Audiometric TRT in individuals with DS (Porter et al., 2025)

<p dir="ltr"><b>Purpose:</b> High rates of hearing loss are observed for individuals with Down syndrome, and regular hearing assessment is recommended for children and adults. Unknown variability of threshold estimates for repeated auditory assessments for individuals wit...

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Main Author: Heather Porter (13851806) (author)
Other Authors: Emily LaSpada (22183165) (author), Emily Buss (12214282) (author), Lori J. Leibold (13851811) (author)
Published: 2025
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author Heather Porter (13851806)
author2 Emily LaSpada (22183165)
Emily Buss (12214282)
Lori J. Leibold (13851811)
author2_role author
author
author
author_facet Heather Porter (13851806)
Emily LaSpada (22183165)
Emily Buss (12214282)
Lori J. Leibold (13851811)
author_role author
dc.creator.none.fl_str_mv Heather Porter (13851806)
Emily LaSpada (22183165)
Emily Buss (12214282)
Lori J. Leibold (13851811)
dc.date.none.fl_str_mv 2025-09-11T18:28:30Z
dc.identifier.none.fl_str_mv 10.23641/asha.30052885.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/online_resource/Audiometric_TRT_in_individuals_with_DS_Porter_et_al_2025_/30052885
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Audiology
People with disability
test-retest reliability
variability
repeated audiometric assessment
individuals with Down syndrome
hearing assessment
children
adults
threshold estimates
auditory assessments
diverse intellectual abilities
neurotypical
audiograms
clinical standards
hearing sensitivity
United States
audiology
dc.title.none.fl_str_mv Audiometric TRT in individuals with DS (Porter et al., 2025)
dc.type.none.fl_str_mv Text
Online resource
info:eu-repo/semantics/publishedVersion
text
description <p dir="ltr"><b>Purpose:</b> High rates of hearing loss are observed for individuals with Down syndrome, and regular hearing assessment is recommended for children and adults. Unknown variability of threshold estimates for repeated auditory assessments for individuals with diverse intellectual abilities, such as individuals with Down syndrome, confounds the ability to determine true threshold changes between assessments. This study evaluated variability of pure-tone thresholds measured within and across test sessions for individuals with Down syndrome.</p><p dir="ltr"><b>Method:</b> Participants included 27 individuals with Down syndrome, ages 5.1–46.5 years (average = 22.7, <i>SD</i> = 11.8). A group of 11 neurotypical individuals, ages 15.9–48.6 years (average = 24.5, <i>SD</i> = 10.3) was included in intrasession variability assessment. Pure-tone thresholds in quiet were measured at 1, 4, 8, and 11.2 kHz during a single session or during repeated audiograms separated by 2.7–11.2 months (average = 5.8, <i>SD</i> = 2.4) and 3.0–3.9 years (average = 3.4, <i>SD</i> = 0.4).</p><p dir="ltr"><b>Results:</b> Intrasession variability was ≤ 10 dB for 94.3%–100% of thresholds for participants with Down syndrome, with similar variability observed for neurotypical participants. Threshold differences were ≤ 10 dB for 63.2%–85% of responses from audiograms separated by an average of 5.8 months and 37.5%–62.5% of responses separated by an average of 3.4 years.</p><p dir="ltr"><b>Conclusions:</b> Intrasession variability for participants with Down syndrome aligns with current clinical standards accepting variability of ≤ 10 dB between repeated threshold estimates. Differences in repeated audiometric thresholds greater than 10 dB likely reflect true changes in hearing sensitivity.</p><p dir="ltr"><b>Supplemental Material S1.</b> A social story depicting all study activities was used to help participants prepare for their visit and familiarize them with study procedures. Each page of the social story includes a figure with a short sentence describing the activity being shown, in this example otoscopy.</p><p dir="ltr"><b>Supplemental Material S2. </b>A sample visual schedule depicting major study activities. Visual schedules serve as an illustrated checklist and were used to help guide study participation.</p><p dir="ltr">Porter, H. L., LaSpada, E., Buss, E., & Leibold, L. J. (2025). Test–retest reliability and variability over time for repeated audiometric assessment in individuals With Down syndrome. <i>American Journal of Audiology</i>. Advance online publication. <a href="https://doi.org/10.1044/2025_AJA-25-00068" rel="noreferrer" target="_blank">https://doi.org/10.1044/2025_AJA-25-00068</a></p>
eu_rights_str_mv openAccess
id Manara_6f7e40f8749542e42c2cfbdf44f07c19
identifier_str_mv 10.23641/asha.30052885.v1
network_acronym_str Manara
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oai_identifier_str oai:figshare.com:article/30052885
publishDate 2025
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spelling Audiometric TRT in individuals with DS (Porter et al., 2025)Heather Porter (13851806)Emily LaSpada (22183165)Emily Buss (12214282)Lori J. Leibold (13851811)AudiologyPeople with disabilitytest-retest reliabilityvariabilityrepeated audiometric assessmentindividuals with Down syndromehearing assessmentchildrenadultsthreshold estimatesauditory assessmentsdiverse intellectual abilitiesneurotypicalaudiogramsclinical standardshearing sensitivityUnited Statesaudiology<p dir="ltr"><b>Purpose:</b> High rates of hearing loss are observed for individuals with Down syndrome, and regular hearing assessment is recommended for children and adults. Unknown variability of threshold estimates for repeated auditory assessments for individuals with diverse intellectual abilities, such as individuals with Down syndrome, confounds the ability to determine true threshold changes between assessments. This study evaluated variability of pure-tone thresholds measured within and across test sessions for individuals with Down syndrome.</p><p dir="ltr"><b>Method:</b> Participants included 27 individuals with Down syndrome, ages 5.1–46.5 years (average = 22.7, <i>SD</i> = 11.8). A group of 11 neurotypical individuals, ages 15.9–48.6 years (average = 24.5, <i>SD</i> = 10.3) was included in intrasession variability assessment. Pure-tone thresholds in quiet were measured at 1, 4, 8, and 11.2 kHz during a single session or during repeated audiograms separated by 2.7–11.2 months (average = 5.8, <i>SD</i> = 2.4) and 3.0–3.9 years (average = 3.4, <i>SD</i> = 0.4).</p><p dir="ltr"><b>Results:</b> Intrasession variability was ≤ 10 dB for 94.3%–100% of thresholds for participants with Down syndrome, with similar variability observed for neurotypical participants. Threshold differences were ≤ 10 dB for 63.2%–85% of responses from audiograms separated by an average of 5.8 months and 37.5%–62.5% of responses separated by an average of 3.4 years.</p><p dir="ltr"><b>Conclusions:</b> Intrasession variability for participants with Down syndrome aligns with current clinical standards accepting variability of ≤ 10 dB between repeated threshold estimates. Differences in repeated audiometric thresholds greater than 10 dB likely reflect true changes in hearing sensitivity.</p><p dir="ltr"><b>Supplemental Material S1.</b> A social story depicting all study activities was used to help participants prepare for their visit and familiarize them with study procedures. Each page of the social story includes a figure with a short sentence describing the activity being shown, in this example otoscopy.</p><p dir="ltr"><b>Supplemental Material S2. </b>A sample visual schedule depicting major study activities. Visual schedules serve as an illustrated checklist and were used to help guide study participation.</p><p dir="ltr">Porter, H. L., LaSpada, E., Buss, E., & Leibold, L. J. (2025). Test–retest reliability and variability over time for repeated audiometric assessment in individuals With Down syndrome. <i>American Journal of Audiology</i>. Advance online publication. <a href="https://doi.org/10.1044/2025_AJA-25-00068" rel="noreferrer" target="_blank">https://doi.org/10.1044/2025_AJA-25-00068</a></p>2025-09-11T18:28:30ZTextOnline resourceinfo:eu-repo/semantics/publishedVersiontext10.23641/asha.30052885.v1https://figshare.com/articles/online_resource/Audiometric_TRT_in_individuals_with_DS_Porter_et_al_2025_/30052885CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/300528852025-09-11T18:28:30Z
spellingShingle Audiometric TRT in individuals with DS (Porter et al., 2025)
Heather Porter (13851806)
Audiology
People with disability
test-retest reliability
variability
repeated audiometric assessment
individuals with Down syndrome
hearing assessment
children
adults
threshold estimates
auditory assessments
diverse intellectual abilities
neurotypical
audiograms
clinical standards
hearing sensitivity
United States
audiology
status_str publishedVersion
title Audiometric TRT in individuals with DS (Porter et al., 2025)
title_full Audiometric TRT in individuals with DS (Porter et al., 2025)
title_fullStr Audiometric TRT in individuals with DS (Porter et al., 2025)
title_full_unstemmed Audiometric TRT in individuals with DS (Porter et al., 2025)
title_short Audiometric TRT in individuals with DS (Porter et al., 2025)
title_sort Audiometric TRT in individuals with DS (Porter et al., 2025)
topic Audiology
People with disability
test-retest reliability
variability
repeated audiometric assessment
individuals with Down syndrome
hearing assessment
children
adults
threshold estimates
auditory assessments
diverse intellectual abilities
neurotypical
audiograms
clinical standards
hearing sensitivity
United States
audiology