Extended High-Frequency Smartphone Audiometry: Validity and Reliability

Bornman, M.S.; Swanepoel, De Wet; Jager, Leigh Biagio–de; Eikelboom, Robert H.

doi:10.3766/jaaa.17111

Cited by 12 publications

(41 citation statements)

References 44 publications

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“…Extended high-frequency assessment using a smartphone has also been demonstrated. 64 Automating the interpretation may also be useful to screen straightforward audiograms from more complex cases, to triage urgent from nonurgent cases, and may also avoid the variations that occur within and between audiologists. 65…”

Section: Assessmentmentioning

confidence: 99%

Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives

et al. 2023

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There are many examples of remote technologies that are clinically effective and provide numerous benefits to adults with hearing loss. Despite this, the uptake of remote technologies for hearing healthcare has been both low and slow until the onset of the COVID-19 pandemic, which has been a key driver for change globally. The time is now right to take advantage of the many benefits that remote technologies offer, through clinical, consumer, or hybrid services and channels. These include greater access and choice, better interactivity and engagement, and tailoring of technologies to individual needs, leading to clients who are better informed, enabled, and empowered to self-manage their hearing loss. This article provides an overview of the clinical research evidence-base across a range of remote technologies along the hearing health journey. This includes qualitative, as well as quantitative, methods to ensure the end-users' voice is at the core of the research, thereby promoting person-centered principles. Most of these remote technologies are available and some are already in use, albeit not widespread. Finally, whenever new technologies or processes are implemented into services, be they clinical, hybrid, or consumer, careful consideration needs to be given to the required behavior change of the key people (e.g., clients and service providers) to facilitate and optimize implementation.

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Section: Assessmentmentioning

confidence: 99%

Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives

et al. 2023

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“…Swanepoel et al [27,47,53,[71][72][73][74][75] It is a smartphone-based automated hearing test applicable in low-resource environments. HearTest g Swanepoel et al [28,52,54,[76][77][78][79][80] It is an approach that is applicable to the initial evaluation of patients with sudden sensorineural hearing loss before a standard audiogram is available. Uhear Szudek et al [42,81,82] Method of adjustment and the Hughson-Westlake method embedded in automated audiometry can be considered equivalent in accuracy to conventional audiometry.…”

Section: Kuduwavementioning

confidence: 99%

Digital Approaches to Automated and Machine Learning Assessments of Hearing: Scoping Review

Wasmann¹,

Pragt²,

Eikelboom³

et al. 2022

J Med Internet Res

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Background Hearing loss affects 1 in 5 people worldwide and is estimated to affect 1 in 4 by 2050. Treatment relies on the accurate diagnosis of hearing loss; however, this first step is out of reach for >80% of those affected. Increasingly automated approaches are being developed for self-administered digital hearing assessments without the direct involvement of professionals. Objective This study aims to provide an overview of digital approaches in automated and machine learning assessments of hearing using pure-tone audiometry and to focus on the aspects related to accuracy, reliability, and time efficiency. This review is an extension of a 2013 systematic review. Methods A search across the electronic databases of PubMed, IEEE, and Web of Science was conducted to identify relevant reports from the peer-reviewed literature. Key information about each report’s scope and details was collected to assess the commonalities among the approaches. Results A total of 56 reports from 2012 to June 2021 were included. From this selection, 27 unique automated approaches were identified. Machine learning approaches require fewer trials than conventional threshold-seeking approaches, and personal digital devices make assessments more affordable and accessible. Validity can be enhanced using digital technologies for quality surveillance, including noise monitoring and detecting inconclusive results. Conclusions In the past 10 years, an increasing number of automated approaches have reported similar accuracy, reliability, and time efficiency as manual hearing assessments. New developments, including machine learning approaches, offer features, versatility, and cost-effectiveness beyond manual audiometry. Used within identified limitations, automated assessments using digital devices can support task-shifting, self-care, telehealth, and clinical care pathways.

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“…There have been significant advances in point of care testing and mobile health technologies in hearing assessment (Garinis et al, 2021), which should be considered for ototoxicity monitoring in South Africa. In particular, the use of smartphone technology with automated EHF audiometry hearing assessment applications and cloud-based capabilities for integrated data management should be considered for community-based ototoxicity monitoring (Bornman, Swanepoel, De Jager, & Eikelboom, 2019;Eksteen et al, 2019;WHO, 2021b;Yousuf Hussein, Swanepoel, Mahomed, & Biagio de Jager, 2018).…”

Section: Description Of Hearing Lossmentioning

confidence: 99%

A longitudinal community-based ototoxicity monitoring programme and treatment effects for drug-resistant tuberculosis treatment, Western Cape

Stevenson

Jager

Graham

et al. 2022

South African Journal of Communication Disorders

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Background: South Africa has a high burden of drug-resistant tuberculosis (DRTB) and until recently, ototoxic aminoglycosides were predominant in treatment regimens. Community-based ototoxicity monitoring programmes (OMPs) have been implemented for early detection of hearing loss and increased patient access.Objectives: A longitudinal study was conducted to describe the service delivery characteristics of a community-based OMP for DRTB patients facilitated by CHWs as well as observed ototoxic hearing loss in this population.Method: A descriptive retrospective record review of longitudinal ototoxicity monitoring of 194 DRTB patients undergoing treatment at community-based clinics in the city of Cape Town between 2013 and 2017.Results: Follow-up rates between consecutive monitoring assessments reached as high as 80.6% for patients assessed by CHWs. Few patients (14.2% – 32.6%) were assessed with the regularity (≥ 6 assessments) and frequency required for effective ototoxicity monitoring, with assessments conducted, on average, every 53.4–64.3 days. Following DRTB treatment, 51.5% of patients presented with a significant ototoxic shift meeting one or more of the American Speech-Language-Hearing Association (ASHA) criteria. Deterioration in hearing thresholds was bilateral and most pronounced at high frequencies (4 kHz – 8 kHz). The presence of pre-existing hearing loss, human immunodeficiency virus co-infection and a history of noise exposure were significant predictors of ototoxicity in patients.Conclusion: DRTB treatment with kanamycin resulted in significant deterioration of hearing longitudinally, predominantly at high frequencies. With ongoing training and supportive supervision, CHWs can facilitate community-based ototoxicity monitoring of DRTB patients. Current protocols and guidelines may require reassessment for appropriate community-based ototoxicity monitoring.

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Extended High-Frequency Smartphone Audiometry: Validity and Reliability

Cited by 12 publications

References 44 publications

Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives

Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives

Digital Approaches to Automated and Machine Learning Assessments of Hearing: Scoping Review

A longitudinal community-based ototoxicity monitoring programme and treatment effects for drug-resistant tuberculosis treatment, Western Cape

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