Evaluation of an internet-based hearing test--comparison with established methods for detection of hearing loss.
Evaluation of an internet-based hearing test--comparison with established methods for detection of hearing loss.
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DOI：
10.2196/jmir.1065
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发表时间：
2008-10-21
影响因子：
7.4
通讯作者：
Litton JE
中科院分区：
文献类型：
--
作者：
Bexelius C;Honeth L;Ekman A;Eriksson M;Sandin S;Bagger-Sjöbäck D;Litton JE
通过临床纯音听力图可以最准确地测量听力障碍。该方法不适合大规模、以人群为基础的流行病学研究，因为它要求研究参与者前往由经过培训的人员陪同的诊所。测量听力的另一种方法是通过问卷进行自我评估，但与临床听力测试的相关性各不相同。 旨在评估基于互联网的听力测试试点与自我评估听力问题的比较，以及在瑞典猎人协会 560 名 20-60 岁年龄组成员中使用基于互联网的听力测试和基于互联网的问卷调查的可行性。 2007 年 3 月，我们向参与者邮寄了一份邀请函，并附有研究网站的 URL、个人用户名和密码。该网站包括调查问卷、听力测试以及参与研究的说明。听力测试类似于临床听力图，呈现 500 至 8000 Hz 之间的 6 个音调。音调介于 0 到 60 dB 之间，参与者通过按空格键对音调做出响应。听力测试需要耳机，基于JAVA编程。在参与者开始听力测试之前，必须针对 15 至 35 岁之间听力良好的参考人进行校准。 5个月后，560人中有162人（29%）回答了问卷，其中88人（16%）完成了听力测试。 560 人中，主动拒绝参与的人数为 230 人（41%）。在删除重复项和通过不可靠的参考数据校准的听力测试后，仍有 61 项听力测试可供分析。基于互联网的听力测试的听力障碍患病率为 20%（61 人中的 12 人），而自我估计问题的听力障碍患病率为 52%（61 人中的 32 人）。完成听力测试的人比非参与者年龄更大，并且比只回答问卷的人更多拥有耳机（P = .003）和正确版本的JAVA程序（P = .007）。 虽然基于互联网的听力测试不能取代由训练有素的听力学家进行的临床纯音听力图，但它是一种有效且有用的听力筛查工具，可以以较低的成本进行大量人群的听力筛查。
Hearing impairment is most accurately measured by a clinical pure-tone audiogram. This method is not suitable for large-scale, population-based epidemiological studies as it requires that study participants visit a clinic with trained personnel. An alternative approach to measuring hearing ability is self-estimation through questionnaires, but the correlation to clinical audiometric tests varies. To evaluate an Internet-based hearing test pilot compared to a question about self-estimated hearing and the feasibility of using an Internet-based hearing test and an Internet-based questionnaire in a population of 560 members of the Swedish Hunters’ Association in the age group 20-60 years. An invitation was mailed to the participants in March 2007 together with the URL to the study Web site, a personal username, and a password. The Web site included the questionnaire, the hearing test, and instructions for participating in the study. The hearing test resembles a clinical audiogram presenting 6 tones between 500 and 8000 Hz. Tones are presented between 0 and 60 dB, and the participant responds to the tones by pressing the space bar. The hearing test requires headphones and is based on JAVA programming. Before the participant can start the hearing test, it has to be calibrated against a reference person with good hearing between 15 and 35 years of age. After 5 months, 162 out of 560 (29%) had answered the questionnaire, out of which 88 (16%) had completed the hearing test. Those who actively declined participation numbered 230 out of 560 (41%). After removing duplicates and hearing tests calibrated by unreliable reference data, 61 hearing tests remained for analysis. The prevalence of hearing impairment from the Internet-based hearing test was 20% (12 out of 61), compared to 52% (32 out of 61) from the self-estimated question. Those who completed the hearing test were older than the non-participants, and more had headphones (P = .003) and the correct version of the JAVA program (P = .007) than those who only answered the questionnaire. Though an Internet-based hearing test cannot replace a clinical pure-tone audiogram conducted by a trained audiologist, it is a valid and useful screening tool for hearing ability in a large population carried out at a low cost.
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影响因子：
5.7
作者：
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