Related Experiment Video
Updated: May 13, 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
[The effects of hearing level on auditory performance in infants with hearing aids]
Xueqing Chen1, Jing Li, Yanjun Wu
1Beijing Tongren Hospital,Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University) Ministry of Education, Beijing, 100730, China. xueqingchen@sohu.com
Insights
Infants with prelingual hearing loss showed improved auditory skills with hearing aid use. The degree of hearing loss significantly impacted auditory development, with profound loss requiring longer to show improvements.
Area of Science:
- Pediatric Audiology
- Hearing Science
- Speech-Language Pathology
Context:
- Infants with prelingual hearing loss require timely intervention for optimal speech and language development.
- Hearing aid fitting is a critical component of auditory habilitation for infants.
- Understanding the impact of hearing loss severity on auditory development is essential for personalized habilitation.
Purpose:
- To investigate the effects of varying degrees of hearing loss on auditory performance in infants using hearing aids.
- To establish a clinical database for hearing and speech habilitation strategies.
- To analyze the developmental trajectory of auditory skills in infants with different hearing loss levels.
Summary:
- Auditory performance, evaluated using the infant-toddler meaningful auditory integration scale (IT-MAIS), significantly improved over 12 months post-hearing aid fitting in all three groups (moderate, severe, profound hearing loss).
- Infants with moderate hearing loss showed significant gains by 3 months, severe by 6 months, and profound by 9 months.
- Significant differences in auditory performance were noted between moderate and profound, and severe and profound hearing loss groups over time.
Impact:
- Hearing aid use facilitates significant auditory development in infants with prelingual hearing loss within the first year.
- The severity of hearing loss is a key factor influencing the rate and extent of auditory skill development.
- Findings provide valuable data for tailoring hearing aid fitting and auditory habilitation protocols based on individual hearing loss levels.
Objective:
The purpose of this study is to investigate the effects of hearing level on auditory performance in infants with hearing aids and provide a clinical database for their hearing and speech habilitation.
Method:
A total of 32 infants with prelingual hearing loss participated in this study, ranging in age at hearing aid fitting from 3 to 34 months with a mean of 16 months. According to their hearing level, they were divided into three groups. Infants in group A were with moderate hearing loss (41-60 dB HL). Infants in group B were with severe hearing loss (61-80 dB HL). Infants in group C were with profound hearing loss (>81 dB HL). The infant-toddler meaningful auditory integration scale (IT-MAIS) was used to evaluate their auditory performance. The evaluation was performed before hearing aid fitting and 1, 3, 6, 9, 12 months after fitting.
Result:
The mean scores of auditory performance showed significant improvements with time of hearing aid use for the three groups of infants (P < 0.05). The mean score of auditory performance for group A at 3 months after fitting was significantly superior in comparison with the scores before hearing aid fitting and at 1 month after fitting (P < 0.05). The mean score of auditory performance for group B at 6 months after fitting was significantly superior in comparison with the scores before hearing aid fitting and at 1, 3 months after fitting (P < 0.05). The mean score of auditory performance for group C at 9 months after fitting was significantly superior in comparison with the scores before hearing aid fitting and at 1, 3, 6 months after fitting (P < 0.05). There were no significant differences in mean scores between group A and B at each evaluating interval (P > 0.05). However, significant differences were observed between group A and C at 3, 6, 9, 12 months after fitting (P < 0.05). Significant differences were also shown between group B and C at 1, 3, 6, 9, 12 months after fitting (P < 0.05).
Conclusion:
Auditory performance of infants with prelingual hearing loss developed significantly with the use of hearing aids within the first year after fitting. The degree of hearing loss in infants had significant influence on the development of auditory performance.
Related Concept Videos
Hearing
Sound Intensity Level
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and hence a...
Perceiving Loudness, Pitch, and Location
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Perception of Sound Waves
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...

