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Related Experiment Video

Updated: Jun 30, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

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

A data collection system to audit post-newborn hearing surveillance programme: problems and possibilities.

S Y Yoong¹, N J Spencer

¹Bradford Teaching Hospitals Foundation NHS Trust, St Luke's Hospital, Little Horton Lane, Bradford, UK. soo.yoong@bradfordhospitals.nhs.uk

Child: Care, Health and Development

|September 18, 2008

Summary

Establishing a robust childhood hearing loss surveillance system is achievable, though data analysis has limitations. This system aids in identifying hearing impairments post-newborn screening.

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Last Updated: Jun 30, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

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An Automated System for Sound Localization Testing in Hearing-Impaired Listeners

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Published on: March 13, 2026

Area of Science:

Public Health
Audiology
Pediatrics

Background:

Previous guidance highlighted the need for improved systems to track childhood hearing loss after neonatal screening.
Recommendations emphasized the importance of recording screening activities and auditing school entry hearing screens for coverage, referral, and yield.

Purpose of the Study:

To develop a data collection system for auditing childhood hearing screening.
To assess local service performance in identifying children with hearing loss.

Main Methods:

Data collection focused on children eligible for universal infant and school entry hearing screening.
Information was linked from a pediatric register of hearing-impaired children to analyze birth cohort data for new sensorineural hearing loss diagnoses.
Audit data, including coverage, referral, and yield rates, were extracted from the child health system and pediatric register for multiple birth cohorts.

Main Results:

Coverage rates for recent cohorts ranged from 64.7% to 78.1%, while older cohorts showed 71.4% to 75.6%.
Referral rates varied, with lower percentages (1.2%-2.6%) in recent cohorts compared to older ones (4.2%-6.6%).
The overall yield from universal hearing screens was found to be low.

Conclusions:

Collecting and analyzing childhood hearing loss data within routine surveillance is feasible.
Limitations in data analysis necessitate careful interpretation of findings.
The developed system provides usable information to inform current practices in hearing loss surveillance.