A Comparison of Video Versus Conventional Visual Reinforcement in 7- to 16-Month-Old Infants

Lowery, Kristy J.; von Hapsburg, Deborah; Plyler, Erin L.; Johnstone, Patti
June 2009
Journal of Speech, Language & Hearing Research;Jun2009, Vol. 52 Issue 3, p723
Academic Journal
Purpose: To compare response patterns to video visual reinforcement audiometry (VVRA) and conventional visual reinforcement audiometry (CVRA) in infants 7-16 months of age. Method: Fourteen normal-hearing infants aged 7-16 months (8 male, 6 female) participated. A repeated measures design was used. Each infant was tested with VVRA and CVRA over 2 different sessions. The total number of head turns prior to habituation, hit rate (response consistency), false alarm rate, and sensitivity for each reinforcement condition were evaluated. Results: No significant differences were found between the 2 reinforcement methods for total number of head turns, hit rate, false alarm rate, or sensitivity. Overall, results showed no difference between the 2 reinforcer conditions in infants 7-16 months of age. Conclusion: The results of the present study suggest that infants in the 7- to 16-month-old age range respond similarly to VVRA and CVRA as measured by response consistency and false alarm rate. VVRA is, therefore, a viable option for testing hearing in infants. However, prior to clinical implementation, the effectiveness of VVRA should be explored in infants with hearing loss.


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