A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study
BackgroundPure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing. ObjectiveThis study aimed to demonstrate a new approach to rapidly screen heari...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2019-04-01
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| Series: | JMIR mHealth and uHealth |
| Online Access: | https://mhealth.jmir.org/2019/4/e12033/ |
| _version_ | 1818322357659369472 |
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| author | Chu, Yuan-Chia Cheng, Yen-Fu Lai, Ying-Hui Tsao, Yu Tu, Tzong-Yang Young, Shuenn Tsong Chen, Tzer-Shyong Chung, Yu-Fang Lai, Feipei Liao, Wen-Huei |
| author_facet | Chu, Yuan-Chia Cheng, Yen-Fu Lai, Ying-Hui Tsao, Yu Tu, Tzong-Yang Young, Shuenn Tsong Chen, Tzer-Shyong Chung, Yu-Fang Lai, Feipei Liao, Wen-Huei |
| author_sort | Chu, Yuan-Chia |
| collection | DOAJ |
| description | BackgroundPure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing.
ObjectiveThis study aimed to demonstrate a new approach to rapidly screen hearing status and provide stratified test values, using a smartphone-based hearing screening app, for each screened ear of school-age children.
MethodThis was a prospective cohort study design. The proposed smartphone-based screening method and a standard sound-treated booth with PTS were used to assess 85 school-age children (170 ears). Sound-treated PTS involved applying 4 test tones to each tested ear: 500 Hz at 25 dB and 1000 Hz, 2000 Hz, and 4000 Hz at 20 dB. The results were classified as pass (normal hearing in the ear) or fail (possible hearing impairment). The proposed smartphone-based screening employs 20 stratified hearing scales. Thresholds were compared with those of pure-tone average (PTA).
ResultsA total of 85 subjects (170 ears), including 38 males and 47 females, aged between 11 and 12 years with a mean (SD) of 11 (0.5) years, participated in the trial. Both screening methods produced comparable pass and fail results (pass in 168 ears and fail in 2 ears). The smartphone-based screening detected moderate or worse hearing loss (average PTA>25 dB) accurately. Both the sensitivity and specificity of the smartphone-based screening method were calculated at 100%.
ConclusionsThe results of the proposed smartphone-based self-hearing test demonstrated high concordance with conventional PTS in a sound-treated booth. Our results suggested the potential use of the proposed smartphone-based hearing screening in a school-age population. |
| first_indexed | 2024-12-13T10:55:31Z |
| format | Article |
| id | doaj.art-3dc3076b7672456680d3480bbca5ee1d |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-12-13T10:55:31Z |
| publishDate | 2019-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-3dc3076b7672456680d3480bbca5ee1d2022-12-21T23:49:34ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222019-04-0174e1203310.2196/12033A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation StudyChu, Yuan-ChiaCheng, Yen-FuLai, Ying-HuiTsao, YuTu, Tzong-YangYoung, Shuenn TsongChen, Tzer-ShyongChung, Yu-FangLai, FeipeiLiao, Wen-HueiBackgroundPure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing. ObjectiveThis study aimed to demonstrate a new approach to rapidly screen hearing status and provide stratified test values, using a smartphone-based hearing screening app, for each screened ear of school-age children. MethodThis was a prospective cohort study design. The proposed smartphone-based screening method and a standard sound-treated booth with PTS were used to assess 85 school-age children (170 ears). Sound-treated PTS involved applying 4 test tones to each tested ear: 500 Hz at 25 dB and 1000 Hz, 2000 Hz, and 4000 Hz at 20 dB. The results were classified as pass (normal hearing in the ear) or fail (possible hearing impairment). The proposed smartphone-based screening employs 20 stratified hearing scales. Thresholds were compared with those of pure-tone average (PTA). ResultsA total of 85 subjects (170 ears), including 38 males and 47 females, aged between 11 and 12 years with a mean (SD) of 11 (0.5) years, participated in the trial. Both screening methods produced comparable pass and fail results (pass in 168 ears and fail in 2 ears). The smartphone-based screening detected moderate or worse hearing loss (average PTA>25 dB) accurately. Both the sensitivity and specificity of the smartphone-based screening method were calculated at 100%. ConclusionsThe results of the proposed smartphone-based self-hearing test demonstrated high concordance with conventional PTS in a sound-treated booth. Our results suggested the potential use of the proposed smartphone-based hearing screening in a school-age population.https://mhealth.jmir.org/2019/4/e12033/ |
| spellingShingle | Chu, Yuan-Chia Cheng, Yen-Fu Lai, Ying-Hui Tsao, Yu Tu, Tzong-Yang Young, Shuenn Tsong Chen, Tzer-Shyong Chung, Yu-Fang Lai, Feipei Liao, Wen-Huei A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study JMIR mHealth and uHealth |
| title | A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study |
| title_full | A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study |
| title_fullStr | A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study |
| title_full_unstemmed | A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study |
| title_short | A Mobile Phone–Based Approach for Hearing Screening of School-Age Children: Cross-Sectional Validation Study |
| title_sort | mobile phone based approach for hearing screening of school age children cross sectional validation study |
| url | https://mhealth.jmir.org/2019/4/e12033/ |
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