2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
| Behavioral Hearing Assessments & Children with Developmental Delays
Behavioral Hearing Assessments & Children with Developmental Delays
The American Academy of Pediatrics recommends an audiologic evaluation as part of the initial assessment of any child with a developmental delay (DD) (Hyman, Levy, & Myers, 2020). Not only can a hearing loss coexist with DD, but the behaviors and effects of hearing loss can mimic different DDs making reliable exclusion or identification of hearing loss a critical component of medical care for children with DD. Traditional audiological assessment is based on assumptions of typical development and may be mismatched with the developmental, communication, and behavioral needs of children with DD. For example, children with DD may require support to adjust to novel task demands, to interact with new people and environments, to tolerate sensory components of the evaluation, and to communicate. Children with developmental disabilities are less likely than typically developing peers to complete a full behavioral audiogram (Bonino et al, in progress). This project retrospectively reviews charts of children who were unable to complete behavioral audiologic testing in one visit. Records were reviewed of children ages 2-7 years seen in audiology both through Ear, Nose, & Throat (ENT) clinic and privately through audiology alone. Data was collected on age, insurance type, use of interpreter, testing method, and presence of DD. Compared to children with no known DD diagnosis, patients with DD were more likely to require one or more follow-up visits even with the longer appointment times and test assistants afforded by a private audiology appointment. This suggests additional supports or testing modifications appropriate for children with DD, such as visual schedules and/or video models, may be beneficial to this population. Future research to evaluate this hypothesis is underway.
- Viewer will identify factors contributing to misalignment of traditional behavioral audiologic assessments with needs of children with developmental delay
- Viewer will be able to evaluate the effectiveness of traditional audiologic procedures in children with and without developmental delay.
- Viewer will learn potential strategies to support children with developmental delay during the behavioral audiologic assessment.
Presentation:
3353554_14924AndreaGatlin.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Andrea Gatlin
(Primary Presenter,Author), Children's Hospital Colorado , andrea.gatlin@childrenscolorado.org;
Andrea Gatlin is a clinical audiologist at Children's Hospital Colorado in Colorado Springs. Her clinical interests include working with Deaf/Hard of Hearing Plus children and their families, global health, and vestibular audiology
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Dani Stern
(Co-Author), Children's Hospital Colorado, dani.stern@childrenscolorado.org;
Dani Stern is a clinical audiologist at Children's Hospital Colorado in Colorado Springs. Her clinical interests include working with Deaf/Hard of Hearing Plus children and their families, cochlear implants, and vestibular testing.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Deborah Mood
(Co-Author), Colorado Children's Hospital, DEBORAH.MOOD@childrenscolorado.org;
Deborah Mood, Ph.D., is a licensed psychologist with Developmental Pediatrics at Children’s Hospital Colorado. She has a Ph.D. in school psychology from University of Northern Colorado and a specialist degree in school psychology from Gallaudet University. Dr. Mood completed a LEND psychology postdoctoral fellowship at JFK Partners, University of Colorado School of Medicine, after completing an APA accredited psychology internship at the University of Minnesota. She specializes in working with children who are deaf and hard of hearing as well as children with a variety of developmental disabilities including autism spectrum disorder.
ASHA DISCLOSURE:
Financial -
• Receives Grants for Independent contractor from MCH.
• Receives Grants for Independent contractor from NIH/NIDCD.
• Receives Honoraria excluding diversified mutual funds,Speaker for Other activities from Phonak.
• Receives Salary for Employment from University of Colorado Anschutz.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with University of Colorado- Denver- employment
NIH/NIDCD grant/research support
MCH/LEND grant support
Phonak- past honoraria.
Nature: University of Colorado- Denver- employment
NIH/NIDCD grant/research support
MCH/LEND grant support
Phonak- past honoraria.
Nonfinancial -
No relevant nonfinancial relationship exists.