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Related Concept Videos

Hearing01:31

Hearing

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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Related Experiment Video

Updated: Apr 16, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Identifying a context-effective school hearing screening test: An emic/etic framework.

Tracey-Lee Cloete1, Wayne J Wilson, Lucretia Petersen

  • 1* Department of Health and Rehabilitation Sciences, Division of Communication Sciences and Disorders, University of Cape Town , South Africa.

International Journal of Audiology
|March 14, 2015
PubMed
Summary
This summary is machine-generated.

Distortion product otoacoustic emissions (DPOAEs) show promise for primary school hearing screening in the Western Cape. However, current sensitivity requires improvement for effective implementation in schools.

Keywords:
School hearing screeningcontext-effectivecontextual relevanceemic/etic frameworkotoacoustic emissions

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Area of Science:

  • Audiology
  • Public Health
  • Pediatrics

Background:

  • Effective hearing screening is crucial for early identification of hearing loss in primary school children.
  • Context-specific test selection is vital for successful implementation in diverse educational settings.

Purpose of the Study:

  • To identify a context-effective hearing screening test for primary schools in the Western Cape, South Africa.
  • To utilize an emic-etic framework for selecting an appropriate hearing screening tool.

Main Methods:

  • A sequential mixed methods design was employed.
  • Key test properties were identified through stakeholder input.
  • Distortion product otoacoustic emissions (DPOAEs) were selected and assessed for feasibility and sensitivity.

Main Results:

  • Distortion product otoacoustic emissions (DPOAEs) emerged as the most promising test for hearing screening in this context.
  • School nurses successfully administered OAE testing.
  • The sensitivity of DPOAE testing for detecting hearing loss in grade-one children was 57.14%.

Conclusions:

  • Current sensitivity of DPOAE testing is insufficient for widespread use as a context-effective screening tool in Western Cape primary schools.
  • Collaborative program planning, guided by an emic-etic framework, is essential for ensuring the contextual appropriateness of screening interventions.