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Updated: Aug 5, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Physiologic and behavioral approaches to pediatric hearing assessment
1Department of Speech and Hearing Sciences, University of Washington, Seattle, USA.
Behavioral hearing assessments are the gold standard for infants and children, providing the only true measure of hearing. Physiologic measures indicate auditory function but do not directly test hearing ability.
Area of Science:
- Audiology
- Pediatric audiology
- Hearing science
Background:
- Behavioral hearing assessment is the primary method for evaluating hearing in infants and children.
- It is considered the definitive test of hearing ability.
Purpose of the Study:
- To emphasize the importance of behavioral hearing assessments.
- To clarify the role of physiologic measures in pediatric hearing evaluation.
Main Methods:
- This study reviews the principles and applications of behavioral audiometry.
- It discusses the limitations and appropriate use of physiologic measures.
Main Results:
- Behavioral approaches are the only true tests of hearing.
- Physiologic measures are indicators of auditory function, not direct hearing tests.
Conclusions:
- Behavioral assessment is the first choice for hearing evaluation in pediatric populations.
- Physiologic measures are supplementary tools used when behavioral testing is not feasible or definitive.
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