An Evidence-Based Systematic Review on the Diagnostic Accuracy of Hearing Screening Instruments for Preschool- and School-Age Children

Prieve, Beth A.; Schooling, Tracy; Venediktov, Rebecca; Franceschini, Nicole

doi:10.1044/2015_aja-14-0065

Cited by 51 publications

(54 citation statements)

References 37 publications

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“…An evidence-based literature review of eight studies for pure-tone screening tests for children reported sensitivities of 0.12% – 97% and specificities of 0.5% – 99%. Definitions of hearing loss, response criteria and technologies used varied between the eight studies reported (Prieve, Schooling, Venediktov, & Franceschini, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Assessing the efficacy of asynchronous telehealth-based hearing screening and diagnostic services using automated audiometry in a rural South African school

Govender

Mars

2018

SAJCD

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BackgroundAsynchronous automated telehealth-based hearing screening and diagnostic testing can be used within the rural school context to identify and confirm hearing loss.ObjectiveThe aims of the study were to evaluate the efficacy of an asynchronous telehealth-based service delivery model using automated technology for screening and diagnostic testing as well as to describe the prevalence, type and degree of hearing loss.MethodA comparative within-subject design was used. Frequency distributions, sensitivity, specificity scores as well as the positive and negative predictive values were calculated. Testing was conducted in a non-sound-treated classroom within a school environment on 73 participants (146 ears). The sensitivity and specificity rates were 65.2% and 100%, respectively. Diagnostic accuracy was 91.7% and the negative predictive values (NPV) and positive predictive values (PPV) were 93.8% and 100%, respectively.ResultsResults revealed that 23 ears of 20 participants (16%) presented with hearing loss. Twelve per cent of ears presented with unilateral hearing impairment and 4% with bilateral hearing loss. Mild hearing loss was identified as most prevalent (8% of ears). Eight ears obtained false-negative results and presented with mild low- to mid-frequency hearing loss. The sensitivity rate for the study was low and was attributed to plausible reasons relating to test accuracy, child-related variables and mild low-frequency sensory-neural hearing loss.ConclusionThe study demonstrates that asynchronous telehealth-based automated hearing testing within the school context can be used to facilitate early identification of hearing loss; however, further research and development into protocol formulation, ongoing device monitoring and facilitator training is required to improve test sensitivity and ensure accuracy of results.

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Section: Discussionmentioning

confidence: 99%

Assessing the efficacy of asynchronous telehealth-based hearing screening and diagnostic services using automated audiometry in a rural South African school

Govender

Mars

2018

SAJCD

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“…39-41 Prieve et al 42 conducted a systematic review on the diagnostic accuracy of hearing screening instruments for preschool and school-aged children. The findings of the study revealed that pure-tone audiometry screening has a high sensitivity and is considered the preferred tool when compared to other tests such as otoaccoustic emissions.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the outcomes of a hearing screening service for grade one learners in urban areas at Durban, South Africa

Govender

Latiff

Asmal

et al. 2016

J Public Health Africa

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Early intervention through hearing screening can reduce the negative impact of hearing loss for children. Optimal outcomes are achieved when an appropriate screening protocol is selected, a pathway for follow up care is established, and when a hearing conservation component is included. This study aimed to describe the outcomes of a hearing screening service provided to grade one learners in urban areas at Durban. A cross-sectional design was employed. Learners (n=241) were conveniently sampled from six randomly selected schools. They were screened using otoscopy, tympanometry and pure tone audiometry. Fifty eight participants (24%) obtained a refer result, with 33% referred for diagnostic assessments, 29% for middle ear pathology and 38% for cerumen management. Findings further revealed that only 33% of referrals were followed up indicating poor compliance. Association between test results and income levels (P=0.38) as well as distance to the nearest health care facility (P=0.22) did not influence test outcomes. School aged children do present with common ear problems. Appropriate protocol selection, ensuring compliance to recommendations and education on hearing conservation are essential components of any health initiative.

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“…Hearing: All participants were screened through an otoacoustic emissions (OAE) hearing test (validated as a tool for screening for hearing loss) 13 . Participants who failed this test in both ears or for whom a reading could not be taken underwent…”

Section: Screening For Other Impairmentsmentioning

confidence: 99%

Prevalence and Causes of Visual Impairment in Fundong District, North West Cameroon: Results of a Population-Based Survey

Oye¹,

Mactaggart

Polack

et al. 2017

Ophthalmic Epidemiology

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An Evidence-Based Systematic Review on the Diagnostic Accuracy of Hearing Screening Instruments for Preschool- and School-Age Children

Cited by 51 publications

References 37 publications

Assessing the efficacy of asynchronous telehealth-based hearing screening and diagnostic services using automated audiometry in a rural South African school

Assessing the efficacy of asynchronous telehealth-based hearing screening and diagnostic services using automated audiometry in a rural South African school

Evaluating the outcomes of a hearing screening service for grade one learners in urban areas at Durban, South Africa

Prevalence and Causes of Visual Impairment in Fundong District, North West Cameroon: Results of a Population-Based Survey

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