Date of Award

Summer 2011

Document Type


Degree Name

Doctor of Audiology (AuD)


School of Communication

First Advisor

Melinda F. Bryan


The primary aim of this study was to demonstrate the need for objective hearing screening procedures within traditional school based hearing screenings through literature review. It is believed that objective hearing screenings would provide a better, less-invasive way to screen hearing with minimal participation required from the children, and less interpretation needed from the examiner. A review of the literature suggested that ideal screening measures would include otoacoustic emissions (OAEs) and tympanometry. Currently, the gold standard for school hearing screenings, as described by the American Speech Language Hearing Association (ASHA) (1997), centers on behavioral responses observed by the examiner during a traditional pure-tone audiometry screening. The problems with this behavioral method include uncooperative children, the sensitivity of pure-tone screening to identify effusion, and the overall reliability of subjective hearing screening procedures.