Journal of the American Academy of Audiology最新文献

{"title":"Hearing Aid Adoption Rates: Perceptions, Attitudes, and Influencing Factors of Prospective Hearing Aid Users.","authors":"Natalie Snyder, Anna Bixler, Karla Belcastro, Jacob B Hunter, Irina Linkov Middleton","doi":"10.3766/jaaa.240024","DOIUrl":"https://doi.org/10.3766/jaaa.240024","url":null,"abstract":"<p><p><b>Background:</b> Although approximately 80 percent of hearing loss cases are treatable with hearing aids (HAs), only one in four individuals who may benefit from them pursue them. Along with audiologists, physicians are integral parts of the hearing-health care team. Whether patients with hearing loss are more likely to pursue HA use based on the physician recommendation is unknown.<b>Purpose:</b> To investigate motivating factors and perceptions of prospective HA users, particularly the role of physician recommendations.<b>Research Design:</b> Patients 18 years and older who underwent an HA evaluation at our practice between January 2018 and December 2022 were identified. Patients were given a 17-question survey to assess their demographic characteristics and factors related to HA adoption via e-mail (<i>n</i> = 2,677) or as a physical copy (<i>n</i> = 487).<b>Study Sample:</b> Our sample (<i>n</i> = 321) included 182 female patients (57 percent) and 139 male patients (43 percent). Most patients identified as White/Caucasian (86 percent), followed by Black/African American (7 percent) and Hispanic/Latino (2 percent). Most patients were older adults (age 60 years and older), and 144 (45 percent) were older than 75 years.<b>Intervention:</b> We assessed the demographics and motivating factors related to HA adoption based on the results of the 17-question survey.<b>Data Collection and Analysis:</b> Data were analyzed using descriptive statistics, chi-square analyses, and multiple logistic regression. An <i>α</i> of 0.05 was set as the threshold of statistical significance.<b>Results:</b> Approximately 80 percent of participants adopted HAs after their evaluation. The most commonly selected factors that influenced their decision were cost, insurance coverage, and physician recommendation. Chi-square analyses were performed to compare these factors between patients who did and those who did not adopt HAs and yielded a significant difference (X² = 177.8; p < 0.0001). Patients' knowledge of multiple institutional locations that offer HAs (95 percent confidence interval [CI], 0.23-0.98; p = 0.045) and the office where they were evaluated (95 percent CI, 0.12-0.85; p = 0.019) were significant predictors of HA adoption.<b>Conclusions:</b> Our findings align with those of previous studies of motivating factors for HA adoption; however, with the addition of physician recommendation, our study showed higher HA adoption rates. These findings provide audiologists and physicians with insights regarding factors that impact HA adoption, which can help them develop a more individualized care plan during the initial evaluation.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency of Audiology Testing Among Individuals with Osteogenesis Imperfecta and Suggestions for Improving Audiogram Participation.","authors":"Holly LoTurco, Chloe Derocher, Su Htwe, Quincy Bianchi, Erin Carter, Neil Sperling, Kenneth Brookler, Cathleen Raggio","doi":"10.3766/jaaa.240063","DOIUrl":"10.3766/jaaa.240063","url":null,"abstract":"<p><p><b>Background:</b> Osteogenesis imperfecta (OI), characterized by brittle bones and frequent fractures, often manifests with earlier onset hearing loss compared with the general population.<b>Purpose:</b> This study aims to assess the frequency of audiology testing in OI individuals and evaluate a portable audiometry device to enhance audiogram participation.<b>Research Design:</b> This is a prospective observational study.<b>Study Sample:</b> Ninety-seven participants were prospectively enrolled.<b>Data Collection and Analysis:</b> Participants underwent a one-time audiology test using SHOEBOX Audiometry Pro with RadioEar DD450 circumaural headphones (Clearwater Clinical Limited, Ottawa, ON, Canada). Hearing loss was defined as having a pure tone threshold (PTT) of &#8805;25 dB at one or more tested frequencies.<b>Results:</b> Most participants (54/97) reported undergoing professional audiology testing less often than once every 2 years. The most common reported reason for infrequent testing was because patients did not perceive issues with their hearing, even if hearing loss was subsequently found during screening. Seventy-one percent (69/97) of participants had hearing loss (PTT &#8805; 25 dB) at one or more frequencies.<b>Conclusions:</b> Using a portable audiometry device in OI clinics could facilitate early hearing loss detection and improve follow-up care, enhancing quality of life.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Evoked Myogenic Potentials and Wideband Acoustic Immittance as Screening Tools for Large Vestibular Aqueduct Syndrome.","authors":"Kristen L Janky, Jessie N Patterson, Elizabeth A Kelly, Gabrielle R Merchant","doi":"10.3766/jaaa.240059","DOIUrl":"10.3766/jaaa.240059","url":null,"abstract":"<p><p><b>Background:</b> Large vestibular aqueduct syndrome (LVAS) is the most common inner ear malformation in children with hearing loss; however, imaging is required to determine the definitive diagnosis.<b>Purpose:</b> This study aimed to preliminarily determine the sensitivity and specificity of air-conducted and bone-conducted cervical vestibular evoked myogenic potentials (VEMPs) and ocular VEMPs and wideband acoustic immittance (WAI) as screening tools for LVAS and identify candidates for imaging.<b>Research Design:</b> This was a prospective observational study.<b>Study Sample:</b> The sample included 10 participants (17 ears) with LVAS and 15 control participants.<b>Intervention:</b> All participants completed cervical and ocular VEMP testing in response to air-conducted and bone-conducted stimuli and WAI testing.<b>Results:</b> Ears with LVAS had significantly higher air-conducted cervical and ocular VEMP amplitudes but reduced bone-conducted VEMP amplitudes. Because of this pattern reversal, air-conducted amplitudes were subtracted from bone-conducted amplitudes. This novel outcome was the best individual factor for differentiating ears of the control group from ears with LVAS and is a sensitive clinical indicator of LVAS, with 82 percent sensitivity and 80 percent specificity for cervical VEMP and 88 percent sensitivity and 80 percent specificity for ocular VEMP. Ears with LVAS exhibited significant differences in WAI absorbance of control ears at select low, mid, and high frequencies, and they also exhibited characteristic low-frequency peaks in individual responses that could be detected using an automated algorithm with moderate sensitivity (64 percent) and specificity (72 percent).<b>Conclusions:</b> This is the first report of the use of VEMP and WAI responses of individuals as screening tools for LVAS. VEMP and WAI could be used to determine which individuals are good candidates for radiographic imaging and decrease the time required to determine a diagnosis. The test results also demonstrated patterns that differed from those of other third window disorders. Therefore, important physiologic differences between LVAS and other third window disorders require further investigation.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal Electrode Configuration for Masseter Vestibular-Evoked Myogenic Potential: A Comparison Between Zygomatic and Forehead Electrode Montages.","authors":"Aishwarya Nagarajan, Sujeet Kumar Sinha","doi":"10.3766/jaaa.240100","DOIUrl":"10.3766/jaaa.240100","url":null,"abstract":"<p><p><b>Background:</b> The masseter vestibular-evoked myogenic potential (mVEMP) is a short-latency electromyographic potential that assesses the integrity of the vestibule&#8211;masseteric reflex pathway. Due to limited normative studies, there is no optimal mVEMP protocol to be implemented clinically. Apart from the conventional electrode configuration, a na&#239;ve montage referred to as the forehead reference has been used in recent studies.<b>Purpose:</b> This study compared latency and amplitude parameters of mVEMP between the zygomatic and forehead electrode configurations to address the optimal electrode montage to elicit mVEMP.<b>Research Design:</b> Cross-sectional research study.<b>Study Sample:</b> Thirty healthy participants (mean age: 23.3&#8201;years; 14 males and 16 females).<b>Data Collection and Analysis:</b> Participants underwent mVEMP testing under two-electrode montage conditions (zygomatic and forehead reference electrode montages).<b>Results:</b> Statistically significant increases in P1 latency, decrease in N1 latency, reduction of P1-N1 interpeak interval, enlargement of both unrectified and electromyography-rectified amplitudes, and lower interaural amplitude asymmetry ratio were observed for the forehead electrode montage compared to the conventional zygomatic montage.<b>Conclusions:</b> mVEMP response waveforms obtained using forehead reference electrode montage are superior to the zygomatic montage. Hence, the forehead montage is suggested for further research on mVEMP.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persian Pediatric Hyperacusis Questionnaire: Translation and Psychometric Evaluation in Children with and without Autism.","authors":"Farnaz Fathollahzadeh, Mahdi Azizi, Ahmadreza Nazeri, Navid Mirzakhani Araghi, Seyede Zohre Mousavi, Azadeh Borna, Salah Eddin Karimi","doi":"10.3766/jaaa.240047","DOIUrl":"https://doi.org/10.3766/jaaa.240047","url":null,"abstract":"<p><p><b>Background:</b> Hyperacusis is an auditory perception disorder causing decreased sound tolerance to everyday sounds. Children with autism often exhibit symptoms of hyperacusis. This comorbidity can significantly impact the adaptability and social development of the children.<b>Purpose:</b> This study's objectives were to translate and psychometrically evaluate the Persian Pediatric Hyperacusis Questionnaire (P-HQ-P) and the prevalence determination of hyperacusis among children with or without autism.<b>Study Sample:</b> The study was conducted by assigning 60 parents of children diagnosed with level 1 autism spectrum disorder (ASD) and 30 parents of typical children to the ASD group and control group, respectively.<b>Data Collection and Analysis:</b> In the first stage, the Pediatric Hyperacusis Questionnaire (P-HQ) was translated into Persian, and in the second stage, its reliability and validity were assessed by the classical test theory methods. The P-HQ-P results were compared with the Persian Sensory Profile 2 (SP2-P).<b>Results:</b> The P-HQ-P demonstrated acceptable validity and reliability, with content validity ratio > 0.99, content validity index > 0.92, face validity > 0.90, cross-cultural validity > 0.94, α = 0.8, and intraclass correlation coefficient = 0.85. Spearman's rank correlation coefficient showed a strong correlation (r = 0.83) between the P-HQ-P score and a group of seven items from SP2-P. There was not a statistically significant difference in hyperacusis between genders.<b>Conclusions:</b> The psychometric properties of the P-HQ-P were found to be acceptable, which made it suitable for clinical and research usage. The prevalence of hyperacusis was reported at 27.8 percent of the total sample and 38.3 percent in the ASD group. Our findings suggest the need for further research on hyperacusis in the Iranian pediatric population.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effects of Two Different Types of Chirp Stimuli on Auditory Brainstem Response in Young Adults.","authors":"Ozgenur Gavgali, Burak Ozturk","doi":"10.3766/jaaa.230114","DOIUrl":"10.3766/jaaa.230114","url":null,"abstract":"<p><p><b>Background:</b> The chirp stimulus is a type of stimulus designed to neutralize the lack of temporal synchronization in the cochlea caused by progressive wave delay. The CE-Chirp® stimulus is a modified form of the chirp stimulus that allows for better neural synchronization and the recording of larger amplitude responses.<b>Purpose:</b> This study compared wave V latencies and amplitudes of CE-Chirp and chirp stimuli in auditory evoked brainstem responses (ABRs).<b>Research Design:</b> This was a cross-sectional analytical research study.<b>Study Sample:</b> Data of 25 healthy individuals (15 female and 10 male individuals) between 20 and 26 years of age (22.84 ± 1.81 years) were included.<b>Data Collection and Analysis:</b> Pure-tone audiometry, tympanometry, chirp ABR, and CE-Chirp ABR tests were applied. Chirp (broadband [BB] chirp [BB-chirp] and narrowband [NB] chirp [NB-chirp]) and CE-Chirp ABRs were evaluated at 20, 40, 60, and 80 decibels for normal hearing level (dBnHL) at BB and NB frequencies (1,000, 2,000, and 4,000 Hz).<b>Results:</b> The BB frequency evaluation showed a significant difference between the BB-chirp stimulus and CE-Chirp stimulus in terms of latency (p = 0.01 at 20, 40, 60, and 80 dBnHL), but no significant difference in amplitude (p > 0.05 at 20, 40, 60, and 80 dBnHL). The comparison of the NB-chirp stimulus and CE-Chirp stimulus showed that CE-Chirp stimulus latencies were significantly shorter than chirp stimulus latencies when a high stimulus intensity was applied at NB frequencies.<b>Conclusions:</b> A comparison of chirp and CE-Chirp stimuli revealed a significant difference in latency at BB frequencies, but different results were observed at NB frequencies. Amplitude comparisons of stimuli revealed different findings at different frequencies and different stimulus intensities. Additional research is necessary to determine the latency and amplitude differences between chirp and CE-Chirp stimuli.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different Attention Domains and Speech-in-Noise Performance: A Preliminary Study.","authors":"Payton Guinn, Ishara Ramkissoon, Mark Hedrick, Dania Rishiq","doi":"10.3766/jaaa.230043","DOIUrl":"https://doi.org/10.3766/jaaa.230043","url":null,"abstract":"<p><p><b>Purpose:</b> The primary aim of this preliminary study was to explore the relationship between fiveattention domains, cognitive flexibility, and speech-in-noise (SIN) performance in both auditory-only(AO) and audiovisual (AV) modalities.<br /><b>Methods:</b> Ten younger and 10 middle-aged adult participants who had standard pure-tone averagesno greater than 15 dB HL completed the following three behavioral measures. The Multimodal LexicalSentence Test for Adults (Kirk et al, 2012) was used to evaluate speech-in-noise performance in AOand AV modalities. Two lists of 12 sentences were presented at a fixed 0-dB signal-to-noise ratio foreach of the AO and AV conditions. The Attention Processing Training test (Sohlberg and Mateer,2005) was administered to each participant, presented bilaterally at 60 dB HL via insert earphones toassess five domains of attention: sustained attention (I), complex sustained attention (II), selectiveattention (III), divided attention (IV), and alternating attention (V). The Comprehensive Trail-MakingTest, Second Edition (Reynolds, 2019) was administered to assess participants' inhibitory control andcognitive flexibility, which are heavily influenced by attention.<br /><b>Results:</b> Correlation and regression analyses of these sample data indicated a significant link betweenalternating attention and SIN performance in the auditory modality in the younger adults. This link wasnot observed in middle-aged adults, nor for audiovisual SIN performance.<br /><b>Conclusions:</b> In this study sample, younger individuals with better alternating attention abilities wereable to better use contextual information to understand speech in noisy situations without visual contextsupport. The younger adults capitalized on their alternating attention capacities to improve their auditory-onlySIN performance, whereas the middle-aged adults did not demonstrate this ability despite similar(sometimes better) alternating attention scores. Alternating attention was not used in the AV modality ineither group, possibly due to the simultaneous demand of visual and auditory inputs.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid Evaluation of Pulsatile Tinnitus Using Ambient Pressure Tympanography: A Case Series.","authors":"Russell A Whitehead, Gabrielle Mascolo, Kara Houston, Elias Michaelides","doi":"10.3766/jaaa.240023","DOIUrl":"10.3766/jaaa.240023","url":null,"abstract":"<p><p><b>Background:</b> Pulsatile tinnitus (PT) is a form of tinnitus described as a rhythmic beating or whooshingin the ear or ears. Causes of PT can be quite variable and difficult to assess.<br /><b>Purpose:</b> Ambient pressure tympanography (APT) can aid in diagnosing the pathology of the temporalbone that may cause PT. APT measures compliance of the tympanic membrane (TM) over the span of15-60 s with ambient pressure in the ear canal. The reflex decay test protocol includes APT to measurechanges in admittance with a tonal stimulus. Using a contralateral reflex decay test setup withoutthe use of a contralateral stimulus (outside of the ear at 75 dB), any movement of the tympanic membranemay be considered internally produced.<br /><b>Research Design:</b> When a patient experiences tinnitus that is nonpulsatile, contralateral reflex decay testingwithout the stimulus tone should reveal a flat-line recording because there is no change in pressure orvolume of the middle ear space caused by the stimulus. When a patient experiences PT, the TM mayappear to be moving rhythmically secondary to pressure and volume changes in the middle ear space.<br /><b>Study Sample:</b> Three adult patients (age older than 18 years) who recently presented to an audiologyand otolaryngology clinic and reported PT symptoms were evaluated using APT.<br /><b>Intervention:</b> Interventions were not studied during this case series.<br /><b>Data Collection and Analysis:</b> GSI TympStar Pro Equipment measured TM movement over 15-s intervals.Contralateral reflex decay test settings were utilized with the contralateral stimulus reduced to 75 dB and keptoutside of the patient's ear canal to avoid stimulating the system. The measuring probe tip was inserted in thesymptomatic ear canal to maintain pressure and observe any internal movement in the middle ear.<br /><b>Results:</b> APT of our patient cohort revealed fluctuating changes in the middle ear cavity volume with arhythmic pattern that corresponded with the heartbeat. Imaging studies that were performed for eachpatient demonstrated the likely cause of PT.<br /><b>Conclusion:</b> APT is an efficient clinical tool used to evaluate PT. If a rhythmic change in admittancethat corresponds with the patient's heart rate is noted, then further imaging of the temporal bone todetermine possible causes may be warranted.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden Unilateral Hearing Loss and Acute Vestibular Syndrome: A 5-Year-Old Case with Labyrinthitis.","authors":"Ayşenur Aykul Yağcıoğlu, Görkem Ertuğrul","doi":"10.3766/jaaa.240035","DOIUrl":"https://doi.org/10.3766/jaaa.240035","url":null,"abstract":"<p><p><b>Background:</b> Labyrinthitis, an inner ear infection affecting the membranous labyrinth, typically presentswith symptoms such as dizziness, nausea, vomiting, tinnitus, and hearing loss. However, there is limitedepidemiological data on this condition.<br /><b>Purpose:</b> This case report presents the results of audiovestibular evaluation and vestibular rehabilitationregarding unilateral sudden hearing loss and acute vestibular syndrome caused by rare labyrinthitisin a pediatric patient.<br /><b>Research Design:</b> This is a case report.<br /><b>Study Sample:</b> The study sample included a 5-year-old girl with unilateral sudden hearing loss andacute vestibular syndrome.<br /><b>Results:</b> The patient with labyrinthitis, diagnosed early after comprehensive audiological and vestibularevaluation, benefited from medical treatment and vestibular rehabilitation.<br /><b>Conclusions:</b> This report objectively focuses on the importance of early medical treatment, regularaudiovestibular follow-up, and vestibular rehabilitation in a pediatric patient with labyrinthitis.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validating Smartphone-Based and Web-Based Applications for Remote Hearing Assessment.","authors":"Boaz Mui, De Wet Swanepoel, Vinaya Manchaiah, Jameel Muzaffar, Niranjan Bidargaddi, Giriraj Singh Shekhawat","doi":"10.3766/jaaa.240055","DOIUrl":"https://doi.org/10.3766/jaaa.240055","url":null,"abstract":"<p><p><b>Background:</b> High prevalence of hearing loss and its physical, mental, and social impacts when unaddressedunderscore a need for early identification. However, in-person hearing assessment may beinaccessible in certain countries and areas. As such, numerous smartphone-based and web-basedapplications (apps) have been developed to perform remote hearing assessment, and yet many ofthem remain unvalidated.<br /><b>Purpose:</b> The purpose of this study was to evaluate the performance, ecological validity, and usabilityof two freely available smartphone-based hearing assessment apps-Hearing Test (Android) and MimiHearing Test (iOS)-alongside a web-based app, MDHearing Aid.<br /><b>Research Design:</b> This is a cross-sectional validation study.<br /><b>Study Sample:</b> This study included 60 adults with hearing thresholds no greater than 20 dB HL or anydegree of sensorineural hearing loss.<br /><b>Data Collection and Analysis:</b> Participants completed standard audiometric testing followed byassessments using three apps in a controlled laboratory setting. The assessments were repeated byparticipants at home the subsequent day. The mHealth App Usability Questionnaire (MAUQ) wasadministered to evaluate the apps' usability. Performance metrics included sensitivity, specificity, accuracy,and test-retest reliability. Intraclass correlation coefficient (ICC) estimates were calculated tomeasure the apps' accuracy, test-retest reliability, and ecological validity.<br /><b>Results:</b> All apps had moderate to good sensitivity (0.67-1.00) and specificity (0.72-0.99). The HearingTest app showed poor accuracy at lower frequencies (ICC: 0.24-0.53) and moderate to good accuracy above 1000 Hz (ICC: 0.74-0.83). The Mimi Hearing Test showed poor accuracy at lower frequencies(ICC: 0.27-0.50) and moderate to good accuracy above 2000 Hz (ICC: 0.68-0.85). The web-basedMDHearing Aid test showed moderate to good accuracy across frequencies (ICC: 0.64-0.85). All appshad moderate to excellent test-retest reliability (ICC: 0.66-0.99) and showed poor ecological validity below500 Hz (ICC: 0.20-0.51) and moderate to excellent ecological validity above 1000 Hz (ICC: 0.54-0.95).Usability was rated highly across all apps, with MAUQ scores ranging from 5.4 to 5.9 out of 7.<br /><b>Conclusions:</b> The examined apps exhibit varied accuracy levels and generally reasonable sensitivity,specificity, test-retest reliability, ecological validity, and usability. With additional validation, the HearingTest app may be useful for hearing screening and monitoring in adults. There is a necessity for furtherresearch to unlock the examined apps' full clinical potential.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}