We created Flex the Dog — an animated character designed to ease children's anxiety before a hearing test. Watch or download our free VRA and CPA explainer videos to share with your patients.

Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA) are two essential behavioral hearing tests used in pediatric audiology. While both help assess hearing in children, they differ in age range, response type, and developmental demands. Understanding when to use VRA versus CPA allows audiologists to obtain more reliable thresholds, reduce testing challenges, and create a better experience for young patients and their families.