2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
10/13/2017 | 10:30 AM - 11:30 AM | Early detection of auditory changes in MDR TB – Validity of extended high frequency audiometry with a smartphone application | East Ballroom at Shalala Student Services Building
Early detection of auditory changes in MDR TB – Validity of extended high frequency audiometry with a smartphone application
Background:
The extended high frequency range is essential in monitoring ototoxicity. With the rising prevalence of MDR-TB in Sub-Saharan Africa, as well as globally, there is a need to reach these patients. Therefore, smartphone-based extended high frequency audiometry with automated testing has the potential to provide affordable access to audiometry for patients at risk of ototoxicity in underserved contexts.
Purpose:
To validate the extended high frequencies for the threshold version of the validated smartphone application (hearScreenTM) with calibrated headphones.
Research Design:
A repeated-measures within-subject design was used whereby air conduction thresholds (8– 16 kHz) were determined by conventional audiometry and compared to smartphone-based audiometry using audiometric headphones (Sennheiser HDA 300 circumaural headphones) and non-audiometric headphones (Sennheiser HD202 supra-aural headphones).
Study Sample:
A total of 61 participants (122 ears) were included in the final analysis. Of these, 24 were adults with known exposure to ototoxic medications (mean age = 36.8 yr, SD = 14.2; 52% male, 48% female), and 37 were adolescents (mean age = 17.6 yr, SD = 3.2; 24% male, 76% female).
Data Analysis:
Threshold comparisons were made between conventional audiometry and smartphone-based audiometry with audiometric headphones and non-audiometric headphones. The paired samples t test were used for comparison of threshold correspondence between conventional and smartphone thresholds.
Results:
Conventional thresholds exceeding 10 dBHL corresponded with 83% of smartphone thresholds with standard audiometric headphones, and 84% of smartphone thresholds with non-standard audiometric headphones, within 10 dB or less. There was no significant difference between conventional audiometry and smartphone-based audiometry using standard audiometric headphones. There was no significant difference between conventional audiometry and smartphone-based audiometry using non-standard audiometric headphones except at 10 kHz (p < 0.05).
Conclusions:
The hearTest application with calibrated audiometric headphones and non-audiometric headphones, except at 10 kHz, provides a cost-effective option to determine valid air-conduction extended high frequency thresholds.
- To investigate the validity of smartphone-based audiometry
- To determine the accuracy of testing with standard audiometric headphones and non-standard audiometric headphones
- To determine the test-retest reliability of testing with standard audiometric headphones and non-standard audiometric headphones
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Transcripts:
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Presenters/Authors
Martelle Bornman
(), University of Pretoria, mart.bornman@gmail.com;
ASHA DISCLOSURE:
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Nonfinancial -
De Wet Swanepoel
(), University of Pretoria, Pretoria , South Africa; Ear Sciences Centre, School of Surgery , The University of Western Australia, Nedlands , Australia; Ear Science Institute Australia , Subiaco , Australia; Callier Center for Communication Disorders , University of Texas at Dallas , USA, dewet.swanepoel@up.ac.za;
De Wet Swanepoel is professor in audiology at the University of Pretoria, South Africa and a senior research fellow at the Ear Science Institute Australia with adjunct positions at the University of Texas at Dallas and the University of Western Australia. He has published more than 100 peer-reviewed articles, books and book chapters and has received numerous awards in recognition of his work. His research capitalises on the growth in information and communication technologies to explore, develop and evaluate innovative solutions to improve access to ear and hearing health care. He is lead inventor of the award winning and patented hearScreenTM smartphone hearing test. Prof Swanepoel also serves as associate editor for the International Journal of Audiology, as president-elect for the International Society of Audiology and as co-chair for the telehealth task force of the American Academy of Audiology.
ASHA DISCLOSURE:
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Nonfinancial -
Robert Eikelboom
(), University of Pretoria, Pretoria , South Africa; Ear Sciences Centre, School of Surgery , The University of Western Australia, Nedlands , Australia; Ear Science Institute Australia , Subiaco , Australia., rob.eikelboom@uwa.edu;
Adj Prof Rob Eikelboom is a bio-engineer who has been involved in medical research for 20 years. His primary interests is in telehealth as a tool to improve the access of people in rural and remote areas to medical specialists. He has led the development of AurisView, telehealth software that collates, stores and manages telehealth data. It is currently in use in a number of centres in Australia. He was recently awarded a $515,000 grant to develop a hearing loss prevention programme for users of personal music players, such as iPods. His research and clinical interests are telehealth and telemedicine, computer aided diagnosis, remote area primary health, hearing loss prevention.
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Leigh Biagio de Jager
(), Department of Speech Language Pathology and Audiology, University of Pretoria, South Africa, leigh.biagio@up.ac.za;
Leigh Biagio de Jager obtained her B.Communication Pathology in 1997, M.Communication Pathology degree Cum Laude in 2009 and D.Phil Communication Pathology in 2015. Apart from three years spent as a paediatric audiological scientist in United Kingdom, Leigh has been in private audiological practice in South Africa for 17 years. Leigh is currently employed at the Department of Speech-Language Therapy and Audiology at the University of Pretoria for the past 2 years. Her research area is auditory electrophysiology, intraoperative monitoring of CN VIII and hearing telehealth.
ASHA DISCLOSURE:
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Nonfinancial -