Conditioned Play Audiometry (CPA) begins to emerge around age 2 years and consistent between developmental ages of 2 to 3 years: a listening game that uses toys to maintain the child’s attention and focus to the listening task. For example, the child holds a block, waits and listens for the sound. When the child hears the sound, they drop the block in a bucket. This is no different than raising one’s hand in response to the sound, but the toys establish and maintains the child interested in the listening task for much longer than hand-raising alone. This “listening game” is demonstrated to the child by the audiologist, and once the child understands the game, testing begins.
Conventional Audiometry consistently used in children ages 5 and older: child raises hand or provides verbal
response (for example, “beep”, “I hear it”) in response to the sound stimulus.