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Updated: Jun 14, 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
Development and evaluation of methods for assessing tone production skills in Mandarin-speaking children with
1School of Hearing, Speech and Language Sciences, Ohio University, Athens, Ohio 45701, USA.
Abstract:
The aim of the study was (1) to develop methods for evaluating tone production of children with cochlear implants (CIs) who speak Mandarin Chinese and (2) to evaluate the efficacy of using these methods to assess tone production. The subjects included two groups of native-Mandarin-Chinese-speaking children: 14 prelingually deafened children who had received CIs and 61 normal-hearing (NH) children as controls. The acoustic analysis focused on quantification of the degree of differentiation among lexical tones based on tonal ellipses and the overall similarity of tone contours produced by the children with CIs to normative contours derived from the 61 NH children. An artificial neural network was used to recognize tones produced by the children with CIs after trained with tone tokens produced by the NH children. Finally, perceptual judgments on the tone production of both groups were obtained from eight native-Mandarin-speaking NH adults to evaluate the efficacy of the methods. The results showed that all measures using the acoustic, neural-network, and perceptual analyses were highly correlated with each other and could be used to effectively evaluate tone production of children with CIs.
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