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Related Experiment Video

Updated: May 26, 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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Development of the screening test for hearing problems.

Marilyn E Demorest1, David J Wark, Sue Ann Erdman

  • 1University of Maryland, Baltimore County, Baltimore, USA. demorest@umbc.edu

American Journal of Audiology
|December 14, 2011
PubMed
Summary

This study developed a brief screening test for hearing problems. The two scales effectively identify individuals with communication and adjustment difficulties needing further audiological rehabilitation assessment.

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Area of Science:

  • Audiology
  • Psychometrics
  • Rehabilitation Science

Background:

  • Hearing impairment significantly impacts communication and psychosocial adjustment.
  • Accurate screening is crucial for effective hearing rehabilitation needs assessment.

Purpose of the Study:

  • To develop a brief self-assessment tool for screening hearing-related communication problems.
  • To create an instrument to assess psychosocial adjustment to hearing impairment.
  • To integrate screening into rehabilitative needs assessments.

Main Methods:

  • Utilized item response theory on a large clinical database (N=1000).
  • Selected items based on discrimination from the Communication Profile for the Hearing Impaired (CPHI).
  • Evaluated internal consistency, factor structure, sensitivity, and specificity in a validation sample (N=319).

Main Results:

  • Developed a 9-item Communication scale and an 11-item Adjustment scale.
  • Both scales demonstrated satisfactory internal consistency and a clear two-factor structure.
  • The scales effectively identified individuals in the lower two quartiles of the clinical population based on CPHI scores.

Conclusions:

  • The developed Screening Test for Hearing Problems provides a valid method for identifying communication and adjustment issues.
  • The instrument aids in determining the need for comprehensive rehabilitative audiological assessment.
  • This tool supports efficient and targeted hearing healthcare.