18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL

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 Auditory Behavior of 2- to 4-year-old Children: Types of Behavior Observed and Inter-rater Reliability

Collecting reliable behavioral data from toddlers and preschoolers is challenging. As a result, our understanding of human auditory development for these age groups has significant gaps. In order to address this knowledge gap, it is critical to develop a reliable behavioral method for measuring auditory perception in toddlers and preschoolers that can be used in the laboratory. One method that appears to be promising is a recently developed testing method, in which a child’s behavior is judged by an experimenter (called an “observer”) using a two-interval, two-alternative testing paradigm (Bonino and Leibold, 2017). Children’s response to the stimulus is further shaped by training them to perform a conditioned play-based response to the sound. Preliminary data show that this method is feasible for testing the hearing abilities of 2- to 4-year-olds. However, one potential pitfall of this method is that the observer’s ability to judge a child’s behavior can influence the threshold obtained. In order to evaluate this concern, and the purpose of this project, testing sessions of 2- to 4-year-old children (n=20) were video recorded performing a tone detection in quiet task. Test session was then scored independently by two offline observers. Agreement of offline observers will be assessed trial-by-trial, as well as for signals that are above and below threshold (71%). The type of auditory behaviors demonstrated by children will also be coded. We will discuss the inter-rater reliability of this method and how that reliability is affected based on signal intensity level and the type of auditory behavior provided by the child. Pilot data from children who are developmentally delayed will also be shared.

  • inter-rater reliability of test method
  • how that reliability is affected based on signal intensity level
  • types of auditory behavior

Poster:
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Presenter: Emily Nightengale

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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Presenter: Senia Romero

Senia Romero is a third year AuD student at the University of Colorado Boulder. She obtained her BS in Speech and Hearing Sciences at the University of Washington. Senia has an interest in special populations across the lifespan and electrophysiology. She hopes to work in a hospital serving patients of all ages and backgrounds. She is excited to be part of the Leadership Education in Neurodevelopmental and Related Disabilities program, as well as working in Dr. Angela Bonino’s lab at the University of Colorado Boulder.


ASHA DISCLOSURE:

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No relevant financial relationship exist.

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No relevant nonfinancial relationship exist.

Presenter: Elizabeth Pancoast

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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Presenter: Angela Bonino

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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Nonfinancial -