Muñoz Karen, Luzuriaga Edith, Callow-Heusser Catherine, Ortiz Eduardo, White Karl
* National Center for Hearing Assessment and Management, Utah State University , Logan , USA.
Int J Audiol. 2015;54(9):587-92. doi: 10.3109/14992027.2015.1015689. Epub 2015 Mar 25.
The purpose of this study was to evaluate the accuracy of a teacher-administered hearing screening questionnaire to detect hearing loss among first-grade Ecuadorian children in public schools.
A cross-sectional design was used to compare screening results from the teacher-administered questionnaire and pure-tone audiometry.
Children were randomly selected from 117 schools. The study was conducted in two phases to accommodate different school calendars in the country. Data for both screening methods were available for 4616 children.
For Phase 1, almost 90% who failed the questionnaire passed audiometry; and, 85% who failed audiometry passed the questionnaire. A revised questionnaire was used for Phase 2 and 70% who failed the questionnaire passed audiometry; and 85% who failed audiometry, passed the questionnaire. Of the 27 children identified in Phase 2 as having hearing loss at the time screening was done, 88.9% failed audiometry, but only 22.2% failed the questionnaire.
Because there was little agreement between the questionnaire and the audiometry, it was recommended that the questionnaire not be used to screen Ecuadorian children for hearing loss. The results of this evaluation of the school hearing screening program provided the Ecuadorian government with important information to guide policy decisions.
本研究旨在评估教师管理的听力筛查问卷在检测厄瓜多尔公立学校一年级儿童听力损失方面的准确性。
采用横断面设计，比较教师管理问卷和纯音听力测试的筛查结果。
从117所学校中随机选取儿童。由于该国不同学校的校历不同，研究分两个阶段进行。两种筛查方法的数据可用于4616名儿童。
在第一阶段，问卷筛查未通过的儿童中，近90%听力测试通过；听力测试未通过的儿童中，85%问卷筛查通过。第二阶段使用了修订后的问卷，问卷筛查未通过的儿童中，70%听力测试通过；听力测试未通过的儿童中，85%问卷筛查通过。在第二阶段筛查时被确定为有听力损失的27名儿童中，88.9%听力测试未通过，但只有22.2%问卷筛查未通过。
由于问卷筛查和听力测试结果之间几乎没有一致性，建议不要使用该问卷对厄瓜多尔儿童进行听力损失筛查。学校听力筛查项目的评估结果为厄瓜多尔政府提供了指导政策决策的重要信息。
