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Updated: Jun 16, 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
Achieving developmental synchrony in young children with hearing loss
Nancy K Mellon1, Meredith Ouellette, Tracy Greer
1The River School, 4880 MacArthur Boulevard NW, Washington, DC 20007, USA. nmellon@riverschool.net
Trends in Amplification
|February 13, 2010
Summary
Early intervention for children with hearing loss improves skills, but cognitive and emotional challenges persist. A transdisciplinary model integrating various developmental domains is proposed to enhance overall outcomes.
Area of Science:
- Developmental Psychology
- Special Education
- Audiology
Background:
- Children with hearing loss benefit from early amplification and intervention, showing gains in speech, language, and literacy.
- Despite improvements, many children with hearing loss experience ongoing challenges in cognitive, behavioral, and emotional regulation, including executive function.
- Educational settings must address the multifaceted developmental needs of these children.
Purpose of the Study:
- To propose an intervention model for young children with hearing loss.
- To integrate best practices from multiple disciplines impacting developmental outcomes.
- To provide specific strategies for promoting optimal development across various domains.
Main Methods:
- The proposed model emphasizes a transdisciplinary approach targeting language, communication, psychosocial functioning, motor, and cognitive development.
- It advocates for an integrated curriculum focusing on speech, language, and literacy, alongside innovations in auditory perception, social-emotional learning, motor, and vestibular function.
- Key elements include access to typically developing peers, small class sizes, co-teaching, and a social constructivist perspective.
Main Results:
- The intervention model aims to foster academic and social success by addressing a broad spectrum of developmental needs.
- Integrated services and innovative approaches are expected to enhance student outcomes.
- Ongoing evaluation and modification of curricular approaches are crucial for program success.
Conclusions:
- A comprehensive, transdisciplinary intervention model is essential for optimizing the development of young children with hearing loss.
- Integrating diverse practices and focusing on multiple developmental domains can significantly improve outcomes.
- This model can serve as a framework for early intervention and special education programs.
Related Concept Videos
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Language Development
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
Learning Disabilities
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
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Dyslexia
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Auditory Pathway
Auditory pathways constitute the complex neural circuits responsible for transmitting and interpreting auditory information from the peripheral auditory system to the brain. Sound waves are initially captured by the outer ear, funneled through the ear canal, and reach the tympanic membrane (eardrum). These vibrations are transmitted via the middle ear's ossicles to the inner ear's cochlea.
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
The Auditory Ossicles
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
