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Updated: Jul 9, 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
False positives in universal neonatal screening for permanent childhood hearing impairment
Insights
Reducing false positives in newborn hearing screening is crucial. New screening criteria significantly lower false-positive rates for permanent childhood hearing impairment (PCHI), easing parental anxiety and improving screening efficiency.
Area of Science:
- Audiology
- Neonatal Care
- Public Health
Background:
- Neonatal screening for permanent childhood hearing impairment (PCHI) aims for early detection.
- High false-positive rates in current PCHI screening protocols cause parental distress and resource strain.
- Upcoming UK national screening necessitates improved PCHI screening accuracy.
Discussion:
- The study addresses the critical issue of false-positive results in neonatal hearing screening.
- False positives in PCHI screening lead to unnecessary follow-up assessments and parental anxiety.
- Optimizing screening criteria is essential for the upcoming national UK PCHI screening program.
Key Insights:
- Developed novel screening criteria for PCHI detection.
- Achieved a six-fold reduction in false-positive screening rates.
- The new criteria enhance the efficiency and reliability of neonatal hearing screening.
Outlook:
- Implementation of refined PCHI screening criteria can minimize unnecessary assessments.
- Improved screening accuracy will reduce parental anxiety associated with false-positive results.
- This advancement supports the effective rollout of national PCHI screening programs.
Abstract:
High rates of false-positive neonatal screens for permanent childhood hearing impairment (PCHI) associated with raised hearing thresholds lead to unnecessary assessments of the baby, which may worry parents. False-positive rates need to be reduced, especially in view of the UK government's announcement that national neonatal screening will be introduced. We report screening criteria that give a six-fold reduction in false-positive rates.
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