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Updated: Jul 28, 2026
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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
An innovation in insert visual reinforcement audiometry in children.
V Jayarajan1, R Nandi, B Caldicott
1Department of Audiological Medicine, The Royal Surrey County Hospital, Guildford, UK.
The Journal of Laryngology and Otology
|April 15, 2005
Summary
Visual reinforcement audiometry (VRA) enhances pediatric hearing tests using insert earphones. A new technique simplifies the two-tester process by providing a visual cue for sound delivery.
Area of Science:
- Audiology
- Pediatric audiology
- Hearing assessment
Background:
- Visual reinforcement audiometry (VRA) is crucial for assessing hearing in young children.
- Insert earphones offer reliable ear- and frequency-specific data during VRA.
- Traditional VRA typically requires two testers: one operating the equipment and another managing child distraction.
Purpose of the Study:
- To describe an innovative technique for VRA.
- To streamline the VRA procedure by improving tester coordination.
- To enhance the efficiency of obtaining auditory data in pediatric patients.
Main Methods:
- The study details a modified VRA technique.
- This method involves a visual cue system for the second tester.
- The cue signals the precise moment a sound stimulus is presented via insert earphones.
Main Results:
- The described technique facilitates a more synchronized VRA procedure.
- It potentially allows for more efficient data collection.
- The visual cue aids the second tester in maintaining child engagement during sound presentation.
Conclusions:
- The novel VRA technique simplifies the testing process.
- This method improves the coordination between testers.
- It offers a practical advancement for pediatric hearing evaluations using insert earphones.
