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Updated: Aug 5, 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
A method of developmental assessment at four years and some associated findings
Insights
This study presents a developmental assessment for 4-year-olds, identifying higher scores in girls, affluent children, and preschoolers. It highlights the need to understand factors affecting cooperation during assessments.
Area of Science:
- Pediatric developmental assessment
- Child psychology
- Early childhood education
Background:
- Comprehensive medical examinations for 4-year-olds require effective developmental status assessment tools.
- Existing methods may not provide detailed sector-specific scores for research purposes.
- Understanding factors influencing a child's cooperation is crucial for accurate assessment.
Purpose of the Study:
- To describe a novel method for assessing the developmental status of 4-year-old children.
- To enable the collection of both global and sector-specific developmental scores for research.
- To identify demographic and social factors associated with developmental scores in early childhood.
Main Methods:
- Development of a standardized assessment tool for 4-year-old children's developmental status.
- Administration of the assessment within a comprehensive medical examination framework.
- Collection of data on global and sector-specific developmental scores, alongside demographic information.
Main Results:
- Girls generally achieved higher developmental scores compared to boys at age 4.
- Children from upper social classes demonstrated higher developmental scores.
- Attendance at nursery school was associated with elevated developmental scores in this age group.
- Factors contributing to lack of cooperation during assessment were noted as important areas for further investigation.
Conclusions:
- The described assessment method provides valuable global and sector-specific data for 4-year-old development.
- Socioeconomic status, gender, and early educational experiences are significant correlates of developmental status at age 4.
- Further research into the causes of non-cooperation is essential for refining developmental assessment protocols.
Abstract:
A method of assessing the developmental status of 4-year-old children, which can be included in a comprehensive medical examination, is described. It was designed for research purposes, so that a global score, and separate scores for each sector of development, are obtained. Girls, children in the upper social classes, and those who attended nursery school had higher scores, in general, at this age. The importance of assessing and investigating the factors associated with lack of cooperation is stressed.
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