Accuracy and Reliability of Smartphone Self-Test Audiometry in Community Clinics in Low Income Settings : A Comparative Study
BACKGROUND: There is a lack of hearing health care globally, and tele-audiology and mobile technologies have been proposed as important strategies to reduce the shortfall.
OBJECTIVES: To investigate the accuracy and reliability of smartphone self-test audiometry in adults, in community clinics in low-income settings.
METHODS: A prospective, intra-individual, repeated measurements design was used. Sixty-three adult participants (mean age 52 years, range 20-88 years) were recruited from ENT and primary health care clinics in a low-income community in Tshwane, South Africa. Air conduction hearing thresholds for octave frequencies 0.5 to 8 kHz collected with the smartphone self-test in non-sound treated environments were compared to those obtained by reference audiometry.
RESULTS: The overall mean difference between threshold seeking methods (ie, smartphone thresholds subtracted from reference) was -2.2 dB HL (n = 467 thresholds, P = 0.00). Agreement was within 10 dB HL for 80.1% (n = 467 thresholds) of all threshold comparisons. Sensitivity for detection hearing loss >40 dB HL in one ear was 90.6% (n = 84 ears), and specificity 94.2% (n = 84 ears).
CONCLUSION: Smartphone self-test audiometry can provide accurate and reliable air conduction hearing thresholds for adults in community clinics in low-income settings.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:129 |
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| Enthalten in: |
The Annals of otology, rhinology, and laryngology - 129(2020), 6 vom: 07. Juni, Seite 578-584 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sandström, Josefin [VerfasserIn] |
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| Links: |
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| Themen: |
Audiometry |
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| Anmerkungen: |
Date Completed 26.05.2020 Date Revised 14.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/0003489420902162 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM305631578 |
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| 100 | 1 | |a Sandström, Josefin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Accuracy and Reliability of Smartphone Self-Test Audiometry in Community Clinics in Low Income Settings |b A Comparative Study |
| 264 | 1 | |c 2020 | |
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| 500 | |a Date Completed 26.05.2020 | ||
| 500 | |a Date Revised 14.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: There is a lack of hearing health care globally, and tele-audiology and mobile technologies have been proposed as important strategies to reduce the shortfall | ||
| 520 | |a OBJECTIVES: To investigate the accuracy and reliability of smartphone self-test audiometry in adults, in community clinics in low-income settings | ||
| 520 | |a METHODS: A prospective, intra-individual, repeated measurements design was used. Sixty-three adult participants (mean age 52 years, range 20-88 years) were recruited from ENT and primary health care clinics in a low-income community in Tshwane, South Africa. Air conduction hearing thresholds for octave frequencies 0.5 to 8 kHz collected with the smartphone self-test in non-sound treated environments were compared to those obtained by reference audiometry | ||
| 520 | |a RESULTS: The overall mean difference between threshold seeking methods (ie, smartphone thresholds subtracted from reference) was -2.2 dB HL (n = 467 thresholds, P = 0.00). Agreement was within 10 dB HL for 80.1% (n = 467 thresholds) of all threshold comparisons. Sensitivity for detection hearing loss >40 dB HL in one ear was 90.6% (n = 84 ears), and specificity 94.2% (n = 84 ears) | ||
| 520 | |a CONCLUSION: Smartphone self-test audiometry can provide accurate and reliable air conduction hearing thresholds for adults in community clinics in low-income settings | ||
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| 650 | 4 | |a global health | |
| 650 | 4 | |a hearing loss | |
| 650 | 4 | |a mHealth | |
| 650 | 4 | |a smartphone | |
| 650 | 4 | |a telemedicine | |
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| 700 | 1 | |a Laurent, Claude |e verfasserin |4 aut | |
| 700 | 1 | |a Umefjord, Göran |e verfasserin |4 aut | |
| 700 | 1 | |a Lundberg, Thorbjörn |e verfasserin |4 aut | |
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