Evaluation of a hearing assessment protocol for children with communication or autism concerns - Report - MDSpire

Evaluation of a hearing assessment protocol for children with communication or autism concerns

  • By

  • Eriel J. Confer

  • Alyssa M. Fosnight

  • Lindsey R. Wheeler

  • Angela Yarnell Bonino

  • June 22, 2026

  • 0 min

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Clinical Report: Assessment of a Hearing Evaluation Protocol for Children

Overview

This study evaluates a standardized hearing assessment protocol for children aged 18 months to 8 years, focusing on those with communication challenges or autism spectrum disorder (ASD). Results indicate that while a high percentage of children met speech criteria, autistic children were less likely to meet both speech and discharge criteria compared to their peers.

Background

Hearing evaluations are crucial for children with communication challenges, particularly those with autism spectrum disorder (ASD), as they can significantly impact developmental outcomes. The study addresses the barriers autistic children face in accessing timely and accurate hearing assessments, which are essential for effective speech-language evaluations and interventions.

Data Highlights

CriteriaPercentage of Children Meeting Criteria
Speech Criteria93.9%
Discharge Criteria56.6%

Key Findings

  • 93.9% of children met speech criteria for hearing evaluations.
  • 56.6% of children met discharge criteria from audiology care.
  • Autistic children were significantly less likely to meet speech or discharge criteria compared to non-autistic peers.
  • Autistic children required nearly twice as many encounters to meet evaluation criteria.
  • Physiological measures were relied upon more heavily for autistic children.
  • Many autistic children successfully met criteria by the second encounter.

Clinical Implications

Clinicians should consider the increased number of encounters required for autistic children when planning evaluations.

Conclusion

The study highlights the effectiveness of a standardized hearing assessment protocol.

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- Developmental outcomes of young children with an autism diagnosis and its associated clinical correlates
  2. BMC Psychiatry, 2025 -- Assessment of psychometric properties of autism spectrum diagnostic profile (ASDP) among Egyptian children aged 2–12 years
  3. JAMA Network Open, 2023 -- Innovation to Improve Detection of Early Developmental and Behavioral Concerns
  4. Frontiers in Pediatrics, 2026 -- Autism screening and diagnosis in children with congenital heart disease
  5. CDC -- Measurement of Timely Screening, Diagnosis, and Intervention | Hearing Loss in Children
  6. PubMed -- Autism and central and peripheral hearing loss: A systematic review
  7. Measurement of Timely Screening, Diagnosis, and Intervention | Hearing Loss in Children | CDC
  8. Autism and central and peripheral hearing loss: A systematic review - PubMed
  9. Early neurophysiological markers of aberrant auditory processing associated with increased risk of autism spectrum disorder: A systematic review - PMC

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