the test, the less reliable” “If you measure someone on a number of occasions, for example, you will get a variety of scores” (Green and Bartram, 1998:32-33)
  • 14. Stage 2 - Trialling and modifying the test
  • 15. Stage 3 – Designing the questionnaire Stage 4 – Piloting and modifying I strongly agree I partly agree I don’t agree or disagree I partly disagree I strongly disagree 1.I now have a clear idea of what happens in a lipreading class 2. I felt comfortable doing the lipreading tasks 3.The interview was the appropriate length of time 4.The lipreading tasks helped me realise how much I already lipread 5.I understand there are limitations to lipreading
  • 16. Stage 5 – Trialling and evaluating the test Trialling 10 people attended the ‘drop-in’ (Feb 12th – April 9th) and all 10 did the tasks. Evaluating 1. Personal diary 2. Questionnaire and SAE 3. Interviews with lipreading teachers
  • 17. 10 people did the test. Possible total score of 27. 0 1 2 3 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 No.ofPeople Score Test Results Summary - Task 2
  • 18. Test results High scores reinforce suggested evidence that we all acquire lipreading skills unconsciously (Calvert et al, 1997: 593).
  • 19. 2 interviewees who stood out 1. Delayed responses from a non-native English speaker with severe hearing loss. 2. Concentration issue for person on medication. Summary of lipreading teachers’ comments: Re 1. Need to allow more time for him to digest and process information. Re 2. Will need more ‘eye breaks’, shorter exercises, energisers, maybe give copy of lesson in advance.
  • 20. Questionnaire results: total responses 8 (out of 10 handed out) I strongly agree I partly agree I don’t agree or disagree I partly disagree I strongly disagree 1.I now have a clear idea of what happens in a lipreading class 5 3 2. I felt comfortable doing the lipreading tasks 7 1 3.The interview was the appropriate length of time 7 1 4.The lipreading tasks helped me realise how much I already lipread 6 2 5.I understand there are limitations to lipreading 7 1
  • 21. Comments on questionnaires “Generous with time” “Very helpful” “Very friendly and supportive, thanks” “Was very friendly and understanding” “I found the interviewer extremely welcoming, a good listener and sensitive to my needs. Thank you!” “It was a very reassuring process” “Informative, friendly, considerate”
  • 22. Unexpected Outcome There were high levels of agreement that tasks helped them realise how much they could lipread already. One advantage of testing – “can give students a sense of accomplishment” (British Council, 2004)
  • 23. Conclusions  The data provided by a quick lipreading test in an initial assessment can sometimes be useful for planning teaching and anticipating support needs.  Incorporating a brief test delivered with due consideration, and at an appropriate point, in the initial assessment interview, need not adversely affect the relaxed and unthreatening atmosphere or damage confidence.  People are unaware of how much they lipread already and a test that demonstrates this can be motivational and could be used for that purpose.
  • 24. What next? 1. Get more feedback throughout the year from the tutor who will teach these students – were the test results as relevant as we thought? 2. Continue with the test till June 2015 – note findings and modify as required. 3. Develop and trial a harder test with more complex sentences and phonemes (fast track?) 4. Consult more widely with lipreading teachers when I have more data (June 2015) 5. Extend the ‘drop-in’ time and make advance appointments for people we are expecting.
  • 25. References British Council Testing and assessment (http://www.teachingenglish.org.uk/article/testing-assessment , 2004) accessed 9.5.14 Calvert G, Bullmore E, Brammer M, Campbell R, Williams S, McGuire P, Woodruff P, Iversen S, David A (1997) Activation of Auditory Cortex During Silent Lipreading Science, New series, Vo. 276, No. 5312 (Apr 25, 1997) 593 Green M and Bartram D (1998) Initial assessment to identify learning needs Bristol: FEDA. (FE matters vol. 2, No 7)
  • 26. Thank you for listening Any questions?

Editor's Notes

  1. Explain the nature of the drop-in – 1 to 1, quiet. How they might be feeling – fragile, nervous, will they understand me? I discuss h loss, explain inclusive,suportive, relaxed class. Welcoming, reassuring, encouraging empathetic
  2. Setting people up for failure – veronica McGiv Don’t want to deeter from 1st step to rehab by putting under stress
  3. Interlinked skills So - many factors to consider – it’s why it’s so hard to assess
  4. 3 of my objectives addressed Easy, hard, easy - ‘easy task’ sandwich Looked at other tests – very thorough, way too long. Quick – 10 mins Tasks 1 and 3 - any language processing issue would show up. Task 1 basic comm. and english vocab. Task 3 -average command to decode I’ll say a bit about tasks 1 and 3 first. Tasks 1 and 3 v straightforrward for natuve english speaker , normal vision and cognitive abilities Timing – late on when they feel relaxed and comf atmosphere of trust Drop-in for a chat informalty
  5. Explain instrucions were givn- have those in front of me readt
  6. Monosyllabic . Real words refer to Arthur Boothroyd p,b,m, f,v, sh, ch, j, w, r , th, l, (12 – some put at start and end of a word) oo, ah ,ee, aw, er, ie, air, ow, oa (9)
  7. The main challenge Variations in my lip pattern; in their mood Did some research on this – vid = 2 dimens, can’t slow down or repeat – no flexubulity. Eveidnece suggested people preformed beter with live Informal feedback on cuny sentence tes t – hate panic failure
  8. Tweaked it – took out hard bits – but the one I showed you is what I ended up with
  9. Likert – explain why – in first draft I piloted it – make a note for myself of what I changed in case asked SG suggestions – ask about the whole process not just the test
  10. . All 10 agreed do participate and do tasks To evaluate effectiveness – 3 diff res methods – 1. kept diary as a ‘participant observer’2. Gave quesitonnaire 3 ints with 2 LR teachers
  11. The unexpected outcome is that their scores were so high, indicating just how much people can already lipread before they attend a lipreading class. Work out the percentage n case asked
  12. People have a good foundation on which to build.
  13. 2. Will know if she drops off , why that is. I think if I had just had a chat and no test, she might have mentioned her medication – but maybe not, and even if she had, I don’t think I would have fully appreciated how much it affects her. 1. Turned head away - maybe translating? Accessing aud memory? Teachers said useful to know in advance
  14. Themes - friendly, supportive, helpful. It didn’t make them feel uncomfortable – can deliver test and still maintain a relaxed atmosphere.
  15. Quick – 7/8 respondents said appro time, but waitning times longer – to address Valid and reliable – limitations one-off short live test. Tho hihjest and lowest scores inmy class – reflects The 2 LR teachers who reviewed the info siad useful and would adapt planning as a result. Uthreating – quesiotnnaire – people found it reassuring Unexpected – on their forms how well do you think you lipread at the moment included “not sure “not at all”
  16. So to sum up, then,..