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Updated: Feb 7, 2026

Stimulus-specific Cortical Visual Evoked Potential Morphological Patterns
Published on: May 12, 2019
The relationship between obligatory cortical auditory evoked potentials (CAEPs) and functional measures in young
Maryanne Golding1, Wendy Pearce, John Seymour
1National Acoustic Laboratories, Sydney, New South Wales, Australia. Maryanne.Golding@nal.gov.au
Insights
Cortical auditory evoked potentials (CAEPs) effectively evaluate infant hearing aid success. This study found a significant correlation between CAEPs and parental feedback, validating CAEPs for hearing aid fitting assessment.
Area of Science:
- Audiology
- Neuroscience
- Pediatrics
Background:
- Hearing screening programs necessitate reliable infant hearing aid evaluation methods.
- Cortical auditory evoked potentials (CAEPs) offer objective cortical-level speech detection evidence in infants.
- The utility of CAEPs for assessing hearing aid effectiveness requires validation.
Purpose of the Study:
- To investigate the relationship between CAEPs to speech stimuli and parental questionnaire outcomes in infants fitted with hearing aids.
- To determine if CAEPs can serve as a valid tool for evaluating infant hearing aid success.
Main Methods:
- Infants fitted with hearing aids underwent CAEP testing using speech stimuli.
- CAEP presence/absence was assessed by an experienced examiner and a statistical measure (Hotelling's T(2)).
- Results were correlated with parental questionnaire scores.
Main Results:
- A statistically significant positive correlation was observed between CAEPs and parental questionnaire scores (rs = 0.45 with examiner grading, rs = 0.41 with statistical grading).
- Good agreement was found between traditional CAEP detection methods and the statistical analysis.
- These findings support the validity of CAEPs in assessing hearing aid outcomes.
Conclusions:
- CAEPs are a valid and reliable method for evaluating the success of hearing aid fittings in infants.
- The combination of CAEPs and parental feedback provides a comprehensive assessment of auditory rehabilitation in infants.
- This research supports the integration of CAEPs into audiological practices for infant hearing aid management.
Abstract:
Finding ways to evaluate the success of hearing aid fittings in young infants has increased in importance with the implementation of hearing screening programs. Cortical auditory evoked potentials (CAEP) can be recorded in infants and provides evidence for speech detection at the cortical level. The validity of this technique as a tool of hearing aid evaluation needs, however, to be demonstrated. The present study examined the relationship between the presence/absence of CAEPs to speech stimuli and the outcomes of a parental questionnaire in young infants who were fitted with hearing aids. The presence/absence of responses was determined by an experienced examiner as well as by a statistical measure, Hotelling's T(2). A statistically significant correlation between CAEPs and questionnaire scores was found using the examiner's grading (rs = 0.45) and using the statistical grading (rs = 0.41), and there was reasonably good agreement between traditional response detection methods and the statistical analysis.
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