A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study
BackgroundHearing ability is important for children to develop speech and language skills as they grow. After a mandatory newborn hearing screening, group or mass screening of children at later ages, such as at preschool age, is often practiced. For this practice to be effective and accessible in lo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2018-10-01
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| Series: | JMIR mHealth and uHealth |
| Online Access: | http://mhealth.jmir.org/2018/10/e186/ |
| _version_ | 1818879502785183744 |
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| author | Yimtae, Kwanchanok Israsena, Pasin Thanawirattananit, Panida Seesutas, Sangvorn Saibua, Siwat Kasemsiri, Pornthep Noymai, Anukool Soonrach, Tharapong |
| author_facet | Yimtae, Kwanchanok Israsena, Pasin Thanawirattananit, Panida Seesutas, Sangvorn Saibua, Siwat Kasemsiri, Pornthep Noymai, Anukool Soonrach, Tharapong |
| author_sort | Yimtae, Kwanchanok |
| collection | DOAJ |
| description | BackgroundHearing ability is important for children to develop speech and language skills as they grow. After a mandatory newborn hearing screening, group or mass screening of children at later ages, such as at preschool age, is often practiced. For this practice to be effective and accessible in low-resource countries such as Thailand, innovative enabling tools that make use of pervasive mobile and smartphone technology should be considered.
ObjectiveThis study aims to develop a cost-effective, tablet-based hearing screening system that can perform a rapid minimal speech recognition level test.
MethodsAn Android-based screening app was developed. The screening protocol involved asking children to choose pictures corresponding to a set of predefined words heard at various sound levels offered in a specifically designed sequence. For the app, the set of words was validated, and their corresponding speech power levels were calibrated. We recruited 122 children, aged 4-5 years, during the development phase. Another 63 children of the same age were screened for their hearing abilities using the app in version 2. The results in terms of the sensitivity and specificity were compared with those measured using the conventional audiometric equipment.
ResultsFor screening purposes, the sensitivity of the developed screening system version 2 was 76.67% (95% CI 59.07-88.21), and the specificity was 95.83% (95% CI 89.77-98.37) for screening children with mild hearing loss (pure-tone average threshold at 1, 2, and 4 kHz, >20 dB). The time taken for the screening of each child was 150.52 (SD 19.07) seconds (95% CI 145.71-155.32 seconds). The average time used for conventional play audiometry was 11.79 (SD 3.66) minutes (95% CI 10.85-12.71 minutes).
ConclusionsThis study shows the potential use of a tablet-based system for rapid and mobile hearing screening. The system was shown to have good overall sensitivity and specificity. Overall, the idea can be easily adopted for systems based on other languages. |
| first_indexed | 2024-12-19T14:31:06Z |
| format | Article |
| id | doaj.art-af5fa362df3e49d4bddd3a28871d898e |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-12-19T14:31:06Z |
| publishDate | 2018-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-af5fa362df3e49d4bddd3a28871d898e2022-12-21T20:17:27ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222018-10-01610e18610.2196/mhealth.9560A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation StudyYimtae, KwanchanokIsrasena, PasinThanawirattananit, PanidaSeesutas, SangvornSaibua, SiwatKasemsiri, PornthepNoymai, AnukoolSoonrach, TharapongBackgroundHearing ability is important for children to develop speech and language skills as they grow. After a mandatory newborn hearing screening, group or mass screening of children at later ages, such as at preschool age, is often practiced. For this practice to be effective and accessible in low-resource countries such as Thailand, innovative enabling tools that make use of pervasive mobile and smartphone technology should be considered. ObjectiveThis study aims to develop a cost-effective, tablet-based hearing screening system that can perform a rapid minimal speech recognition level test. MethodsAn Android-based screening app was developed. The screening protocol involved asking children to choose pictures corresponding to a set of predefined words heard at various sound levels offered in a specifically designed sequence. For the app, the set of words was validated, and their corresponding speech power levels were calibrated. We recruited 122 children, aged 4-5 years, during the development phase. Another 63 children of the same age were screened for their hearing abilities using the app in version 2. The results in terms of the sensitivity and specificity were compared with those measured using the conventional audiometric equipment. ResultsFor screening purposes, the sensitivity of the developed screening system version 2 was 76.67% (95% CI 59.07-88.21), and the specificity was 95.83% (95% CI 89.77-98.37) for screening children with mild hearing loss (pure-tone average threshold at 1, 2, and 4 kHz, >20 dB). The time taken for the screening of each child was 150.52 (SD 19.07) seconds (95% CI 145.71-155.32 seconds). The average time used for conventional play audiometry was 11.79 (SD 3.66) minutes (95% CI 10.85-12.71 minutes). ConclusionsThis study shows the potential use of a tablet-based system for rapid and mobile hearing screening. The system was shown to have good overall sensitivity and specificity. Overall, the idea can be easily adopted for systems based on other languages.http://mhealth.jmir.org/2018/10/e186/ |
| spellingShingle | Yimtae, Kwanchanok Israsena, Pasin Thanawirattananit, Panida Seesutas, Sangvorn Saibua, Siwat Kasemsiri, Pornthep Noymai, Anukool Soonrach, Tharapong A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study JMIR mHealth and uHealth |
| title | A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study |
| title_full | A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study |
| title_fullStr | A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study |
| title_full_unstemmed | A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study |
| title_short | A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study |
| title_sort | tablet based mobile hearing screening system for preschoolers design and validation study |
| url | http://mhealth.jmir.org/2018/10/e186/ |
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