Evaluation of a game-based hearing screening program for identifying hearing loss in primary school-aged children

To evaluate a tablet-based hearing screening game in primary school aged children. To examine the prevalence of middle/outer ear pathology, hearing loss and spatial processing disorder in primary school aged children. The automated hearing test Sound Scouts was used as a screening tool, which measur...

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Bibliographic Details
Published in:International journal of audiology 2023-06, Vol.62 (6), p.512-520
Main Authors: Bowers, Patrick, Graydon, Kelley, Rance, Gary
Format: Article
Language:English
Subjects:
Acoustic Impedance Tests
Adolescent
Audiometry, Pure-Tone
Child
Child, Preschool
Deafness
Hearing
Hearing Loss - diagnosis
Hearing Loss - epidemiology
Humans
mobile audiometry
School hearing screening
spatial processing disorder
Speech Perception
tele-audiology/tele-health
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Summary:To evaluate a tablet-based hearing screening game in primary school aged children. To examine the prevalence of middle/outer ear pathology, hearing loss and spatial processing disorder in primary school aged children. The automated hearing test Sound Scouts was used as a screening tool, which measures hearing abnormalities through tests of speech-in-quiet/noise and tone-in-noise. Children who failed the screenings underwent follow up testing with pure tone audiometry, tympanometry, otoscopy, and the Listening in Spatialised Noise-Sentences test. Results of each test were compared to measure efficacy. 1256 children aged 4-13 years from 8 primary schools. 111 children (8.84%) presented with evidence of middle/outer ear pathologies. 21 children (1.67%) had hearing loss in at least one ear. 30 children (2.52%) were diagnosed with spatial processing disorder. False positive rate was 5.01%, indicating that a relatively small proportion of the children who failed the screenings were subsequently shown to have normal auditory function. A game based program testing sound detection and binaural speech processing can be effective in detecting undiagnosed hearing deficits, in large format school-based hearing screenings. Prevalence of hearing abnormalities in Victorian primary school aged children were established, highlighting the value of school hearing screening programs.
ISSN:1499-2027
1708-8186
DOI:10.1080/14992027.2022.2052981