Interrater Reliability for a Two-Interval, Observer-Based Procedure for Measuring Hearing in Young Children.
Angela Yarnell Bonino1, Ashton Wiens2, Emily C Nightengale1
1Department of Speech, Language, and Hearing Sciences, University of Colorado Boulder.
American Journal of Audiology
|September 23, 2020
Summary
This study confirms the Play Observer-Based, Two-Interval (PlayO2I) method shows strong interrater reliability for assessing auditory development in young children. This play-based approach reliably measures sound detection and discrimination abilities in toddlers.
Area of Science:
- Audiology
- Developmental Psychology
- Pediatric Medicine
Background:
- Studying auditory development in young children presents methodological challenges.
- An observer-based, play-based motor response method was previously developed to address these limitations.
Purpose of the Study:
- To evaluate the interrater reliability of the Play Observer-Based, Two-Interval (PlayO2I) method.
- To assess the method's efficacy in measuring auditory detection and discrimination in young children.
Main Methods:
- Video recordings of 17 children aged 2-4 years were analyzed.
- The PlayO2I method measured 1000-Hz warble tone detection at fixed (30 dB SPL) and variable (0-30 dB SPL) intensity levels.
- Three independent observers scored sessions, with consensus evaluated using Fleiss' kappa statistic.
Main Results:
- Observer consensus was 'almost perfect' for the fixed-level condition and 'substantial' for the variable-level condition.
- Summary data (proportion of correct trials, threshold) were similar across observers, showing no significant differences.
- Variability in the variable-level condition was influenced by signal level, child's response, and real-time observer confidence.
Conclusions:
- The PlayO2I method demonstrates strong interrater reliability.
- This method is a robust tool for assessing auditory detection and discrimination abilities in young children.
- The findings support the use of the PlayO2I method in pediatric audiology research and practice.
Related Concept Videos
01:14Temperature Measurement Sites
2.8K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
2.8K
01:14Assessing Body Temperature - Tympanic membrane
975
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
975