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Pediatric Visual Reinforcement Audiometry (VRA)
https://www.childrens.com/specialties-services/treatments/visual-reinforcement-audiometry#:~:text=Visual%20reinforcement%20audiometry%20%28VRA%29%20is%20a%20test%20that,months%20to%20around%202%20to%203%20years%20old.
Using visual reinforcement audiometry in the assessment …
https://journals.lww.com/thehearingjournal/Fulltext/2002/11000/Using_visual_reinforcement_audiometry_in_the.6.aspx
Visual reinforcement audiometry (VRA) can be used to obtain behavioral thresholds for pure-tone stimuli that approximate adult values. 20,21 VRA capitalizes on a child's natural instinct to respond to auditory stimuli by turning toward the stimuli.
Pediatric Visual Reinforcement Audiometry (VRA)
https://www.childrens.com/specialties-services/treatments/visual-reinforcement-audiometry
Visual reinforcement audiometry (VRA) is a test that allows an audiologist to assess hearing in infants and toddlers too young for normal tests. VRA relies on behavioral conditioning to train very young kids to respond to sounds. It is designed for children aged 6 months to around 2 to 3 years old. VRA uses a machine called an audiometer to test a child's hearing threshold levels.
British Society of Audiology
http://www.thebsa.org.uk/wp-content/uploads/2014/04/BSA_VRA_24June2014_Final.pdf
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Audiometric - University of Western Ontario
https://www.uwo.ca/nca/pdfs/clinical_protocols/IHP_CBA%20Protocol_2019.01.pdf
Visual Reinforcement Audiometry (VRA) is used for infants aged 6-24 months developmental age, or older (corrected age), who have sufficient vision to see the reinforcers, and who have sufficient trunk and neck control to turn toward the reinforcers voluntarily. As infants grow older, they are transitioned into Conditioned Play Audiometry (CPA).
Clinical Guidance Document Assessment of Hearing in ...
https://www.audiology.org/wp-content/uploads/2021/05/Clin-Guid-Doc_Assess_Hear_Infants_Children_1.23.20-1.pdf
visual and motor development, and ability to respond appropriately. As children mature, more specific behavioral information can be obtained. In this document, auditory behavioral procedures that change with developmental level, including behavioral observation, Visual Reinforcement Audiometry (VRA), and Conditioned Play Audiometry
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