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Smartphone-based audiometric test for screening hearing loss in the elderly.

Sara Abu-Ghanem1, Ophir Handzel2,3, Lior Ness1

  • 1Department of Otolaryngology Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|February 7, 2015
PubMed
Summary

Smartphone hearing tests offer accessible screening for elderly hearing loss. While not perfectly precise, the app demonstrated high sensitivity for identifying potential issues, making it a valuable tool for early detection.

Keywords:
AudiometryElderlyHearing lossMobile applicationsScreening

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Area of Science:

  • Gerontology
  • Audiology
  • Digital Health

Background:

  • Hearing loss is a prevalent condition in older adults, significantly impacting quality of life.
  • Early identification of correctable hearing loss is crucial for effective rehabilitation.
  • Traditional hearing assessments can be inaccessible for many elderly individuals.

Purpose of the Study:

  • To evaluate the efficacy of a smartphone application as a screening tool for hearing loss in individuals aged 65 years and older.
  • To compare the accuracy of smartphone-based hearing tests with standard pure-tone audiometry.
  • To assess the correlation between smartphone hearing test results and self-reported hearing status.

Main Methods:

  • Twenty-six participants aged 84.4 ± 6.73 years underwent hearing tests using both a smartphone application (uHear) and a standard portable audiometer.
  • Pure-tone thresholds were measured and compared between the two modalities.
  • Participants completed a hearing-related questionnaire to correlate subjective and objective findings.

Main Results:

  • The smartphone application showed higher pure-tone thresholds (indicating poorer hearing) than the audiometer, with significant differences across most frequencies.
  • The application and audiometer results agreed for 92% of subjects.
  • The smartphone application achieved 100% sensitivity and 60% specificity for hearing loss screening compared to the audiometer.

Conclusions:

  • Smartphone hearing applications are valuable, accessible tools for screening hearing loss in elderly populations.
  • Despite some discrepancies with audiometry, the high sensitivity of smartphone tests aids in identifying individuals needing further audiological evaluation.
  • Self-reported hearing questionnaires were less accurate than smartphone-based screening for this demographic.