Research Article  |   December 2010
Animated Toys Versus Video Reinforcement in 16–24-Month-Old Children in a Clinical Setting
Author Affiliations & Notes
  • Roanne K. Karzon
    St. Louis Children’s Hospital, St. Louis, MO, and Washington University School of Medicine, St. Louis
  • Pia Banerjee
    Washington University in St. Louis
  • Contact author: Roanne K. Karzon, St. Louis Children’s Hospital, One Children’s Place 3S23, St. Louis, MO 63110. E-mail: roannekk@bjc.org.
Hearing Disorders / Research Article
Research Article   |   December 2010
Animated Toys Versus Video Reinforcement in 16–24-Month-Old Children in a Clinical Setting
American Journal of Audiology December 2010, Vol.19, 91-99. doi:10.1044/1059-0889(2010/10-0009)
History: Accepted 25 May 2010 , Received 26 Feb 2010
American Journal of Audiology December 2010, Vol.19, 91-99. doi:10.1044/1059-0889(2010/10-0009)
History: Accepted 25 May 2010 , Received 26 Feb 2010

Purpose: To compare the clinical efficacy of visual reinforcement audiometry (VRA) with animated toy animal reinforcement (AVRA) to the efficacy of VRA with video reinforcement (VVRA) in children age 16 to 24 months in a fast-paced medical practice.

Method: The 145 participants (age 16 to 24 months) were referred by either their primary care physician or an otolaryngology practitioner (physician or nurse practitioner) for audiologic assessment. Children were assigned in a counterbalanced manner to either the AVRA or VVRA group.

Results: Significantly more threshold estimates were obtained with AVRA (M = 5.52) than with VVRA (M = 3.47). There were no significant differences in performance based on age, hearing status, or gender.

Conclusions: Number and relative strength of the visual reinforcers used are posited as the main reasons for the disparate outcomes. Clinical practices that test large numbers of children with VRA would be well-served to have both AVRA and VVRA available to meet the needs of individual patients.

Order a Subscription
Pay Per View
Entire American Journal of Audiology content & archive
24-hour access
This Article
24-hour access

Related Articles

People: October 2013
The ASHA Leader October 2013, Vol.18, 17-19. doi:10.1044/leader.PPL.18102013.17
Sonic Youth
The ASHA Leader May 2013, Vol.18, 44-50. doi:10.1044/leader.FTR2.18052013.44
A New Year’s Resolution
Language, Speech, and Hearing Services in Schools January 2008, Vol.39, 2. doi:10.1044/0161-1461(2008/001)
People: April 2013
The ASHA Leader April 2013, Vol.18, 12-13. doi:10.1044/leader.PPL.18042013.12
Coordinator’s Column
SIG 14 Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse (CLD) Populations October 2011, Vol.18, 55-56. doi:10.1044/cds18.3.55