18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL
Obtaining Behavioral Thresholds from Children with Complex Developmental Abilities: Strategies for Modifying Conditioned-Play Audiometry
The behavioral hearing assessment is the gold standard clinical procedure in pediatric audiology. Obtaining reliable behavioral thresholds are critical for making a diagnosis, providing intervention, and managing hearing loss in children. However, it can be difficult to obtain behavioral information from children who have complex developmental conditions such as autism, intellectual disabilities, or physical impairments (e.g., Widen, 1990; Gans & Gans, 1993; Litovsky et al., 2013). Moreover, pediatric audiologists see a large number of children in this population, as over 40% of children with hearing loss are diagnosed with a co-occurring disability (GRI, 2011). Although audiologists often utilize psychopsychophysical measurements of hearing (i.e., otoacoustic emissions and auditory brainstem responses) as their primary method in assessing children with complex developmental conditions, behavioral thresholds can often be obtained if developmentally-appropriate procedures are employed. The purpose of this poster is to present strategies that can be used to facilitate successful completion of a behavioral audiogram in children with complex developmental conditions. Specifically, we will discuss how to modify the tasks that are commonly used for conditioned-play audiometry (CPA). During CPA, children are asked to provide a play-based motor response when they hear the signal (e.g., put a block in the bucket). This assessment procedure is typically used for children starting at a developmental age of 2.0-2.5 years. This paradigm can be made more suitable for children with developmental disabilities by modifying instructions, motor response, and reinforcement to be developmentally-appropriate for a given child. The ultimate aim for this work would be to develop a reference that can be used by clinicians and researchers that can suggest appropriate modifications to the task based on the child’s developmental abilities in order to facilitate the collection of reliable behavioral results for children with complex developmental conditions.
- To learn strategies that can be used to facilitate successful completion of a behavioral audiogram in children with complex developmental conditions.
- To learn how to modify common Conditioned Play Audiometry (CPA) tasks to make them more suitable for children with developmental disabilities.
- To understand the strong percentage of co-occurring diagnoses of hearing loss and disability.
Poster:
18878_10316AshleyMalley.pdf
Presenter: Ashley Malley
Ashley
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Haley McTee is a third year doctoral student in the Doctor of Audiology program at the University of Colorado Boulder. She completed her undergraduate studies at the University of Colorado Boulder with a double major in Speech, Language, Hearing Sciences and Psychology. She is a LEND fellow, as well as the representative of Colorado for the National Student Academy of Audiology. In the future, she is interested in working with the pediatric population, and hopes to specialize in Cochlear Implants. She is also interested in early language acquisition, sign language, and Deaf culture.
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Samantha Brumbach, B.S. is a doctoral student in the University of Colorado, Boulder Audiology Program and a LEND fellow. She is interested in working with the pediatric population and improving the level of care provided to children with developmental disorders. She is also interested in global health and increasing access to services internationally. She is currently working as a research assistant in a study that examines the relationship between cardiovascular disease and the peripheral auditory system in adults.
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Liz Pancoast is an Au.D. extern at Denver Health. She enjoys working with patients of all ages, but has a particular interest in the pediatric population. She is excited to currently be part of the Leadership Education in Neurodevelopmental and Related Disabilities program through JFK Partners.
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Emily Claire Nightengale, B.A., is a fourth year audiology extern at Children’s Hospital Colorado. She completed her undergraduate degree and is currently pursuing her doctorate of audiology through the University of Colorado in Boulder. Emily enjoys working with professionals from other disciplines to determine the best way to serve patients who have multiple diagnoses.
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
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Sandra Gabbard is an Associate Professor of Audiology at the University of Colorado where she is the Coordinator of the Pediatric Audiology LEND MCHB training grant, which supports AuD students and post-doctoral audiologists to expand their expertise in pediatric audiology. In addition, Sandra is the CEO/President and audiologist at the Marion Downs Center, a non-profit community clinic which provides services in audiology, speech therapy, and more.
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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.
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Tammy has a background as a clinical pediatric audiologist. She is currently the director of audiology clinical education at the University of Colorado at Boulder.
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Kristen Sommerfeldt is a faculty member at the University of Colorado- Boulder, a practicing audiologist at UCHealth Hearing and Balance Clinic, and the president-elect of the Colorado Academy of Audiology.
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Dr. Angela Yarnell Bonino is an Assistant Professor in the Department of Speech, Language, and Hearing Sciences at the University of Colorado Boulder. Dr. Bonino's research is in the area of human auditory development. Dr. Bonino is also affiliated with the Colorado Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program. She completed her clinical training in audiology at Vanderbilt University, and her Ph.D. and postdoctoral training in auditory development at The University of North Carolina at Chapel Hill.
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