Screening for hearing loss in the Hong Kong Cantonese-speaking elderly using tablet-based pure-tone and word-in-noise test

Chi Shan KAM, Christine Hiu Tung FU

Research output: Contribution to journalArticle

Abstract

Objective: The present study aimed to establish the test-retest reliability and validity of a tablet-based automated pure-tone screening test and a word-in-noise test as hearing screening tools for older Hong Kong Cantonese-speaking adults.
Design and study sample: It was a cross-sectional within-subject study. One hundred and thirty-two older adults participated in this study, and 112 of them completed the automated pure-tone screening test, word-in-noise test, and conventional pure-tone audiometry. Pure-tone threshold of 40 dB HL at each of the tested frequencies including 500, 1000, 2000 and 4000 Hz, obtained with conventional pure-tone audiometry was set as the pass/refer criterion, for the calculation of sensitivity and specificity of the tablet-based screening tools.
Results: The tablet-based automated pure-tone screening test yielded a sensitivity of 0.93 and specificity of 0.82, while the word-in-noise test yielded a sensitivity of 0.81 and specificity of 0.70 with the cut-off chosen as a speech reception threshold of −3.5 dB signal-to-noise ratio. Both tests require around 3 minutes to be completed on both ears.
Conclusions: The tablet-based pure-tone test and word-in-noise test are reliable and valid to be used as screening tools for hearing loss in the Hong Kong Cantonese-speaking elderly. Copyright © 2019 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society.
Original languageEnglish
Pages (from-to)301-309
JournalInternational Journal of Audiology
Volume59
Issue number4
Early online date03 Dec 2019
DOIs
Publication statusPublished - 2020

Citation

Kam, A. C. S., & Fu, C. H. T. (2020). Screening for hearing loss in the Hong Kong Cantonese-speaking elderly using tablet-based pure-tone and word-in-noise test. International Journal of Audiology, 59(4), 301-309. doi: 10.1080/14992027.2019.1696992

Keywords

  • Automated pure-tone screening
  • Word-in-noise test
  • Hearing loss in elderly
  • Cantonese

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