用于学童的hearScreen™智能手机听力筛查的临床有效性
Clinical Validity of hearScreen™ Smartphone Hearing Screening for School Children.
作者信息
Mahomed-Asmail Faheema, Swanepoel De Wet, Eikelboom Robert H, Myburgh Hermanus C, Hall James
机构信息
1Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa; 2Ear Science Institute Australia, Subiaco, Western Australia, Australia; 3Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Western Australia, Australia; 4Department of Electrical, Electronic and Computer Engineering, University of Pretoria, Pretoria, South Africa; and 5George S. Osborne College of Audiology, Salus University, Elkins Park, Pennsylvania, USA.
出版信息
Ear Hear. 2016 Jan-Feb;37(1):e11-7. doi: 10.1097/AUD.0000000000000223.
OBJECTIVES
The study aimed to determine the validity of a smartphone hearing screening technology (hearScreen™) compared with conventional screening audiometry in terms of (1) sensitivity and specificity, (2) referral rate, and (3) test time.
DESIGN
One thousand and seventy school-age children in grades 1 to 3 (8 ± 1.1 average years) were recruited from five public schools. Children were screened twice, once using conventional audiometry and once with the smartphone hearing screening. Screening was conducted in a counterbalanced sequence, alternating initial screen between conventional or smartphone hearing screening.
RESULTS
No statistically significant difference in performance between techniques was noted, with smartphone screening demonstrating equivalent sensitivity (75.0%) and specificity (98.5%) to conventional screening audiometry. While referral rates were lower with the smartphone screening (3.2 vs. 4.6%), it was not significantly different (p > 0.05). Smartphone screening (hearScreen™) was 12.3% faster than conventional screening.
CONCLUSION
Smartphone hearing screening using the hearScreen™ application is accurate and time efficient.
目的
本研究旨在确定一种智能手机听力筛查技术（hearScreen™）与传统筛查听力测定法相比在以下方面的有效性：（1）敏感性和特异性；（2）转诊率；（3）测试时间。
设计
从五所公立学校招募了1070名1至3年级的学龄儿童（平均年龄8±1.1岁）。对儿童进行了两次筛查，一次使用传统听力测定法，另一次使用智能手机听力筛查。筛查以平衡顺序进行，在传统或智能手机听力筛查之间交替进行初始筛查。
结果
未发现两种技术在性能上有统计学显著差异，智能手机筛查显示出与传统筛查听力测定法相当的敏感性（75.0%）和特异性（98.5%）。虽然智能手机筛查的转诊率较低（3.2%对4.6%），但差异不显著（p>0.05）。智能手机筛查（hearScreen™）比传统筛查快12.3%。
结论
使用hearScreen™应用程序进行智能手机听力筛查准确且高效。
Zotero 插件