Tablet-Based Hearing Screening Test.
Tablet-Based Hearing Screening Test.
复制标题
基于平板电脑的听力筛查测试。
DOI：
10.1089/tmj.2016.0253
复制
发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Denise Gonzaga
中科院分区：
文献类型：
--
作者：
A. Samelli;C. M. Rabelo;S. Sanches;Camila P Aquino;Denise Gonzaga
介绍
听力损失（HL）影响着世界各地的人们，其中许多是儿童。特别是在发展中国家，有关HL患病率的流行病学数据不足以实施有效的健康促进计划。在这项针对年轻人的初步研究中，我们描述并验证了为交互式远程听力筛查开发的基于平板电脑的听力筛查测试，并将听力筛查平板电脑应用程序与传统听力测试的性能进行了比较。此外，分析了基于片剂的方法的敏感性、特异性和预测值以及两种方法之间的一致性。
方法
30名志愿者参加了一项双盲研究，评估两种听阈筛查方法：基于平板的听力筛查和扫描测听。对于这两种方法，双耳对以20 dBHL（1、2和4 kHz频率）和30 dBHL（0.5 kHz频率）发出的三个音调中的至少两个音调的正确反应被认为是阴性筛选结果（正常听力），而听力障碍被认为是阳性筛选结果。
结果
根据这两种方法，26名参与者听力正常，4名患有HL。Kappa系数表明方法之间具有良好的一致性。基于平板的听力筛查方法的灵敏度为100%（置信区间[CI]：30.5-100.0），特异性为100%（CI：87.1-100.0），阳性预测值为100%（CI：30.5-100.0），阴性预测值为100%（CI：87.1-100.0）。
结论
基于平板电脑的听力筛查测试被证明是一种可靠和准确的听力筛查方法，可在有互联网接入的地方有效使用，并且当地听力学家无法提供。
INTRODUCTION
Hearing loss (HL) affects people worldwide, many of whom are children. Especially in developing countries, epidemiological data on the prevalence of HL are insufficient to implement effective health promotion programs. In this preliminary study with young adults, we describe and validate a tablet-based hearing screening test developed for interactive remote hearing screening and compare the performance of an audiometry screening tablet application with conventional audiometry. In addition, the sensitivity, specificity, and predictive values of the tablet-based method and the concordance between the two methods were analyzed.
METHODS
Thirty volunteers participated in a double-blind study assessing two auditory threshold screening methods: tablet-based hearing screening and sweep audiometry. For both methods, a correct response to a minimum of two tones out of three emitted at 20 dBHL for the frequencies of 1, 2, and 4 kHz and 30 dBHL for 0.5 kHz in both ears, was considered a negative screening result (normal hearing), whereas hearing impairment was considered a positive screening result.
RESULTS
According to both methods, 26 participants had normal hearing and four had HL. The Kappa coefficient indicated perfect concordance between methods. The tablet-based hearing screening method had a sensitivity of 100% (confidence interval [CI]: 30.5-100.0), a specificity of 100% (CI: 87.1-100.0), a positive predictive value of 100% (CI: 30.5-100.0), and a negative predictive value of 100% (CI: 87.1-100.0).
CONCLUSIONS
The tablet-based hearing screening test was shown to be a reliable and an accurate method for hearing screening that can be used effectively in places with Internet access and where local audiologists are not available.