听力测试软件应用程序的性能,以检测听力损失
Meaghan Lunney1, Natasha Wiebe2, Tanis Howarth3
1Department of Medicine, University of Calgary, Calgary, Canada.
JAMA network open
|March 27, 2025
概括
听力测试应用程序 hearWHO 和 SHOEBOX 在诊断听力损失方面显示出有限的可靠性. SHOEBOX可能更适合特定查,而 hearWHO则更适合敏感查,但两者都不是高度可靠的.
科学领域:
- 听力学 听力学是指听力学.
- 数字健康数字健康
- 诊断的准确性 诊断的准确性
背景情况:
- 听力损失是影响生活质量的普遍情况.
- 正式的听力学评估是诊断的标准,但可能无法获得.
- 移动听力测试应用程序为查提供了一个潜在的替代方案.
研究的目的:
- 为了比较hearWHO和SHOEBOX应用程序的有效性和可靠性,以检测中度至严重的听力损失.
- 为了评估应用程序在检测不太严重的听力损失方面的表现.
- 评估用于听力损失检测的两个问卷 (RHHI-S和SISA) 的诊断准确性.
主要方法:
- 预期诊断准确性研究比较hearWHO和SHOEBOX应用程序与4频纯色调平均声学评估.
- 包括130名成年参与者被转介进行听力学评估.
- 对应用程序和问卷进行了测试复试可靠性,敏感性,特异性和预测值的测量.
主要成果:
- 两种应用都没有表现出高的测试重试可靠性 (κ < 0.80).
- 两个应用程序的第二次测量改善了诊断性能.
- SHOEBOX对中度至重度听力损失 (HL50) 的特异性更高,门不那么严格,而hearWHO对中度至重度听力损失的敏感性更高.
结论:
- hearWHO和SHOEBOX的测试可靠性有限,可能是由于学习效应.
- 应用程序可以作为敏感的查工具,用于识别需要听力学评估的个人.
- 如果应用程序不可用,可以根据所需的敏感性或特异性使用问卷 (RHHI-S,SISA).
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