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Optimisation of visual reinforcement audiometry: a scoping review.
Visram, Anisa S; Jackson, Iain R; Almufarrij, Ibrahim; Stone, Michael A; Munro, Kevin J.
Afiliación
  • Visram AS; Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
  • Jackson IR; Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
  • Almufarrij I; Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
  • Stone MA; Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
  • Munro KJ; Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK.
Int J Audiol ; : 1-11, 2024 Sep 12.
Article en En | MEDLINE | ID: mdl-39264285
ABSTRACT

OBJECTIVE:

Visual reinforcement audiometry (VRA) is a well-established behavioural test used to assess hearing in infants and young children. This scoping review aimed to summarise the evidence for different approaches to optimising and improving the effectiveness of VRA for clinical practice.

DESIGN:

A pre-registered scoping review was conducted. STUDY SAMPLE Fifty-nine original articles were included in the review.

RESULTS:

The review identified a number of factors which improved response behaviour, such as increased variety and complexity of visual reinforcers, short reinforcer durations, and providing breaks. Intermittent conditioning, where as few as 50% of conditioning trials were rewarded, did not have an impact on response behaviour, and neither did the (suprathreshold) presentation level used during conditioning. More responses were achieved for younger (around 12 months) than older (around 18-24 months) infants. Once infants were developmentally ready to condition to play audiometry, this allowed for a more comprehensive hearing evaluation.

CONCLUSIONS:

VRA is a successful behavioural hearing test for most infants of developmental age around 7-24 months, with well-established protocols describing its clinical implementation. Further evidence is needed to assess potential benefits of different reinforcers, different auditory stimuli (e.g. filtered familiar sounds), and technologies to assist response detection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Audiol Asunto de la revista: AUDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Audiol Asunto de la revista: AUDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido