In our work with young children who are deaf or hard of hearing, a special knowledge base and skill set is necessary in order to ensure best outcomes. Tests and procedures that we use in this work, from assessment of hearing thresholds to validation of amplified outcomes require an approach that addresses age specific needs and normative data.
The article by Marlene Bagatto describes a four-stage process to use when fitting infants with hearing aids: audiological assessment, selection of hearing instruments, verification and validation. She details how each aspect of the process is critical to ensure successful outcomes, providing a thoughtful rationale to foster the reader’s understanding of the process. Clinicians are encouraged to consider that children are not just small adults. Information is provided that highlights the physical and psychoacoustic differences between these groups, how those differences affect outcomes, and why the differences must be accounted for in the fitting process.
In the article by Cordingley, Munoz and Houston, the authors present data showing the test-retest, intra-rater, and inter-rater reliability of the Auditory Perception Test for the Hearing Impaired-Revised (APT-HI/R) for children 3-10 years of age. There are few tests of auditory perception available for this age group, and while this test was developed to be used for 3 to 18 year olds, test re-retest data for 3-5 year olds was not previously available. The authors demonstrate that the APT-HI/R has high reliability and thus can be meaningfully included in audiological assessment for children in this younger age group.
You will be able to:
- identify optimal strategies for fitting hearing aids to infants
- describe elements within the hearing aid fitting process which could impact an infant’s progress
- provide a rationale for using a test of auditory perception for children who are deaf or hard of hearing
- detail how the APT-HI/R is administered
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