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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
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Tablet-Based Hearing Test Among Child Clinical Populations: Performance and Preference.

Kyoko Nagao1,2,3, Alexa S Bullard2, Lauren E Pasko2

  • 1Nemours Biomedical Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.

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|October 26, 2018
PubMed
Summary
This summary is machine-generated.

Children often prefer tablet-based hearing tests, especially younger ones. However, this preference may lead to inaccurate results, particularly for children with clinical diagnoses, suggesting test preference isn't a reliable indicator of hearing test accuracy.

Keywords:
behavioral healthm-healthotolaryngology/otologypediatrics

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Area of Science:

  • Audiology
  • Pediatric audiology
  • Hearing science

Background:

  • Tablet-based automated audiometry offers a game-like alternative for pure-tone hearing testing in children.
  • The perception and impact of this method on pediatric hearing test results remain understudied.

Purpose of the Study:

  • To investigate children's preference between tablet-based and conventional pure-tone hearing tests.
  • To examine the relationship between children's test preference and their hearing test outcomes.

Main Methods:

  • Forty children aged 6-12 years underwent pure-tone hearing testing using both tablet-based and conventional methods.
  • Hearing thresholds were assessed at standard frequencies (0.5-8 kHz) in each ear.
  • Children's test preferences were gathered through exit interviews.

Main Results:

  • A majority (59%) of children preferred the tablet-based method, with younger children showing a stronger preference.
  • Test preference did not impact results with the conventional method but negatively affected accuracy in the tablet method.
  • Children with clinical diagnoses, particularly those with attention or behavioral issues, performed poorly with the tablet method.

Conclusions:

  • Tablet-based audiometry may overestimate hearing thresholds in children, especially those with clinical diagnoses.
  • Children's preference for a hearing test method does not correlate with the accuracy of the results.
  • Further research is needed to identify specific pediatric clinical populations who may benefit from tablet-based audiometry.