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Conditioned Play Audiometry (CPA)

The term “play audiometry” refers to a technique that uses a game to obtain threshold information. Beginning around the age of 2.5 to 5 years, play audiometry can be used. Play audiometry involves conditioning the child to respond to sound using an activity such as placing a peg in a pegboard, placing blocks in a container, stacking rings on a stick or placing puzzle pieces into a puzzle. Conditioning usually occurs after four or five guided responses or demonstrations. A social reinforcer, such as clapping hands or praising the child, is frequently used to aid in the establishment of the conditioning.

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