Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion

Brown, Tamsin Holland; Salorio-Corbetto, Marina; Gray, R. F.; Best, Alexandra James; Marriage, Josephine

doi:10.1177/2331216519858303

Cited by 10 publications

(16 citation statements)

References 34 publications

(40 reference statements)

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“…Furthermore, there is the future possibility of using the app in conjunction with novel technologies such as bone-conducting headsets via Bluetooth, to further improve access and benefit for children with the most severe conductive hearing losses. 39 A considerable advantage to the use of mobile health apps is the ability to update and improve in line with best practice, at minimal additional cost or inconvenience to end users. Following increasing appreciation of these benefits, technology in the field of paediatric audiology is rapidly evolving and exciting new innovations have the potential to support and guide family-centred care within management pathways, as NICE advocates.…”

Section: Responsementioning

confidence: 99%

An evaluation of the Hear Glue Ear mobile application for children aged 2–8 years old with otitis media with effusion

Fordington

Brown

2020

DIGITAL HEALTH

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Objectives To evaluate the acceptability and usability of the Hear Glue Ear mobile application to guide families and support speech and language development in children with otitis media with effusion (OME). To assess the validity of the app’s game-based hearing test to estimate changes in hearing levels between audiology appointments. Method This evaluation examined 60 children aged 2–8 with and without OME, attending Cambridge Community Audiology clinics. Children’s performance in the app’s hearing test was compared to their pure tone average (PTA) obtained in clinic. Children and caregivers completed questionnaires after their first interaction with the app, and after one week of using it at home. 18 clinicians completed anonymous questionnaires after trialling the app. Results Results from the app’s hearing test show a significant correlation with clinic PTA values ([Formula: see text]). 73.1% of caregivers supported their child using the app regularly and 85% thought it enabled them to give more accurate reports to clinicians. After one week, 87.0% of families downloaded and used the app at home, and 85.7% of these felt it provided strategies to help their child. 100% of children liked the app and 93.3% found it easy to use. 77.8% of clinicians supported patients using the app regularly. Conclusions Hear Glue Ear is acceptable to children, caregivers and clinicians as part of OME management. The app’s hearing test provides a valid estimate of fluctuating hearing levels. Hear Glue Ear is a free, accessible and family-centred intervention to provide trusted information and support development, as NICE guidance recommends.

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Section: Responsementioning

confidence: 99%

An evaluation of the Hear Glue Ear mobile application for children aged 2–8 years old with otitis media with effusion

Fordington

Brown

2020

DIGITAL HEALTH

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“…3 Deafness at this time interferes with speech development, language, communication, auditory processing, self-esteem, socialisation, listening and learning. 4 The NICE guideline, "Otitis media with effusion in under 12s: surgery" suggests children with OME should have a period of "active observation" to see if OME resolves, before offering a grommet operation or hearing aid, and parents, "might like to ask" professionals, "Is there anything I can do to help my child while we wait"? 5 Practically this means wait and see if hearing impairment resolves.…”

Section: Introductionmentioning

confidence: 99%

“…3 Deafness at this time interferes with speech development, language, communication, auditory processing, self-esteem, socialisation, listening and learning. 4…”

Section: Introductionmentioning

confidence: 99%

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Management of conductive deafness from Otitis Media with Effusion (known as ‘glue ear’) in children using bone conduction headsets when grommet operations were unavailable during COVID-19

Brown

O’Connor

Bewick

et al. 2021

Preprint

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BackgroundOtitis Media with Effusion (OME) causing hearing impairments affects ∼1 in 10 children starting school in UK/ Europe. 80% have at least one episode with most having conductive hearing loss. Studies showed children with OME hear better with bone conducting headsets. During COVID-19 we investigated whether children with deafness secondary OME, without access to audiology or grommet surgery, could be aided with bone conduction kits and the HearGlueEar app.MethodsStarting July 2020, during COVID-19, children aged 3-11 years with OME and on a grommet waiting list were invited to a single arm, prospective study. They received the kit, instructions and HearGlueEar app by post. By 3 weeks parents were asked to charge and pair the devices, attend a remote consultation and complete an OMQ-14 questionnaire. Remote follow-up lasted 3 months. Outcomes: ability to use the equipment, complete the questionnaire about child’s hearing and behaviour before and with the equipment, declining grommet surgery or where deafness resolved, and give opinion about the intervention.Findings26 children enrolled. Families used the kit at home and school. Most found remote consultations positive and convenient. OMQ-14 responses were 90% positive. Comments were: “Other people have said, wow his speech is clearer.”, “It is making a real difference at home.”, “He said over and over again, “I can hear everybody, wow, wow, wow.”, “It is no exaggeration to say this has made an astronomical improvement to his quality of life”. One child reported “I can hear my best friend again”. “She is getting on really well with the headphones - pairing them with the iPad at home is simply brilliant.” Three families continued with the headset to avoid grommets.InterpretationPosting a bone conduction kit, HearGlueEar app and remote consultation is effective support for children with deafness secondary to OME.FundingNone

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“…Despite its temporary nature, it can cause long‐term results. About 70% of chronic patients experience mild to moderate, typically fluctuating hearing loss 5 . Although various factors have been suspected in OME aetiopathogenesis, the aetiology is not fully known.…”

Section: Introductionmentioning

confidence: 99%

Neutrophil‐lymphocyte and platelet‐lymphocyte ratios in otitis media with effusion in children: Diagnostic role and audiologic correlations

2020

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Aim To investigate the relationship between hearing loss and complete blood count parameters including neutrophil, lymphocyte, platelet (PLT), mean platelet volume (MPV), neutrophil‐lymphocyte ratio (NLR) and platelet‐lymphocyte ratio (PLR) in children with otitis media with effusion (OME). Materials‐Method The study group was formed by 244 paediatric patients who underwent ventilation tube placement because of OME, and was split into two groups as serous and mucoid. The control group included 112 individuals who have no hearing problems. Hearing levels were determined with pure tone audiometry in the study group, preoperatively, and control group. The blood parameters were compared between the serous, mucoid and control groups. The correlation analysis was performed between the blood parameters and hearing levels in the study group. The blood parameters were compared between the groups identified by hearing loss classification. Findings There were significant negative correlations between hearing levels and each of NLR, PLR and MPV. There were significant positive correlations between hearing levels and each of the lymphocyte and PLT. According to the receiver operating characteristic (ROC) curves, serous OME can be estimated with 68% sensitivity and 61% specificity by the NLR value more than 1.1, and 77% sensitivity and 77% specificity by the PLR value more than 102.4. The ROC curve revealed that slight hearing loss could be estimated with 70% sensitivity and 73% specificity by the NLR value more than 1.31, and 78% sensitivity and 77% specificity by the PLR value more than 102.4. Conclusion The present study revealed that NLR and PLR values were valuable parameters in the diagnosis of serous OME and predicting a hearing loss. These parameters may provide additional information to the audiogram that could influence the therapeutic decision.

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Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion

Cited by 10 publications

References 34 publications

An evaluation of the Hear Glue Ear mobile application for children aged 2–8 years old with otitis media with effusion

An evaluation of the Hear Glue Ear mobile application for children aged 2–8 years old with otitis media with effusion

Management of conductive deafness from Otitis Media with Effusion (known as ‘glue ear’) in children using bone conduction headsets when grommet operations were unavailable during COVID-19

Neutrophil‐lymphocyte and platelet‐lymphocyte ratios in otitis media with effusion in children: Diagnostic role and audiologic correlations

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