By Published: Jan. 10, 2020

These CU Ā鶹¹ŁĶų-developed tools provide a way of preparing children with autism spectrum disorder to get their hearing testedā€”saving time and a whole lot of stress


For children with autism, getting diagnosed can be a struggle in and of itself. But new tools developed by audiologists at the Ā鶹¹ŁĶų may help.

These new materials, which are the first widely accessible tools of their kind and are highlighted in the American Journal of Audiology, provide a way for parents or clinicians to communicate to children through pictures and videos what they are about to experience. The researchers hope that incorporating them will reduce the child and familyā€™s stress and increase the chances that audiologists will obtain a reliable and comprehensive audiological examā€”which is one of the first steps towards a reliable diagnosis.

And these materials wonā€™t just help the thousands of children diagnosed with autism each year. They could help children with any number of developmental delays.

Child getting tested

An unnamed 7-year-old boy with autism gets his hearing tested in by CU Ā鶹¹ŁĶų researchers.

ā€œThe World Health Organization specifically says that itā€™s a human right to be able to communicate. And for some children with Autism Spectrum Disorder, they donā€™t communicate with auditory oral communication,ā€ said Angela Bonino, an assistant professor in speech, language and hearing sciences, a clinically trained pediatric audiologist and one of the authors of the paper.

ā€œThis provides an audiologist another strategy and type of tool to help facilitate communication with that patient to make sure that that child is also hopefully understanding what types of medical services are going to be provided to them.ā€

In the United States alone, about 1 in 59 children is diagnosed each year with Autism Spectrum Disorder, according to the Centers for Disease Control and Preventionā€”and that number has been rising every year since record-keeping began.

For these children, one of the first signs that something may be wrong is the challenges the child may be facing with delays in communication. That means that, according to the CU Ā鶹¹ŁĶų researchers, parents may first turn to the people who know hearing best to see if thatā€™s the culprit: audiologists.

To get a proper hearing assessment or diagnosis, it can sometimes take multiple trips to an audiologist. For childrenā€”particularly those with some sort of developmental disabilityā€”those trips can be stressful. This can, in turn, slow down their diagnosis or even affect the results of the hearing test.

And thatā€™s a problem, says researchers.

ā€œItā€™s very important to make sure that their hearing test results are accurate and reliable and that we get a full understanding of their hearing,ā€ said Haley McTee, an audiology graduate student and the lead author on the paper.

There is already clinically proven research proving the worth of visual and video support in testing children with autism or who are suspected of having autism. So, the researchers wondered: Could the same thing be applied in an audiological setting?

Itā€™s very important to make sure that their hearing test results are accurate and reliable and that we get a full understanding of their hearing."

The team created two sets of diagnostic toolsā€”video models (videos that can show children what they are about to experience) and visual schedules (matching laminated print outs)ā€”that showcase eight children of diverse backgrounds, ranging in age from 4 to 12 years old.

While the materials themselves have yet to be fully tested, the researchers expect that they should help address the communication barrier faced by children with autism.

This research is part of the LEND (Leadership Education in Neurodevelopmental Disabilities) fellowship program, an interdisciplinary five-year training program for audiology graduate students. The goal of the program, which is , is to improve the health of those with disabilities, with a focus on infants, children and adolescents.

As part of the fellowship, students have to complete a project related to a developmental issue in audiology, with the theme this cycle being Autism Spectrum Disorder.

These materials, which were developed by this cycleā€™s LEND fellows, including McTee, . However, the researchers still recommend contacting an audiologist if you have any concerns.

ā€œI think itā€™s important to always communicate the best way you can with all of your patients,ā€ said McTee. ā€œFor different languages, that means using interpreters ā€¦ The video models Iā€™ve created just assist in that communication gap for these kids.ā€