Measuring sound-processor threshold levels for pediatric cochlear implant recipients using conditioned play audiometry via telepractice

Jenny L. Goehring, Michelle L. Hughes

Research output: Contribution to journalArticle

2 Scopus citations


Purpose: This study evaluated the use of telepractice for measuring cochlear implant (CI) behavioral threshold (T) levels in children using conditioned play audiometry (CPA). The goals were to determine whether (a) T levels measured via telepractice were not significantly different from those obtained in person, (b) response probability differed between remote and in-person conditions, and (c) the remote visit required more time than the in-person condition. Method: An ABBA design (A, in-person; B, remote) was split across 2 visits. Nineteen children aged 2.6–7.1 years participated. T levels were measured using CPA for 3 electrodes per session. A “hit” rate was calculated to determine whether the likelihood of obtaining responses differed between conditions. Test time was compred across conditions. A questionnaire was administered to assess parent/caregiver attitudes about telepractice. Results: Results indicated no significant difference in T levelbetween conditions. Hit rates were not significantly different between in-person and remote conditions (98% vs. 97%, respectively). Test time was similar between conditions. Questionnaire results revealed that 100% of caregivers would use telepractice for CI appointments either some or all of the time. Conclusion: Telepractice is a viable option for routine pediatric programming appointments for children using CPA to set behavioral thresholds.

Original languageEnglish (US)
Pages (from-to)732-740
Number of pages9
JournalJournal of Speech, Language, and Hearing Research
Issue number3
Publication statusPublished - Mar 2017


ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing

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