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Updated: Jul 17, 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
[Early detection of hearing impairment in children]
Insights
Early and systematic hearing examinations are crucial for child development. This study advocates for legislative changes and new screening methods to detect hearing impairment in newborns and children.
Area of Science:
- Audiology
- Developmental Pediatrics
- Public Health
Context:
- Hearing is fundamental for speech acquisition, physical, and cognitive development.
- Newborn hearing impairment poses significant risks to a child's developmental trajectory.
- Systematic audiological screening is vital for early identification of hearing loss.
Purpose:
- To propose legislative reforms for hearing impairment screening procedures.
- To introduce and evaluate novel screening methodologies.
- To inform the scientific community about current legal acts and epidemiological data.
Summary:
- This paper details an initiative to update legislation governing hearing impairment screening.
- It reviews epidemiological data on hearing loss in infants and children.
- Various screening methods, with their pros and cons, are discussed within the current healthcare framework.
Impact:
- Facilitates early detection and intervention for hearing impairment in children.
- Promotes legislative changes for improved public health strategies.
- Enhances understanding of audiological screening's significance in pediatric care.
Abstract:
Good hearing is necessary for speech learning, and for physical and mental development. Hearing impairment is serious disease for the newborn. It has negative effect to speech development. Broad systematic audiological examinations of population may single out deaf and persons with hearing impairment. Systematic hearing examination can be done in different age. It would be best to examine the newborn child immediately upon birth, during infantry, and subsequently before entering the elementary school, and finally college. This paper presents initiative, within relevant national institutions, to make changes of legislative system related to procedures of hearing impairment screening and application of new methods in screening process. Broader scientific community has been notified about relevant legal acts in use as well as epidemiological data related to hearing malfunction in infants, preschool and school children. Various methods of physical examinations were presented within possibilities of current health care system. Advantages and disadvantages of different methods as well as significance of systematic examinations of hearing in children were described.

