Evaluation of a hearing assessment protocol for children with communication or autism concerns - Summary - 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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Objective:

To evaluate the effectiveness of a standardized hearing assessment protocol for children aged 18 months to 8 years, with and without an autism diagnosis.

Approach:
    Key Findings:
    • 93.9% of children met speech criteria.
    • 56.6% of children met discharge criteria.
    • Autistic children were significantly less likely to meet speech or discharge criteria compared to the comparison group.
    • Autistic children required nearly twice as many encounters to meet criteria and relied more on physiological measures.
    Interpretation:

    The protocol demonstrated overall effectiveness, with many autistic children meeting criteria by the second encounter.

    Limitations:
    • The study was conducted at a single institution, which may limit generalizability.
    • The protocol may require refinement to better accommodate the unique needs of autistic children.
    Conclusion:

    The protocol has potential to improve timely and accurate determination of hearing status in children undergoing speech-language and/or autism evaluations.

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