2024 Early Hearing Detection & Intervention Conference

March 17-19, 2024 • Denver, CO

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  |  Finding solutions to treat reduced audibility in kids: FASTRAK Conditioned Play and Listening Effort

Finding solutions to treat reduced audibility in kids: FASTRAK Conditioned Play and Listening Effort

o The Finding Appropriate Solutions to Treat Reduced Audibility in Kids (FASTRAK) study is a multi-site collaboration to develop new clinical tools to assist with identification and management of children with mild hearing loss. Children with milder degrees of hearing loss often perform like children with normal hearing on current clinical assessments, despite having difficulty in everyday listening situations. Clinical assessments currently lack sensitivity in auditory threshold and speech recognition in noise measurements that differentiate children with normal hearing from children with mild bilateral hearing loss (MBHL). Audiometric evaluations do not account for individual differences in ear-canal acoustics or the influence of self-generated noise on threshold elevation. For children of the same age, differences in ear canal sound pressure levels (dB SPL) can range from 10-15 dB. Self-generated noise also presents complications, as children are less likely to suppress self-noise during testing than adults, affecting the accuracy of hearing thresholds. In children with normal hearing and MBHL, self-generated noise can mask their hearing thresholds. This talk will describe laboratory validation data in children with normal hearing for two studies: 1) the FASTRAK audiogram using conditioned play audiometry with preschoolers and 2) a speech recognition battery incorporating measures of subjective and objective listening effort. Our long-term goal is to better identify listening challenges and improve language and academic outcomes through evidence-based interventions for children with hearing loss.

  • Participants will be able to explain the importance of ear canal measurements and self-generated noise on audiometric thresholds.
  • Participants will be able to describe the impact of speech maskers, reverberation, and overhearing on speech recognition thresholds and listening effort required for the testing.
  • Participants will be able to describe the relationship between executive function, ear canal acoustics, and audiometric thresholds in preschoolers.

Presentation:
3478265_16362AllisonDuplain.pdf

Handouts:
Handout is not Available

Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference


Presenters/Authors

Elizabeth Walker (Primary Presenter), University of Iowa, Elizabeth-walker@uiowa.edu;
Elizabeth Walker, PhD, CCC-A/SLP is an associate professor in the Department of Communication Sciences and Disorders at the University of Iowa. Her research focuses on pediatric aural habilitation, specifically examining malleable factors that relate to individual differences in speech perception and language outcomes for children who are deaf or hard of hearing. For the past few years, she has been an investigator on several NIH-funded research grants, including the University of Iowa Cochlear Implant project, Outcomes of Children with Hearing Loss study, and Complex Listening in School Age Children who are Hard of Hearing.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
Financial relationship with .
Nature: .

Nonfinancial -
No relevant nonfinancial relationship exists.

Allison Duplain (Co-Presenter), University of Iowa, allison-buerschen@uiowa.edu;
Allison Duplain is a second-year graduate student at the University of Iowa.


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.

Hailey Kingsbury (Author), University of Iowa, hailey-kingsbury@uiowa.edu;
Hailey Kingsbury is a third year graduate student at the University of Iowa.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
• Has a Professional (I am a member of the National NSSLHA Executive Council and the National NSSLHA Board of Directors.) relationship for Board membership,Volunteer membership on advisory committee or review panels.

AAA DISCLOSURE:

Financial -
Financial relationship with National NSSLHA.
Nature: I am on the National NSSLHA Executive Council and the National NSSLHA Board of Directors.

Nonfinancial -
Non-Financial relationship with National NSSLHA.
Nature: I am on the National NSSLHA Executive Council and the National NSSLHA Board of Directors.

Ryan McCreery (Author), Boys Town National Research Hospital, ryan.mccreery@boystown.org;
Ryan McCreery is a Research Associate at Boys Town National Research Hospital (BTNRH) in Omaha, Nebraska, where his research examines methods of optimizing audibility for children with normal hearing and hearing loss. Ryan is also a collaborator in multiple research laboratories at BTNRH.


ASHA DISCLOSURE:

Financial -

Nonfinancial -

AAA DISCLOSURE:

Financial -

Nonfinancial -