Hearing Assessment with Young Children

Fulton, Robert T.; Gorzycki, Pamela A.; Hull, Wilma L.

doi:10.1044/jshd.4003.397

Cited by 7 publications

(3 citation statements)

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“…First, the number of trials and conditions were reduced to accommodate toddlers’ shorter attention spans 51–55 : 36 trials in each of 4 conditions (versus 50 trials in each of 12 conditions in the previous version of the procedure). Second, two additional forms of reinforcement for correct answers that have been used successfully in testing auditory detection thresholds in toddlers were employed–animated, visual reinforcers 21 and tangible reinforcers 56 (e.g., mini M&M’s and Cheerios). Third, a large gross motor response of jumping to, stepping to, or placing a beanbag on one of two response mats on the floor was used to capitalize on toddlers’ desire to exploit their newfound mobility 57 .…”

Section: Methodsmentioning

confidence: 99%

Assessing toddlers’ speech-sound discrimination

Holt

Lalonde

2012

International Journal of Pediatric Otorhinolaryngology

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Objective Valid and reliable methods for assessing speech perception in toddlers are lacking in the field, leading to conspicuous gaps in understanding how speech perception develops and limited clinical tools for assessing sensory aid benefit in toddlers. The objective of this investigation was to evaluate speech-sound discrimination in toddlers using modifications to the Change/No-Change procedure1. Methods Normal-hearing 2- and 3-year-olds’ discrimination of acoustically dissimilar (“easy”) and similar (“hard”) speech-sound contrasts were evaluated in a combined repeated measures and factorial design. Performance was measured in d’. Effects of contrast difficulty and age were examined, as was test-retest reliability, using repeated measures ANOVAs, planned post-hoc tests, and correlation analyses. Results The easy contrast (M=2.53) was discriminated better than the hard contrast (M=1.72) across all ages (p < .0001). The oldest group of children (M=3.13) discriminated the contrasts better than youngest (M=1.04; p < .0001) and the mid-age children (M=2.20; p = .037), who in turn discriminated the contrasts better than the youngest children (p = .010). Test-retest reliability was excellent (r = .886, p < .0001). Almost 90% of the children met the teaching criterion. The vast majority demonstrated the ability to be tested with the modified procedure and discriminated the contrasts. The few who did not were 2.5 years of age and younger. Conclusions The modifications implemented resulted, at least preliminarily, in a procedure that is reliable and sensitive to contrast difficulty and age in this young group of children, suggesting that these modifications are appropriate for this age group. With further development, the procedure holds promise for use in clinical populations who are believed to have core deficits in rapid phonological encoding, such as children with hearing loss or specific language impairment, children who are struggling to read, and second-language learners.

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Section: Methodsmentioning

confidence: 99%

Assessing toddlers’ speech-sound discrimination

Holt

Lalonde

2012

International Journal of Pediatric Otorhinolaryngology

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“…Wilson and Moore (1978), using tonal stimuli, suggest that the head-turn response reinforced with an animated toy (VRA) may be used with infants 5 months of age and older. Investigators (Fulton et al, 1975;Wilson and Decker, 1977) utilizing the TROCA procedure with tonal stimuli have demonstrated the effectiveness of this technique with children up to 2 years of age.…”

Section: Operantmentioning

confidence: 99%

Speech Audiometry with Infants and Children

Diefendorf¹

1983

Semin Hear

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“…The parent should be counselled and provided a written set of procedures for introducing auditory stimulus-response control. 2 Volgens 'n subjektiewe evaluasie kon die gevolgtrekking gemaak word dat die Opleidingsprogram moontlik aanleiding gee tot beter samewerking van die toetsling in die toetssituasie, asook minder angs ten opsigte van die toetssituasie by die toetsling sowel as die vergesellende ouer. Dit blyk verder uit die evaluasie van die Program deur die ouers wat dit uitgevoer het, dat hul dit beskou as 'n waardevolle voorbereiding vir pedo-oudiometrie.…”

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Die waarde van voorafopleiding deur die ouer vir pedo-oudiometrie by drie- en vierjarige kleuters

Lodewyckx

1981

SAJCD

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OPSOMMINGDie verkryging van akkurate, betroubare inligting aangaande die gehoorvermoe van jong kinders is van besondere belang vir die oudioloog, maar word dikwels bemoeilik aangesien die kleuter nie goeie samewerking bied in die vreemde pedo-oudiometriese situasie nie. Die oplossing hiervoor is grootliks gelee in die opleiding van die kind voor formele gehoortoetsing en meer spesifiek opleiding tuis deur die ouer. Die doel van hierdie studie was om 'n voorbereidende program op te stel wat die ouer tuis met die kind kan uitvoer, voordat formele toetsing plaasvind. Die waarde en effek van hierdie program in die pedo-oudiometriese situasie is geevalueer by 'n groep drie-en vierjarige kleuters. Resultate dui daarop dat laer en meer akkurate drempels, 'n korter toetstydperk, verminderde angs en beter samewerking verkry is by die kleuters wat vooraf opleiding ontvang het. Die opleidingsprogram kan dus in die kliniese praktyk benut word as voorafopleiding vir pedo-oudiometrie. SUMMARYIt is of great importance to the audiologist to obtain accurate, reliable information concerning the hearing sensitivity of the young child but this is often hampered by the infant's poor co-operation in the strange audiometric situation. The solution lies in the training of the child before formal hearing evaluation and more specifically in training by the parent at home. The aim of this study was to compile a training programme which the parent carries out at home, before formal testing of the child. The value and effect of this programme in pediatirc audiometry was evaluated in a group of three and four year old children. Results showed that lower and more accurate thresholds, a short test time, reduced anxiety and better co-operation was obtained in infants that had received previous training. In clinical practice, the programme can be used for training of the infant before audiometry.

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Hearing Assessment with Young Children

Cited by 7 publications

References 0 publications

Assessing toddlers’ speech-sound discrimination

Assessing toddlers’ speech-sound discrimination

Speech Audiometry with Infants and Children

Die waarde van voorafopleiding deur die ouer vir pedo-oudiometrie by drie- en vierjarige kleuters

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