2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
4/14/2014 | 3:20 PM - 3:50 PM | Incidence of False Negative Otoacoustic Emissions | Grand Ballroom 7 | 2
Incidence of False Negative Otoacoustic Emissions
OAE testing is used worldwide in hospitals and clinics as an objective measure to identify infants who require additional diagnostic audiologic testing to confirm the presence or absence of hearing loss. The Joint Committee on Infant Hearing (JCIH) (2007) provides comprehensive policy guidelines for all aspects of pediatric audiological services, including policies for OAE testing. JCIH states, “When statistical probability is used to make pass/fail decisions, as is the case for OAE and automated ABR screening devices, the likelihood of obtaining a pass outcome by chance alone is increased when screening is performed repeatedly.” Although the JCIH does not numerically specify what constitutes repeated screening, and because few OAE testing guidelines exist, some researchers and NHS programs have issued cautions against repeated screenings, or have specified that the OAE test should not be repeated more than 3 times in a row due to an increased probability of getting a false negative reading. In other words, concern that through statistical chance, the OAE response would appear to be present in an ear that actually has some degree of hearing loss. This presentation will provide empirical data about the probability of OAE false negative occurrences using Monte Carlo research methods. Recommendations for OAE test protocols will be discussed.
- Participants will be able to describe OAE test protocols and JCIH recommendations.
- Participants will understand the probability of obtaining false negative results when doing repeated OAE testing.
- Participants be able to discuss the pros and cons of doing repeated OAE testing in a newborn hearing screening program.
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Presenters/Authors
Lauri Nelson
(Primary Presenter), Utah State University, lauri.nelson@usu.edu;
Lauri Nelson is a Professor in the Department of Communicative Disorders and Deaf Education at Utah State University. She is the Deaf Education Division Chair, the Director of the Listening and Spoken Language Deaf Education graduate training program and Sound Beginnings. She was one of the co-founders of the Hear to Learn website. She has a dual background as both a pediatric audiologist and LSL deaf educator.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Karl White
(Co-Presenter), Utah State University, karl.white@usu.edu;
Dr. White is a Professor of Psychology, the Emma Eccles Jones Endowed Chair in Early Childhood Education, and the founding Director of the National Center for Hearing Assessment and Management. He has been the PI or Co-PI for over $50 million of competitively awarded research. His work has been recognized with awards from such diverse organizations as the Deafness Research Foundation, the American Association for Speech Language and Hearing, The Swedish Society of Medicine, and the Alexander Graham Bell Association for the Deaf. He has hundreds of publications and presentations at scholarly meetings, and has been an invited speaker to more than 35 countries. He also serves on many national and international advisory groups for organizations such as the United States Department of Health and Human Services, the World Health Organization, the Institute of Medicine, and the American Academy of Pediatrics.
ASHA DISCLOSURE:
Financial -
Nonfinancial -