Behavioral Screening of High-Risk Infants Using Visual Reinforcement Audiometry
Behavioral Screening of High-Risk Infants Using Visual Reinforcement Audiometry
复制标题
使用视觉强化听力测定法对高危婴儿进行行为筛查
DOI:
--
复制
发表时间:
1990
期刊:
影响因子:
--
通讯作者:
J. Widen
中科院分区:
文献类型:
--
作者:
J. Widen
Reprint requests: Dr. Widen, Hearing and Speech Dept., University of Kansas Medical Center, 39th & Rainbow Blvd., Kansas City, KS 66103. With the realization that the auditory brainstem response (ABR) is an effective method of screening and evaluating hearing in infants, interest in pursuing behavioral assessment seems to have diminished among clinicians. Review of the research literature and commercial advertisements indicates that more time and money have been spent on investigating, reporting, improving, and marketing electrophysiological means of hearing assessment than on behavioral methods. Clinicians sometimes opt to administer the more expensive, timeconsuming electrophysiological tests when behavioral testing might well yield more information in a shorter period of time. For newborns and young infants the screening test procedure of choice is ABR audiometry; however, it does not easily provide the specific frequency information necessary for a complete description of hearing loss. Once the infant has achieved a developmental age of 5 to 6 months, more information can be obtained more efficiently using the behavioral audiometric techniques based on the principles of operant conditioning specifically for infants, visual reinforcement audiometry (VRA). The long-recognized need for early identification of and intervention with hearing-impaired infants may soon be realized through the impetus of Public Law 99-457. Audiologists will find that the needs of infants and toddlers cannot be met if everyone is to be assessed by ABR. Newborn hearing screening of all infants may not be feasible, either fiscally or physically. Often we will be faced with screening an older infant, not a newborn. Many of the problems of ABR screening (activity state, length of test, expense) are compounded for older infants. Scheduling, sedation, and cost become prohibitive. Under these circumstances ABR is no longer a reasonable screening procedure. Moreover, if our behavioral test methods capitalize on the interests and abilities of the child, the older infant will actively demonstrate what he or she perceives and will respond to a variety of stimuli that allow more accurate interpretation of hearing status. The VRA procedure capitalizes on the child's natural inclination to turn toward a
DOI:
10.1121/1.396630
发表时间:
1988
期刊:
The Journal of the Acoustical Society of America
影响因子:
--
作者:
Olsho,LW;Koch,EG;Carter,EA;Halpin,CF;Spetner,NB
通讯作者:
Spetner,NB
影响因子:
2.1
作者:
Sinnott,JoanM;Pisoni,DavidB;Aslin,RichardN
通讯作者:
Aslin,RichardN
影响因子:
3.7
作者:
Eilers,RE;Miskiel,E;Ozdamar,O;Urbano,R;Widen,JE
通讯作者:
Widen,JE