Department of Psychological Sciences, Program in Communication Sciences, Case Western Reserve University, 11635 Euclid Road, Cleveland, OH 44106-7154, USA.
J Telemed Telecare. 2011;17(5):240-4. doi: 10.1258/jtt.2011.100810. Epub 2011 Jun 2.
We studied the feasibility of low-cost videoconferencing (using Skype) in urban community health clinics for speech, language and hearing screening of children up to six years of age. During a two-year study, screening services were provided via videoconferencing at two community clinics in an inner city area of Cleveland, Ohio. In total, 411 screenings were completed. Of these, 358 children (87%) received hearing screenings, 377 (92%) received tympanometry screening and 263 (64%) received speech and language screening only. A total of 151 children were aged three years or under (37%). The reliability of pure tone hearing screening (n = 7), DPOAE screening (n = 51) and speech-language screening (n = 10) was 100%. Typanometry screenings (n = 55) were 84% reliable. Families reported a high level of satisfaction with both the technology and with the videoconferencing. The results indicate that low-cost videoconferencing for screening of speech, language and hearing development in very young children in urban community health clinics is feasible, reliable and strongly supported by the community.
我们研究了在城市社区健康诊所中使用低成本视频会议（使用 Skype）进行语音、语言和听力筛查的可行性，以筛查 6 岁以下儿童。在为期两年的研究中，在俄亥俄州克利夫兰市一个内城区的两个社区诊所通过视频会议提供了筛查服务。总共完成了 411 次筛查。其中，358 名儿童（87%）接受了听力筛查，377 名儿童（92%）接受了鼓室图筛查，263 名儿童（64%）仅接受了言语和语言筛查。共有 151 名儿童年龄在 3 岁或以下（37%）。纯音听力筛查（n = 7）、DPOAE 筛查（n = 51）和言语语言筛查（n = 10）的可靠性为 100%。鼓室图筛查（n = 55）的可靠性为 84%。家庭对技术和视频会议都非常满意。结果表明，在城市社区健康诊所中使用低成本视频会议对非常年幼的儿童进行语音、语言和听力发育筛查是可行的、可靠的，并且得到了社区的大力支持。
