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Tablet-based tele-audiometry: Automated hearing screening for schoolchildren
Alessandra G Samelli1, Camila M Rabelo1, Seisse G Gandolfi Sanches1
1School of Medicine, University of São Paulo (FMUSP), Brazil.
Journal of Telemedicine and Telecare
|October 2, 2018
Summary
Tablet-based tele-audiometry offers a valuable, automated hearing screening solution for schoolchildren. This method demonstrated high diagnostic values, improving tele-audiology service delivery for pediatric hearing assessments.
Area of Science:
- Audiology
- Public Health
- Digital Health
Background:
- Hearing loss affects a significant portion of schoolchildren.
- Traditional hearing screening methods can be resource-intensive and less accessible.
- Tele-audiometry presents a potential solution for remote and efficient hearing assessments.
Purpose of the Study:
- To evaluate the performance of a tablet-based tele-audiometry system for automated hearing screening in children.
- To compare the diagnostic accuracy of this tablet-based method against conventional audiometry and other screening approaches.
Main Methods:
- 244 schoolchildren underwent tablet-based screening and gold-standard pure-tone audiometry.
- Acoustic immittance measurements were also performed.
- Sensitivity, specificity, predictive values, and accuracy were calculated for various screening configurations.
Main Results:
- Mild to moderate conductive hearing loss was identified in 9.43% of children.
- The tablet-based screening method, particularly when including 500 Hz, showed the highest diagnostic values.
- Performance metrics varied across different screening approaches, with the series approach also showing promise.
Conclusions:
- The tablet-based automated hearing screening application is a valuable tool for schoolchildren.
- This technology has the potential to enhance asynchronous tele-audiology service delivery.
- The proposed screening protocol can improve early detection and management of hearing impairments in pediatric populations.
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