{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:08:29Z","timestamp":1783444109865,"version":"3.54.6"},"reference-count":38,"publisher":"American Speech Language Hearing Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>Common clinical application of auditory brainstem response (ABR) testing is limited to 0.25\u20134 kHz. Prior research has demonstrated associations between ABR and behavioral thresholds for tone burst stimuli &gt; 4 kHz in adults, but there are no comparable data for children. The ability to predict behavioral thresholds &gt; 4 kHz clinically based on the ABR would provide valuable audiologic information for individuals who are unable to provide behavioral thresholds. This study included children with hearing loss and children with normal hearing to determine the association between ABR and behavioral thresholds at 6 and 8 kHz.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method:<\/jats:title>\n            <jats:p>\n              ABR and behavioral thresholds were obtained for children ages 4.7\u201316.7 years (\n              <jats:italic>M<\/jats:italic>\n              = 10.5,\n              <jats:italic>SD<\/jats:italic>\n              = 3.4) with sensorineural hearing loss (\n              <jats:italic>n<\/jats:italic>\n              = 24) or normal hearing sensitivity (\n              <jats:italic>n<\/jats:italic>\n              = 16) and for adults ages 18.4\u201354.4 years (\n              <jats:italic>M<\/jats:italic>\n              = 32.7,\n              <jats:italic>SD<\/jats:italic>\n              = 10.4) with sensorineural hearing loss (\n              <jats:italic>n<\/jats:italic>\n              = 13) or normal hearing sensitivity (\n              <jats:italic>n<\/jats:italic>\n              = 11). Thresholds obtained for 6 and 8 kHz using ABR and conventional audiometry were compared.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Differences between ABR and behavioral thresholds averaged 5\u20136 dB for both children and adults for both test frequencies, with differences of \u2264 20 dB in all instances. Linear mixed modeling for data from participants with hearing loss suggested that ABR threshold is a good predictor of behavioral threshold at 6 and 8 kHz for both children and adults. Test specificity was 100%; no participants with behavioral thresholds \u2264 20 dB HL had ABR thresholds &gt; 25 dB nHL.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Initial evidence suggests that ABR testing at 6 and 8 kHz is reliable for estimating behavioral threshold in listeners with hearing loss and accurately identifies normal hearing sensitivity. The results of this study contribute to efforts to improve outcomes for vulnerable populations by reducing barriers to clinical implementation of ABR testing at &gt; 4 kHz.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2023_aja-22-00180","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T17:12:03Z","timestamp":1681233123000},"page":"391-402","source":"Crossref","is-referenced-by-count":2,"title":["Predicting Behavioral Threshold at 6 and 8 kHz for Children and Adults Based on the Auditory Brainstem Response"],"prefix":"10.1044","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3920-8354","authenticated-orcid":false,"given":"Heather L.","family":"Porter","sequence":"first","affiliation":[{"name":"Center for Hearing Research, Boys Town National Research Hospital, Omaha, NE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Dubas","sequence":"additional","affiliation":[{"name":"Audiology Program, Phoenix Children's Hospital, AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Vicente","sequence":"additional","affiliation":[{"name":"Department of Special Education and Communication Disorders, University of Nebraska\u2013Lincoln"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8244-3013","authenticated-orcid":false,"given":"Emily","family":"Buss","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery, The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Bishop","sequence":"additional","affiliation":[{"name":"Center for Hearing Research, Boys Town National Research Hospital, Omaha, NE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Kaminski","sequence":"additional","affiliation":[{"name":"Center for Hearing Research, Boys Town National Research Hospital, Omaha, NE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","unstructured":"American Speech-Language-Hearing Association. 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