Département ORL&CMF, CHU et Université de Montpellier, Montpellier, France.
Institut des Neurosciences de Montpellier - INSERM U1298, Montpellier, France.
Int J Audiol. 2024 Aug;63(8):639-647. doi: 10.1080/14992027.2023.2260950. Epub 2023 Sep 28.
This study evaluated the diagnostic performances of a tablet-based hearing screening test by assisted-test and self-test modes.
DESIGN/METHOD: Measurements were performed with the SoTone tests in normal hearing and hearing-impaired adult participants using an Android tablet and calibrated Bluetooth headphones. The duration of assisted- and self-test modes were compared. Receiver operating characteristic (ROC) curves were plotted after calculations of sensitivity and specificity at 20, 30, and 35 dB HL cut-off values.
217 participants performed the tests. The effect of test mode (assisted versus self) was compared in a sample of 103 participants.
Self-test duration (89 s) was significantly longer than the assisted-test duration (75 s) ( = 0.003, Wilcoxon test). For the 20, 30, and 35 dB HL cut-off values, sensitivity was between 92% and 96%, and specificity was between 79 and 90%. Concordance of results between assisted-test and self-test modes was excellent (Cohen's kappa = 0.81, < 0.001).
The SoTone hearing screening test is accurate for identifying the presence of a suspected hearing loss at 20 dB HL or more in adults. It can be used either in assisted-test or self-test modes.
本研究评估了基于平板电脑的听力筛查测试的诊断性能，包括辅助测试和自我测试模式。
设计/方法：使用 Android 平板电脑和经过校准的蓝牙耳机，在正常听力和听力受损的成年参与者中进行 SoTone 测试。比较了辅助测试和自我测试模式的时长。计算了 20、30 和 35dB HL 截止值下的灵敏度和特异性后，绘制了受试者工作特征（ROC）曲线。
217 名参与者完成了测试。在 103 名参与者的样本中比较了测试模式（辅助与自我）的效果。
自我测试的时长（89 秒）显著长于辅助测试的时长（75 秒）（ = 0.003，Wilcoxon 检验）。对于 20、30 和 35dB HL 截止值，灵敏度在 92%至 96%之间，特异性在 79%至 90%之间。辅助测试和自我测试模式之间的结果一致性非常好（Cohen's kappa = 0.81， < 0.001）。
SoTone 听力筛查测试可准确识别成年人 20dB HL 或更高的疑似听力损失。它可以用于辅助测试或自我测试模式。
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