Corry Megan, Sanders Michael, Searchfield Grant D
a Section of Audiology, School of Population Health , University of Auckland , Auckland , New Zealand and.
b Esidell Moore Centre, University of Auckland , Auckland , New Zealand.
Int J Audiol. 2017 Sep;56(9):706-710. doi: 10.1080/14992027.2017.1321791. Epub 2017 May 9.
OBJECTIVE: To undertake a preliminary evaluation of the test-retest reliability, and accuracy of an iPad audiometer app using commercial earphones as a low-cost alternative to a clinical audiometer in a restricted sample of normal hearing participants. DESIGN: Twenty participants self-reporting normal hearing undertook four pure-tone audiometry tests in a single session. Two tests were performed with a 2-channel Type 1 audiometer (GSI-61) using EAR insert earphones and two tests with an iPad based app (Audiogram Mobile) using Apple earbud headphones. STUDY SAMPLE: Twenty normal hearing participants (13 female and seven male participants, aged 21-26 years) were recruited for the test-retest and accuracy evaluations. RESULTS: The app resulted in different thresholds to the audiometer (F(1, 19) = 16.635, p < 0.001). However test-retest reliability was similar. The app froze or quit unexpectedly over 25% of times used. CONCLUSIONS: Audiometer apps have great potential for clinical settings, especially in resource scarce environments, but reliability should not be assumed. While a low cost-alternative to standard transducers, issues of accuracy and calibration of consumer headphones need to be addressed before such combinations can be used with confidence.
目的:在听力正常的有限样本参与者中,对一款使用商用耳机的iPad听力计应用程序进行重测信度和准确性的初步评估,作为临床听力计的低成本替代方案。 设计:20名自称听力正常的参与者在一次测试中进行了四项纯音听力测试。两项测试使用配备EAR插入式耳机的双通道1型听力计(GSI - 61)进行,另外两项测试使用基于iPad的应用程序(Audiogram Mobile)并搭配苹果耳塞式耳机进行。 研究样本:招募了20名听力正常的参与者(13名女性和7名男性,年龄在21 - 26岁之间)进行重测和准确性评估。 结果:该应用程序得出的阈值与听力计不同(F(1, 19) = 16.635,p < 0.001)。然而,重测信度相似。该应用程序在超过25%的使用次数中意外冻结或退出。 结论:听力计应用程序在临床环境中具有巨大潜力,尤其是在资源匮乏的环境中,但不应假定其可靠性。虽然是标准换能器的低成本替代方案,但在能够放心使用此类组合之前,需要解决消费级耳机的准确性和校准问题。
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