Efficacy of earphones for 12- to 24-month-old children during visual reinforcement audiometry
Allyson D Weiss1, Roanne K Karzon2,3, Banan Ead2
1a Program in Audiology and Communication Sciences , Washington University School of Medicine , St. Louis , Missouri , USA .
Objective:
Efficacy of insert and supra-aural earphones during visual reinforcement audiometry (VRA) was investigated for 12- to 24-month-old children.
Design:
VRA testing began in the soundfield and transitioned to either insert or supra-aural earphones. Audiologists recorded threshold estimates, participant behaviors, and an overall subjective rating of earphone acceptance.
Study Sample:
One hundred and eighty-six 12- to 24-month-old children referred to the Department of Audiology at St. Louis Children's Hospital for a variety of reasons.
Results:
Subjective ratings indicated high acceptance of insert earphones (84%) and supra-aural earphones (80%) despite negative behaviors. There was no significant difference in the number of threshold estimates based on earphone type for 12- to 17-month-old participants. Participants in the 18- to 24-month-old age group provided significantly more threshold estimates with insert earphones (mean = 5.3 threshold estimates, SD = 3.5) than with supra-aural earphones (mean = 2.9 threshold estimates, SD = 2.9). All seven participants who rejected earphone placement were successfully reconditioned for soundfield testing.
Conclusions:
Data support the use of insert earphones during VRA, especially with 18-to 24-month-old children, to obtain ear-specific information.
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