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Related Experiment Video

Updated: Feb 3, 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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A Tablet-Based Mobile Hearing Screening System for Preschoolers: Design and Validation Study.

Kwanchanok Yimtae1, Pasin Israsena2, Panida Thanawirattananit1

  • 1Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

JMIR Mhealth and Uhealth
|October 26, 2018
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Summary

A new tablet-based system offers rapid hearing screening for young children, showing good accuracy and significantly reducing screening time compared to traditional methods. This technology is promising for accessible pediatric hearing assessments.

Keywords:
hearing losshearing screeningmobile healthspeech audiometry

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Area of Science:

  • Pediatric audiology
  • Mobile health technology
  • Speech and language development

Background:

  • Early childhood hearing is crucial for speech and language acquisition.
  • Mass hearing screenings are conducted after newborn tests, particularly at preschool age.
  • Low-resource settings require innovative, accessible tools like mobile technology for effective screening.

Purpose of the Study:

  • To develop a cost-effective, tablet-based system for rapid hearing screening.
  • To implement a minimal speech recognition level test using mobile technology.
  • To create an accessible tool for preschool-aged children's hearing assessment.

Main Methods:

  • Developed an Android-based application for hearing screening.
  • Validated word sets and calibrated speech power levels for the app.
  • Recruited 122 children (4-5 years) for development and 63 for version 2 testing, comparing results to conventional audiometry.

Main Results:

  • Version 2 demonstrated 76.67% sensitivity and 95.83% specificity for mild hearing loss.
  • Screening time averaged 150.52 seconds, significantly faster than conventional play audiometry (11.79 minutes).
  • The system proved effective for rapid, mobile hearing screening in young children.

Conclusions:

  • Tablet-based systems show potential for rapid, mobile hearing screening.
  • The developed system exhibits good overall sensitivity and specificity.
  • The concept is adaptable for multilingual applications and broader implementation.