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Updated: May 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
[Normalisation of screening HASE for 4- to 4½-year-old children]
D Krämer1, I Kompauer, H Schöler
1Landesinstitut für Schulentwicklung Baden-Württemberg.
Insights
Preventive medical check-ups for early identification of language and literacy learning risks in school beginners are crucial. New HASE screening norms for 4-year-olds, based on 3,354 children, now provide better risk assessment for this age group.
Area of Science:
- Pediatric medicine
- Developmental psychology
- Educational psychology
Context:
- Preventive medical examinations for school beginners are conducted up to two years prior to enrollment.
- The HASE (Hامتag-Sprach-Entwicklungs-Screening) is utilized in Baden-Württemberg for screening language and literacy acquisition risks.
- Existing norms for the HASE screening were insufficient for the 4;0-4;5 year age group.
Purpose:
- To address the insufficiency of existing norms for the HASE screening in the 4;0-4;5 year age group.
- To recalculate and provide updated norms for this specific age cohort.
- To enhance the accuracy and reliability of early risk detection for language and literacy development.
Summary:
- Norms for the HASE screening tool were recalculated for children aged 4;0-4;5 years, based on data from 3,354 participants.
- The updated norms are now available in percentile ranks, T-scores, and C-scores.
- This recalculation provides a more accurate assessment of language and literacy acquisition risks for this age group.
Impact:
- Improved early identification of potential learning and language acquisition difficulties in preschool children.
- Enhanced ability for educators and healthcare professionals to intervene effectively.
- Supports evidence-based practices in early childhood education and developmental screening.
Abstract:
For reasons of prevention medical examinations of school beginners are brought forward up to 2 years before school enrollment. In Baden-Württemberg HASE is used as screening for risks in the acquisition of language and in learning to read and write. Up to now norms were insufficient for the age-group of 4;0-4;5 years. Based on the results of 3 354 children the norms for this age-group could be recalculated and are now available as percentile ranks, T-scores, and C-scores.

