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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
14:05

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

[Second hearing screening model in neonates who failed the first screening].

Wei-qiong LE1, Zhi-nan Wang, Ping Chen

  • 1Department of Otorhinolaryngology, Wuhan Medical and Health Center for Women and Children, Wuhan, China.

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|December 16, 2011
PubMed
Summary

A second hearing screening for newborns significantly reduces false negatives and referral rates. This approach eases parental anxiety by providing more accurate initial hearing assessments.

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Area of Science:

  • Neonatal care
  • Audiology
  • Public health

Context:

  • Early detection of hearing loss in newborns is critical for developmental outcomes.
  • Universal newborn hearing screening programs aim to identify infants with hearing impairment.
  • The effectiveness of multiple screening rounds within the hospital stay requires further investigation.

Purpose:

  • To evaluate the significance and impact of a second hearing screening for neonates who initially failed the first screening.
  • To compare pass rates across different screening rounds and delivery methods.
  • To assess the reduction in false negatives and parental anxiety.

Summary:

  • Transient Evoked Otoacoustic Emissions (TEOAE) screening was performed on 3849 neonates.
  • A statistically significant improvement in pass rates was observed after the second screening compared to the first.

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Last 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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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

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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  • No significant difference was found between the overall pass rate after two screenings and a third screening conducted later.

    • Impact:

    • Implementing two screening rounds before hospital discharge can decrease false negatives and referral rates.
    • This strategy helps alleviate parental stress associated with initial screening failures.
    • Optimized screening protocols contribute to better early intervention for hearing impairments.