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**[Click here to read our recent article describing these materials][1]** **Overview:** Audiologists often report that it is difficult to obtain accurate behavioral thresholds for children with developmental disabilities (Gans & Gans, 1993; Widen, 1990). However, for infants (> 6 months) and children, an audiogram is the “gold standard” of hearing health care (ASHA, 2004) and is the cornerstone upon which a correct differential diagnosis and access to the appropriate interventions are built. One explanation for why behavioral methods are not well-suited for children with diverse or complex developmental profiles is because they are based on the assumptions of typical child development and auditory behavior. For example, in visual reinforcement audiometry (VRA) infants and children are taught to make a head-turn response towards a visual reinforcer: a mechanical toy or a brief video. A key assumption of this method is that the visual reinforcer is engaging and motivating for the infant or child. However, clinics are currently using visual reinforcers that were developed for typically-developing infants. These reinforcers may not be appropriate for children with developmental disabilities when they do not match the child’s specific, often highly-restricted interests, or when they do not reflect age appropriate interests, as in situations where VRA is used with older children. The purpose of this project is to share an open-access, library of visual reinforcers that can be used by audiologists when conducting VRA testing with children with developmental disabilities. Over 40 reinforcer themes were developed based on commonly reported interests of children with developmental disabilities. Digital materials were obtained from open access, online depositories and can be incorporated into commercially-available VRA systems or a custom PC setup. Although these materials are expected to facilitate behavioral testing, they have not been evaluated in a clinical setting. **How to Cite These Materials:** If you use these materials, please reference our paper in the *Journal of Early Hearing Detection and Intervention*. Bonino, A. Y. Hemann, A. Mood, D. Kay, E. Pancoast, E. S. & Sommerfeldt, K. K. (2021). Visual reinforcers designed for children with developmental disabilities. Journal of Early Hearing Detection and Intervention, 6(1), 69-76. Retrieved from [https://digitalcommons.usu.edu/jehdi/vol6/iss1/8][2] **Copyright and License Information:** Copyright for these materials is retained by The Regents of the University of Colorado, a body corporate. © 2020 The Regents of the University of Colorado, a body corporate. Created by the Children’s Auditory Perception Laboratory at the University of Colorado Boulder. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License. Individual image files retain their original copyright and license restrictions. These details are provided for all images in each slideshow or mp4 folder. **Download Directions:** If you would like to download all the files, we recommend that you select the "Files" tab from the bar at the top of the site. Highlight the text that says "OSF Storage," and then click the "Download as Zip" button located in the upper right corner of the window. **Funding for this Work:** This work was supported by the American Speech-Language-Hearing Foundation (awarded to A.Y.B.) and the Leadership Education in Neurodevelopmental Disabilities Audiology Supplement under Award T73MC11044 (awarded to PI: Sandra Friedman) from the Health Resources and Services Administration of the U.S. Department of Health and Human Services. The content is solely the responsibility of the authors and does not necessarily represent the official view of, nor an endorsement by, the Health Resources and Services Administration, the U.S. Department of Health and Human Services, or the U.S. Government. **Providing Feedback:** Please share your experiences or ideas about our materials with us. You may reach out to Dr. Angela Yarnell Bonino (angela.bonino@vumc.org), Director of the Children's Auditory Perception Laboratory (ChAPL) at Vanderbilt University Medical Center, for questions and support. [1]: https://digitalcommons.usu.edu/jehdi/vol6/iss1/8/ [2]: https://digitalcommons.usu.edu/jehdi/vol6/iss1/8/ [3]: https://forms.gle/LwQ23xyrxZT5B8878
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