Targeted Content in a Modern VRA System
- Steve Smith
- Dec 19, 2025
- 2 min read
Adapting the VRA System to the Patient, Not the Other Way Around
A modern VRA system needs to do more than just present visual reinforcement. It needs to adapt to the wide range of patients seen in pediatric audiology clinics every day.
Most children respond well to standard visual reinforcement. Bright lights, engaging videos, or a familiar toy are often enough to elicit reliable head turns. But every clinician has encountered the difficult-to-test patient. The child who only engages with one specific type of stimulus, character, or motion.
This is where Targeted Content in the Flex VRA system becomes valuable.
The Traditional VRA System Approach
Most VRA systems are designed around a one-to-many model.
The system provides several different stimulus options, and the clinician cycles through them during testing to see what captures the child’s attention. This works well in the majority of cases and remains an important part of the Flex VRA workflow.
The Flex remote includes four stimulus options that can be accessed instantly during testing, giving audiologists flexibility and control in real time.
However, some patients do not respond to variety. They respond to specificity.
When a VRA System Needs to Be More Targeted
Certain patients will only engage with very specific content. A particular category of video. A familiar character. A known visual preference.
In these cases, switching between multiple generic stimuli can actually reduce engagement rather than improve it.
Instead of asking the child to adapt to the VRA system, it can be more effective to adapt the VRA system to the child.
What Is Targeted Content in the Flex VRA System?
Targeted Content allows the clinician to customize what specific content appears when pressing the Video and Custom buttons on the Flex remote before the test begins.
Importantly, this does not remove flexibility during testing.
The clinician still has access to all four stimulus options throughout the session. The difference is that when Video or Custom is selected, the content that appears is intentional and pre-defined.
This allows the VRA system to be tailored to the patient rather than relying on trial and error during the test.
Example Use Case in a Pediatric VRA System
Imagine a patient coming in for testing who you already know loves trains and Paw Patrol.
Before the session starts, you configure the VRA system as follows:
-Video stimulus set to a category such as “Vehicles”
-Custom stimulus set to Paw Patrol content that you have uploaded
Now, during testing, when you activate Video or Custom, that specific content appears instantly.
The testing environment is now aligned with what you already know engages that patient.
Why Targeted Content Matters
Will Targeted Content be used on every patient? Probably not.
But for the difficult-to-test patient, the one who struggles to stay engaged or fatigues quickly, having the right stimulus at the right moment can make a meaningful difference in obtaining reliable results.
A flexible VRA system should give clinicians options. A great VRA system gives them control.
Targeted Content is another way the Flex VRA system helps clinicians adapt to real-world testing challenges while keeping the focus where it belongs, on the child and their family.

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