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Updated: Jul 27, 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
Predictive validity of a procedure for pediatric hearing instrument fitting.
R C Seewald1, K S Moodie, S T Sinclair
1University of Western Ontario, London, Canada. seewald@audio.hhcru.uwo.ca
A clinical procedure accurately predicts hearing instrument performance in children. This method validates real-ear aided gain (REAG) and real-ear saturation response (RESR) measurements for young children.
Area of Science:
- Audiology
- Hearing Instrument Technology
Background:
- A 1994 clinical procedure aimed to predict hearing instrument performance in young children.
- Accurate prediction of hearing instrument outcomes is crucial for pediatric audiology.
Purpose of the Study:
- To validate the Moodie et al. procedure for predicting real-ear aided gain (REAG) and real-ear saturation response (RESR) in children.
- To assess the accuracy of a 2-cc coupler-based prediction method with individualized acoustic transforms.
Main Methods:
- Probe-microphone measures were used to obtain actual REAG and RESR values.
- The Moodie et al. procedure was employed to predict REAG and RESR.
- Measurements and predictions were conducted at five test frequencies.
Main Results:
- The Moodie et al. procedure demonstrated highly accurate predictions for both REAG and RESR.
- The 2-cc coupler-based method with individualized acoustic transforms proved effective.
Conclusions:
- The validated procedure offers reliable predictions of hearing instrument performance in children.
- Findings support the clinical application of this method for fitting hearing instruments in infants and young children.
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