Copyright © American Speech-Language-Hearing Association From: Listening Effort and Fatigue in School-Age Children With and Without Hearing Loss J Speech Lang Hear Res. 2002;45(3):573-584. doi:10.1044/1092-4388(2002/046) Legend: Top panel: Average COOP ratings per question for children with hearing loss (HL) and children with normal hearing (NH). Rating from 1 to 5, with 1 or 2 being “good” scores and 3–5 being “at-risk” scores. Bars represent 1 standard deviation. Bottom panel: Percentage of children with hearing loss (HL) and children with normal hearing (NH) with scores of 3–5 (“at-risk”) for each COOP question. Date of download: 10/13/2017 Copyright © American Speech-Language-Hearing Association