Comparison of Pure Tone, Dichotic Digit Test and Speech in Noise in Persian Language Using a Mobile-Based Approach (Shenava® application) with the Audiometer Device: Protocol of the Randomized Controlled Trial

Firoozeh Khordastan, Jila Afsharmanesh, Maryam Amizadeh, Afshin Sarafi Nejad
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Abstract

Introduction: The global prevalence of hearing loss is around 5 percent in low to middle-income countries. The main purpose of this study is validating a mobile-based Pure Tone Audiometry (PTA), Dichotic Digit Test (DDT) and Speech in Noise (SIN) hearing tests for hearing loss screening purposes in Persian people comparing with routine audiometry exam results.

Material and Methods: This is a single blind randomized controlled trial for comparing a mobile application for hearing screening exams. We designed and standardized PTA, DDT and SIN tests for Persian people and settled them into a specific developed mobile application called “Shenava®”. In the audiology clinic, we will recruit at least 100 healthy adult participants, 50 for the case and 50 for the control group. The first group will pass “Shenava®” and standard test respectively and the other group will pass the tests vice versa to prevent order bias.

Results: The results of the tests performed by “Shenava®” and audiometry exam will be analyzed to ensure the accuracy and validity of the” Shenava®” in comparison with standard audiometric exam results.

Conclution: Hearing tests are costly even for time and money and need a lot of efforts for audiologists and the patients. By designing a mobile app for hearing tests, we hope to be able to make diagnostic screening easier for hearing loss, and relying on the diagnostic value of this tool, it may encourage the patients to have a better follow up and effective treatment plan.


Keywords

Hearing Tests; Hearing Loss; Mobile Application; Smartphone; Clinical Informatics

References

World Health Organization. Prevention of blindness and deafness: Estimates [Internet]. 2018 [cited: 1 Jun 2020]. Available from: https://www.who.int/pbd/deafness/estimates/en/

Asghari A, Farhadi M, Daneshi A, Khabazkhoob M, Mohazzab Torabi S, Jalessi M, et al. The prevalence of hearing impairment by age and gender in a population-based study. Iran J Public Health. 2017; 46(9): 1237-46. PMID: 29026790

Cruickshanks KJ, Dhar S, Dinces E, Fifer RC, Gonzalez F, Heiss G, et al. Hearing impairment prevalence and associated risk factors in the Hispanic community health study/Study of Latinos. JAMA Otolaryngol Neck Surg. 2015; 141(7): 641–8. PMID: 26021283 DOI: 10.1001/jamaoto.2015.0889

Béria JU, Raymann BCW, Gigante LP, Figueiredo ACL, Jotz G, Roithman R, et al. Hearing impairment and socioeconomic factors: A population-based survey of an urban locality in southern Brazil. Rev Panam Salud Pública. 2007; 21(6): 381–7. PMID: 17761050 DOI: 10.1590/s1020-49892007000500006

Liu C, Bu XK, Xing GQ, Zhou L, Xu X, Wang DY, et al. Epidemiologic study on hearing impairment and ear diseases in old people. Zhonghua er bi yan hou tou jing wai ke za zhi (Chinese J Otorhinolaryngol head neck Surg). 2006; 41(9): 661–4. PMID: 17111805

Khandekar R, Al-Riyami A, Attiya M, Morsi M. Prevalence and determinants of blindness, low vision, deafness and major bone fractures among elderly Omani population of Nizwa Wilayat (Nizwa elderly population study–2005). Indian J Ophthalmol. 2010; 58(4): 313-9. PMID: 20534922 DOI: 10.4103/0301-4738.64143

Chia E-M, Wang JJ, Rochtchina E, Cumming RR, Newall P, Mitchell P. Hearing impairment and health-related quality of life: The Blue Mountains hearing study. Ear Hear. 2007; 28(2): 187-95. PMID: 17496670 DOI: 10.1097/AUD.0b013e31803126b6

World Health Organization. Promoting ear and hearing care through CBR community-based rehabilitation [Internet]. 2012 [cited: 12 Jun 2020]. Available from: http://www.who.int/about/licensing/copyright_form/en/index.html

Amiri M, Ghoochani Z, Haghighizadeh MH, Nilehchi Z. Neonatal hearing screening program in Ahvaz, southern Iran. Audiology. 2013; 22(4): 69-77.

Saki N, Bayat A, Hoseinabadi R, Nikakhlagh S, Karimi M, Dashti R. Universal newborn hearing screening in southwestern Iran. Int J Pediatr Otorhinolaryngol. 2017; 97: 89–92. PMID: 28483258 DOI: 10.1016/j.ijporl.2017.03.038

Lotfi Y, Movallali G. A universal newborn hearing screening in Iran. Iranian Rehabilitation Journal. 2007; 5(5): 8-11.

Abu-Ghanem S, Handzel O, Ness L, Ben-Artzi-Blima M, Fait-Ghelbendorf K, Himmelfarb M. Smartphone-based audiometric test for screening hearing loss in the elderly. Eur Arch Otorhinolaryngol. 2016; 273(2): 333-9. PMID: 25655259 DOI: 10.1007/s00405-015-3533-9

Gopinath B, Schneider J, McMahon CM, Teber E, Leeder SR, Mitchell P. Severity of age-related hearing loss is associated with impaired activities of daily living. Age Ageing. 2011;41(2):195–200. PMID: 22130560 DOI: 10.1093/ageing/afr155

Lin FR. Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci. 2011; 66(10): 1131-6. PMID: 21768501 DOI: 10.1093/gerona/glr115

World Health Organization. Deafness and hearing loss [Internet]. 2014 [cited: 10 Jun 2020; updated: 1 Mar 2020]. Available from: http://www.who.int/mediacentre/factsheets/fs300/en/

Chadha S. Increasing community awareness of ear and hearing health. Community Ear and Hearing Health. 2013; 10(13): 167-71.

Statista. Number of smartphone users worldwide 2014-2020 [Internet]. 2017 [cited: 13 Oct 2017]. Available from: https://www.statista.com/statistics/330695/number-of-smartphone-users-worldwide/

Statista. Number of mobile phone users worldwide 2013-2019 [Internet]. 2016 [cited: 13 Oct 2017]. Available from: https://www.statista.com/statistics/274774/forecast-of-mobile-phone-users-worldwide/

Szudek J, Ostevik A, Dziegielewski P, Robinson-Anagor J, Gomaa N, Hodgetts B, et al. Can uHear me now? Validation of an iPod-based hearing loss screening test. J Otolaryngol Head Neck Surg. 2012; 41(Suppl 1): S78-84. PMID: 22569055

Peer S, Fagan JJ. Hearing loss in the developing world: Evaluating the iPhone mobile device as a screening tool. S Afr Med J. 2015; 105(1): 35-9. PMID: 26046161 DOI: 10.7196/samj.8338

Yousuf Hussein S, Wet Swanepoel D, Biagio de Jager L, Myburgh HC, Eikelboom RH, Hugo J. Smartphone hearing screening in mHealth assisted community-based primary care. J Telemed Telecare. 2016; 22(7): 405-12. PMID: 26468215 DOI: 10.1177/1357633X15610721

Van Tasell DJ, Folkeard P. Reliability and accuracy of a method of adjustment for self-measurement of auditory thresholds. Otol Neurotol. 2013; 34(1): 9-15. PMID: 23202154 DOI: 10.1097/MAO.0b013e318278c05d

Foulad A, Bui P, Djalilian H. Automated audiometry using Apple iOS-based application technology. Otolaryngol Head Neck Surg. 2013; 149(5): 700-6. PMID: 23963611 DOI: 10.1177/0194599813501461

French NR, Steinberg JC. Factors governing the intelligibility of speech sounds. J Acoust Soc Am. 1947; 19(1): 90-119.

Katz J, Chasin M, English K, Hood LJ, Tillery KL. Handbook of clinical audiology. 7th Ed. LWW; 2014.

Jerger J, Musiek F. Report of the consensus conference on the diagnosis of auditory processing. J Am Acad Audiol. 2000; 11(9): 467-74. PMID: 11057730

Taylor B. Speech-in-noise tests: How and why to include them in your basic test battery. Hear J. 2003; 56(1): 40-2.




DOI: https://doi.org/10.30699/fhi.v9i1.247

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