Abstract:Agroup of 28 research partners joined the EU-funded project HearCom with the overall aim to improve hearing communication. One of the main achievements has been the provision of advanced hearing screening tests by telephone and Internet. Next to that it wasaimed to harmonize hearing diagnostic tests for European languages. Forthis the concept of an Auditory Profile wasdefined on which anumber of diagnostic hearing tests were developed in several languages. As hearing problems are also aresult of adverse acoust… Show more
“…This research was part of the European project HearCom (Hearing in the Communication Society, Vlaming et al, 2011). Materials of several of the tests from the preliminary auditory profi le are available from the HearCom website (www.hearcom.eu): Matrix sentence frameworks in the four languages, examples of words and non-words from the lexical decision-making test for the four languages, and the Gothenburg profi le questionnaire in the four languages.…”
The auditory profile forms a clinical test battery that is applicable in four different languages. Even after baseline correction, differences between test materials have to be taken into account when interpreting results of language-dependent tests in HI listeners.
“…This research was part of the European project HearCom (Hearing in the Communication Society, Vlaming et al, 2011). Materials of several of the tests from the preliminary auditory profi le are available from the HearCom website (www.hearcom.eu): Matrix sentence frameworks in the four languages, examples of words and non-words from the lexical decision-making test for the four languages, and the Gothenburg profi le questionnaire in the four languages.…”
The auditory profile forms a clinical test battery that is applicable in four different languages. Even after baseline correction, differences between test materials have to be taken into account when interpreting results of language-dependent tests in HI listeners.
“…There has been a surge of interest in speech recognition testing in large-scale screening for clinical audiological services in the UK and Europe, Australia and the US (Meyers et al 2011; Vlaming et al 2011; Watson et al 2012). Despite this interest and an extensive body of lab-based research in speech recognition, very little population-based research has been reported.…”
Objective
To report population-based prevalence of hearing impairment based on speech recognition in noise testing in a large and inclusive sample of UK adults aged 40 to 69 years. The present study is the first to report such data. Prevalence of tinnitus and use of hearing aids is also reported.
Design
The research was conducted using the UK Biobank resource. The better-ear unaided speech reception threshold was measured adaptively using the Digit Triplet Test (n = 164,770). Self-report data on tinnitus, hearing aid use, noise exposure as well as demographic variables were collected.
Results
Overall, 10.7% of adults (95%CI 10.5–10.9%) had significant hearing impairment. Prevalence of tinnitus was 16.9% (95%CI 16.6–17.1%) and hearing aid use was 2.0% (95%CI 1.9–2.1%). Odds of hearing impairment increased with age, with a history of work- and music-related noise exposure, for lower socioeconomic background and for ethnic minority backgrounds. Males were at no higher risk of hearing impairment than females.
Conclusion
Around 1 in 10 adults aged 40 to 69 years have substantial hearing impairment. The reasons for excess risk of hearing impairment particularly for those from low socioeconomic and ethnic minority backgrounds require identification, as this represents a serious health inequality. The underutilization of hearing aids has altered little since the 1980s, and is a major cause for concern.
“…Although self-report measures have been used in parallel with previous online screening studies, like the HearCom project,9 self-reported hearing problems have not been measured in most studies. One exception is the study by Nachtegaal et al ,10 who used both data from a speech-in-noise test and questionnaires about the need for recovery after work and psychological work characteristics.…”
ObjectivesFor the last decade a host of different projects have been launched to allow persons who are concerned about their hearing status to quickly and at a low cost test their hearing ability. Most often, this is carried out without collecting complementary information that could be correlated with hearing impairment. In this two-part study we first, present the development and validation of a novel Internet-based hearing test, and second, report on the associations between this test and phonological representation, quality of life and self-reported hearing difficulties.DesignCross-sectional study.SettingAn opportunity sample of participants was recruited at the Stockholm central station for the first study. All parts of the second study were conducted via the Internet, with testing and self-report forms adapted for online use.ParticipantsThe first part of the study was carried out in direct contact with the participants, and participants from the second study were recruited by means of advertisements in newspapers and on webpages. The only exclusion criterion was that participants had to be over 18 years old. Most participants were between 60 and 69 years old. There were almost an equal number of men and women (total n=316).Outcome measures48 participants failed the Internet-based hearing screening test. The group failing the test reported more problems on the Amsterdam Inventory of Auditory Disability. In addition, they were found to have diminished phonological representational skills. However, no difference in quality of life was found.ConclusionsAlmost one in five participants was in need of contacting their local hearing clinic. This group had more complaints regarding tinnitus and hyperacusis, rated their own hearing as worse than those who passed, and had a poorer capability of generating accurate phonological representations. This study suggests that it is feasible to screen for hearing status online, and obtain valid data.
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