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Updated: Oct 4, 2025

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Clinical Practice Patterns With Pediatric Loudness Perception Measures.

Ashley N Flores1, Samantha J Gustafson1

  • 1Department of Communication Sciences and Disorders, The University of Utah, Salt Lake City.

American Journal of Audiology
|February 7, 2022
PubMed
Summary
This summary is machine-generated.

Pediatric audiologists rarely measure loudness discomfort levels (LDLs) due to unfamiliarity with methods and perceived lack of clinical utility. Further training and simplified procedures are needed for effective pediatric hearing device fitting.

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Area of Science:

  • Audiology
  • Hearing Science
  • Pediatric Healthcare

Background:

  • Loudness discomfort level (LDL) measurements are crucial for optimizing hearing device fitting in pediatric patients.
  • A previous survey indicated that a significant majority of pediatric audiologists seldom or never measure LDLs.
  • This study aimed to explore the reasons behind the underutilization of LDL measures in pediatric audiology.

Purpose of the Study:

  • To identify factors contributing to the limited use of loudness discomfort level (LDL) measurements in pediatric audiology.
  • To understand pediatric audiologists' familiarity with various loudness perception measurement techniques.
  • To assess pediatric audiologists' needs regarding LDL measurement procedures.

Main Methods:

  • A survey was distributed to 62 pediatric audiologists across the United States.
  • The questionnaire focused on the use and familiarity of loudness perception measures in children.
  • Data on audiologists' needs for LDL measurement tools were also collected.

Main Results:

  • Most surveyed audiologists reported low familiarity with methods for assessing loudness perception in children.
  • Categorical loudness scaling was the most recognized method among audiologists.
  • Audiologists expressed greater willingness to measure LDLs in older children compared to younger ones.
  • Limited use of pediatric LDL measures is linked to unfamiliarity and a belief in their limited clinical value.

Conclusions:

  • Pediatric audiologists require more education on the importance of loudness perception measurements.
  • There is a need for the development of user-friendly LDL measurement procedures applicable to all pediatric age groups.
  • Improving familiarity and demonstrating clinical utility are key to increasing LDL measurement use.