Department of Head and Neck Surgery,Kaiser Permanente, Union City, CA.
Department of Audiology, Kaiser Permanente, Union City, CA.
Perm J. 2021 May;25. doi: 10.7812/TPP/20.157.
OBJECTIVE: Conduct a comparison study between conventional audiometry and a tablet-based hearing screening application, Kids Hearing Game (KHG). If KHG measures hearing at levels comparable with conventional audiometry, it could be used to screen hearing in children. METHODS: Prospective equivalence study where measurements of pure tone hearing via KHG are compared with measurements of pure tone hearing via conventional audiometry in patients aged 6-11 years over a 4-month period. Eighteen patients completed the study. Results from 36 ears were included in the data for analysis. Decibel measurements from each frequency measured with KHG for each ear were compared with conventional audiometry. Mean measurements were calculated for each ear and frequency as well as mean differences in measurements at each ear and frequency. Tests of equivalence were used to assess mean within-subject differences in decibel measurements using a 10-dB zone of indifference. RESULTS: Mean decibel measurements using KHG for the right ear at 500, 1000, 2000, 4000, and 8000 Hz and the left ear at 1000, 2000, 4000, and 8000 Hz were found equivalent to conventional audiometry (p < 0.050). The mean decibel measurement using KHG for the left ear at 500 Hz was found not equivalent (p = 0.101). However, when left and right ear data were analyzed together, KHG was found to be equivalent to conventional audiometry across all frequencies. Eight patients having hearing loss greater than 25 dB on conventional audiometry were also identified by KHG to have hearing loss. CONCLUSION: KHG is comparable to conventional audiometry and may be used as a screening tool for children.
目的:对传统听力测试与基于平板电脑的听力筛查应用程序(Kids Hearing Game,KHG)进行对比研究。如果 KHG 能够在听力测试水平上与传统听力测试相媲美,那么它就可以用于儿童听力筛查。
方法:前瞻性等效性研究,在 4 个月的时间里,比较了 6-11 岁患者使用 KHG 进行的纯音听力测试和使用传统听力计进行的纯音听力测试的结果。18 名患者完成了这项研究。共有 36 只耳朵的结果纳入数据分析。将每个耳朵用 KHG 测量的每个频率的分贝测量值与传统听力计的测量值进行比较。计算每个耳朵和每个频率的平均测量值,以及每个耳朵和每个频率的测量值的平均差异。使用 10dB 的无关区间,对使用 KHG 进行的右耳 500、1000、2000、4000 和 8000Hz 以及左耳 1000、2000、4000 和 8000Hz 的平均分贝测量值进行了等效性测试。
结果:在 500Hz、1000Hz、2000Hz、4000Hz 和 8000Hz 的右耳和 1000Hz、2000Hz、4000Hz 和 8000Hz 的左耳,使用 KHG 进行的平均分贝测量值与传统听力计等效(p<0.050)。使用 KHG 进行的左耳 500Hz 的平均分贝测量值与传统听力计等效(p=0.101)。然而,当左右耳数据一起分析时,KHG 在所有频率上均与传统听力计等效。通过 KHG 还发现 8 名在传统听力测试中听力损失大于 25dB 的患者也有听力损失。
结论:KHG 与传统听力测试相当,可作为儿童的筛查工具。
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