Accuracy of affordable instruments for hearing screening in adults and the elderly
To evaluate the accuracy of affordable instruments for hearing screening of adults and the elderly. This study was carried out with users of a Hearing Health Service of the Unified Health System. All were screened with the MoBASA smartphone application, the Telehealth audiometer (TH) and the electro...
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| Veröffentlicht in: | CoDAS (São Paulo) 2021, Vol.33 (5), p.e20200100-e20200100 |
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| creator | Balen, Sheila Andreoli Vital, Bianca Stephany Barbosa Pereira, Rhadimylla Nágila Lima, Taise Ferreira de Barros, Daniele Montenegro da Silva Lopez, Esteban Alejandro Diniz Junior, Jose Valentim, Ricardo Alexsandro de Medeiros Ferrari, Deborah Viviane |
| description | To evaluate the accuracy of affordable instruments for hearing screening of adults and the elderly.
This study was carried out with users of a Hearing Health Service of the Unified Health System. All were screened with the MoBASA smartphone application, the Telehealth audiometer (TH) and the electronic version of the Hearing Handicap Inventory for the Elderly - screening version - eHHIE-S. The examiners were blinded to the results of the screening tests and pure tone audiometry (PTA). Hearing impairment was considered for those with a PTA quadritonal mean greater than 40 dB in the best ear. Sensitivity, specificity and positive and negative predictive values (PPV and NPV, respectively) were calculated. The Kappa index was used as an agreement indicator between the PTA and the screening results.
The sample consisted of 80 individuals between 18 and 94 years old (55.18 ± 20.21). In the PTA test, 21 individuals (26.25%) had typical hearing and 59 (73.75%) hearing loss. In the hearing screening tests, sensitivity, specificity, PPV and NPV values greater than 75% were observed with the MoBASA as well as in terms of sensitivity and NPV of the TH and the eHHIE-S. The TH and the eHHIE-S specificity and PPV were less than 75%. The Kappa index indicated a substantial agreement (0.6) between the PTA and the MoBASA screening results. The TH and the eHHIE-S showed regular agreement (0.3).
MoBASA proved to be an accurate method for hearing screening of adults and the elderly with disabling hearing loss. |
| doi_str_mv | 10.1590/2317-1782/20202020100 |
| format | Article |
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This study was carried out with users of a Hearing Health Service of the Unified Health System. All were screened with the MoBASA smartphone application, the Telehealth audiometer (TH) and the electronic version of the Hearing Handicap Inventory for the Elderly - screening version - eHHIE-S. The examiners were blinded to the results of the screening tests and pure tone audiometry (PTA). Hearing impairment was considered for those with a PTA quadritonal mean greater than 40 dB in the best ear. Sensitivity, specificity and positive and negative predictive values (PPV and NPV, respectively) were calculated. The Kappa index was used as an agreement indicator between the PTA and the screening results.
The sample consisted of 80 individuals between 18 and 94 years old (55.18 ± 20.21). In the PTA test, 21 individuals (26.25%) had typical hearing and 59 (73.75%) hearing loss. In the hearing screening tests, sensitivity, specificity, PPV and NPV values greater than 75% were observed with the MoBASA as well as in terms of sensitivity and NPV of the TH and the eHHIE-S. The TH and the eHHIE-S specificity and PPV were less than 75%. The Kappa index indicated a substantial agreement (0.6) between the PTA and the MoBASA screening results. The TH and the eHHIE-S showed regular agreement (0.3).
MoBASA proved to be an accurate method for hearing screening of adults and the elderly with disabling hearing loss.</description><identifier>EISSN: 2317-1782</identifier><identifier>DOI: 10.1590/2317-1782/20202020100</identifier><identifier>PMID: 34231667</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Audiometry, Pure-Tone ; Deafness ; Hearing ; Hearing Loss - diagnosis ; Humans ; Mass Screening ; Middle Aged ; Young Adult</subject><ispartof>CoDAS (São Paulo), 2021, Vol.33 (5), p.e20200100-e20200100</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-8204-9104 ; 0000-0003-1353-4362 ; 0000-0002-2327-945X ; 0000-0001-5037-1545 ; 0000-0002-6582-2115 ; 0000-0002-9216-8593 ; 0000-0001-9772-9794 ; 0000-0001-9128-4421 ; 0000-0002-8993-2220</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34231667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balen, Sheila Andreoli</creatorcontrib><creatorcontrib>Vital, Bianca Stephany Barbosa</creatorcontrib><creatorcontrib>Pereira, Rhadimylla Nágila</creatorcontrib><creatorcontrib>Lima, Taise Ferreira de</creatorcontrib><creatorcontrib>Barros, Daniele Montenegro da Silva</creatorcontrib><creatorcontrib>Lopez, Esteban Alejandro</creatorcontrib><creatorcontrib>Diniz Junior, Jose</creatorcontrib><creatorcontrib>Valentim, Ricardo Alexsandro de Medeiros</creatorcontrib><creatorcontrib>Ferrari, Deborah Viviane</creatorcontrib><title>Accuracy of affordable instruments for hearing screening in adults and the elderly</title><title>CoDAS (São Paulo)</title><addtitle>Codas</addtitle><description>To evaluate the accuracy of affordable instruments for hearing screening of adults and the elderly.
This study was carried out with users of a Hearing Health Service of the Unified Health System. All were screened with the MoBASA smartphone application, the Telehealth audiometer (TH) and the electronic version of the Hearing Handicap Inventory for the Elderly - screening version - eHHIE-S. The examiners were blinded to the results of the screening tests and pure tone audiometry (PTA). Hearing impairment was considered for those with a PTA quadritonal mean greater than 40 dB in the best ear. Sensitivity, specificity and positive and negative predictive values (PPV and NPV, respectively) were calculated. The Kappa index was used as an agreement indicator between the PTA and the screening results.
The sample consisted of 80 individuals between 18 and 94 years old (55.18 ± 20.21). In the PTA test, 21 individuals (26.25%) had typical hearing and 59 (73.75%) hearing loss. In the hearing screening tests, sensitivity, specificity, PPV and NPV values greater than 75% were observed with the MoBASA as well as in terms of sensitivity and NPV of the TH and the eHHIE-S. The TH and the eHHIE-S specificity and PPV were less than 75%. The Kappa index indicated a substantial agreement (0.6) between the PTA and the MoBASA screening results. The TH and the eHHIE-S showed regular agreement (0.3).
MoBASA proved to be an accurate method for hearing screening of adults and the elderly with disabling hearing loss.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Audiometry, Pure-Tone</subject><subject>Deafness</subject><subject>Hearing</subject><subject>Hearing Loss - diagnosis</subject><subject>Humans</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Young Adult</subject><issn>2317-1782</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLw0AUhQdBbKn9Ccos3cTOK69lKb6gIIiuw-3kXhuZTOJMssi_N9Iqd3Eu3zmcxWHsRop7mZZio7TME5kXaqPE6aQQF2z5zxdsHeOXEEJKlWojrthCm9nNsnzJ3rbWjgHsxDviQNSFGg4OeePjEMYW_RD5DPkRITT-k0cbEP3v13gO9ehmH3zNhyNydDUGN12zSwIXcX3WFft4fHjfPSf716eX3Xaf9ErKIVGEaIsCCpXmCqkgCxogy9JSlkZrqRRaIpXNmFDojIhSk5cWapMbYwq9Ynen3j503yPGoWqbaNE58NiNsVKpKZXQRpdz9PYcHQ8t1lUfmhbCVP3toH8AhrZfjA</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Balen, Sheila Andreoli</creator><creator>Vital, Bianca Stephany Barbosa</creator><creator>Pereira, Rhadimylla Nágila</creator><creator>Lima, Taise Ferreira de</creator><creator>Barros, Daniele Montenegro da Silva</creator><creator>Lopez, Esteban Alejandro</creator><creator>Diniz Junior, Jose</creator><creator>Valentim, Ricardo Alexsandro de Medeiros</creator><creator>Ferrari, Deborah Viviane</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8204-9104</orcidid><orcidid>https://orcid.org/0000-0003-1353-4362</orcidid><orcidid>https://orcid.org/0000-0002-2327-945X</orcidid><orcidid>https://orcid.org/0000-0001-5037-1545</orcidid><orcidid>https://orcid.org/0000-0002-6582-2115</orcidid><orcidid>https://orcid.org/0000-0002-9216-8593</orcidid><orcidid>https://orcid.org/0000-0001-9772-9794</orcidid><orcidid>https://orcid.org/0000-0001-9128-4421</orcidid><orcidid>https://orcid.org/0000-0002-8993-2220</orcidid></search><sort><creationdate>2021</creationdate><title>Accuracy of affordable instruments for hearing screening in adults and the elderly</title><author>Balen, Sheila Andreoli ; Vital, Bianca Stephany Barbosa ; Pereira, Rhadimylla Nágila ; Lima, Taise Ferreira de ; Barros, Daniele Montenegro da Silva ; Lopez, Esteban Alejandro ; Diniz Junior, Jose ; Valentim, Ricardo Alexsandro de Medeiros ; Ferrari, Deborah Viviane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-2feec88a82572ef8fca3aa665919433122ecff26ca3fe036fff5479cad4744483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Audiometry, Pure-Tone</topic><topic>Deafness</topic><topic>Hearing</topic><topic>Hearing Loss - diagnosis</topic><topic>Humans</topic><topic>Mass Screening</topic><topic>Middle Aged</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balen, Sheila Andreoli</creatorcontrib><creatorcontrib>Vital, Bianca Stephany Barbosa</creatorcontrib><creatorcontrib>Pereira, Rhadimylla Nágila</creatorcontrib><creatorcontrib>Lima, Taise Ferreira de</creatorcontrib><creatorcontrib>Barros, Daniele Montenegro da Silva</creatorcontrib><creatorcontrib>Lopez, Esteban Alejandro</creatorcontrib><creatorcontrib>Diniz Junior, Jose</creatorcontrib><creatorcontrib>Valentim, Ricardo Alexsandro de Medeiros</creatorcontrib><creatorcontrib>Ferrari, Deborah Viviane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>CoDAS (São Paulo)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balen, Sheila Andreoli</au><au>Vital, Bianca Stephany Barbosa</au><au>Pereira, Rhadimylla Nágila</au><au>Lima, Taise Ferreira de</au><au>Barros, Daniele Montenegro da Silva</au><au>Lopez, Esteban Alejandro</au><au>Diniz Junior, Jose</au><au>Valentim, Ricardo Alexsandro de Medeiros</au><au>Ferrari, Deborah Viviane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of affordable instruments for hearing screening in adults and the elderly</atitle><jtitle>CoDAS (São Paulo)</jtitle><addtitle>Codas</addtitle><date>2021</date><risdate>2021</risdate><volume>33</volume><issue>5</issue><spage>e20200100</spage><epage>e20200100</epage><pages>e20200100-e20200100</pages><eissn>2317-1782</eissn><abstract>To evaluate the accuracy of affordable instruments for hearing screening of adults and the elderly.
This study was carried out with users of a Hearing Health Service of the Unified Health System. All were screened with the MoBASA smartphone application, the Telehealth audiometer (TH) and the electronic version of the Hearing Handicap Inventory for the Elderly - screening version - eHHIE-S. The examiners were blinded to the results of the screening tests and pure tone audiometry (PTA). Hearing impairment was considered for those with a PTA quadritonal mean greater than 40 dB in the best ear. Sensitivity, specificity and positive and negative predictive values (PPV and NPV, respectively) were calculated. The Kappa index was used as an agreement indicator between the PTA and the screening results.
The sample consisted of 80 individuals between 18 and 94 years old (55.18 ± 20.21). In the PTA test, 21 individuals (26.25%) had typical hearing and 59 (73.75%) hearing loss. In the hearing screening tests, sensitivity, specificity, PPV and NPV values greater than 75% were observed with the MoBASA as well as in terms of sensitivity and NPV of the TH and the eHHIE-S. The TH and the eHHIE-S specificity and PPV were less than 75%. The Kappa index indicated a substantial agreement (0.6) between the PTA and the MoBASA screening results. The TH and the eHHIE-S showed regular agreement (0.3).
MoBASA proved to be an accurate method for hearing screening of adults and the elderly with disabling hearing loss.</abstract><cop>Brazil</cop><pmid>34231667</pmid><doi>10.1590/2317-1782/20202020100</doi><orcidid>https://orcid.org/0000-0001-8204-9104</orcidid><orcidid>https://orcid.org/0000-0003-1353-4362</orcidid><orcidid>https://orcid.org/0000-0002-2327-945X</orcidid><orcidid>https://orcid.org/0000-0001-5037-1545</orcidid><orcidid>https://orcid.org/0000-0002-6582-2115</orcidid><orcidid>https://orcid.org/0000-0002-9216-8593</orcidid><orcidid>https://orcid.org/0000-0001-9772-9794</orcidid><orcidid>https://orcid.org/0000-0001-9128-4421</orcidid><orcidid>https://orcid.org/0000-0002-8993-2220</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | CoDAS (São Paulo), 2021, Vol.33 (5), p.e20200100-e20200100 |
| issn | 2317-1782 |
| language | eng ; por |
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| source | MEDLINE; DOAJ Directory of Open Access Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Audiometry, Pure-Tone Deafness Hearing Hearing Loss - diagnosis Humans Mass Screening Middle Aged Young Adult |
| title | Accuracy of affordable instruments for hearing screening in adults and the elderly |
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