For infants 6 – 36 months of age, visual reinforcement audiometry (VRA) is recommended. In VRA assessment, the infant/child is seated on a caregiver’s lap in a soundproof booth. The child is trained to turn toward a toy that lights up and moves when he or she hears a sound.

After about 2 years of age, a toddler can be trained for conditioned play audiometry (CPA).