Preschool Hearing Screening
Hearing Loss, Hearing Disorders in Children, Hearing Loss, Sensorineural
About this trial
This is an interventional screening trial for Hearing Loss focused on measuring Hearing Loss, Preschool Hearing Screening, Otoacoustic Emissions, Pure-Tone Testing, Childhood Hearing Screening, Childhood Hearing Loss
Eligibility Criteria
Inclusion Criteria: Age 2:0 - 6:0 years Enrolled in a community-based preschool program Exclusion Criteria: Known permanent HL, by parental or school report Use of a hearing assistive device Parent does not consent for hearing screening Child was screened previously for this study Child is not present in preschool on day of hearing screening
Sites / Locations
- The University of California, San Francisco
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Two-stage PTA+OAE hearing screening (TS-PO)
Single-Stage OAE hearing screening (SS-O)
Children initially undergo a PTA screening test, recommended by the American Academy of Audiology and supported by published evidence. This screening assesses their hearing ability through conditioned-play responses to 25 dB HL pure tones at 1000, 2000, and 4000 Hz, yielding results of PASS, REFER, or UNABLE to test. Those UNABLE to be tested will receive a second OAE screening. Children who REFER either the PTA or OAE test, or are UNABLE to be tested by both, are referred to their pediatrician for further evaluation and management. All children will undergo both PTA and OAE screening and the group allocation will be determined post hoc.
Children undergo only screening with OAEs, detecting distortion-product OAEs in response to tone pairs centered at 2000, 3000, 4000, and 5000 Hz. If they PASSED the OAE, they would be assigned a PASS for the SS-O Hearing Screen outcome; if they REFERRED or were UNABLE to test, they would be assigned a REFER. All children will undergo both PTA and OAE screening and the group allocation will be determined post hoc.