dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Mngemane, Shadrack
|
|
dc.contributor.author |
Molemong, Silindile
|
|
dc.contributor.author |
Mkwanazi, Hilda
|
|
dc.contributor.author |
Tutshini, Sizwe
|
|
dc.date.accessioned |
2011-01-11T06:38:57Z |
|
dc.date.available |
2011-01-11T06:38:57Z |
|
dc.date.issued |
2010-06 |
|
dc.description.abstract |
OBJECTIVE : This study investigated the reliability, accuracy, and time
efficiency of automated hearing assessment using a computer-based telemedicine-compliant audiometer. MATERIALS AND METHODS : Thirty normal-hearing subjects and eight hearing-impaired subjects were
tested with pure-tone air conduction audiometry (125–8,000 Hz) in a manual and automated configuration in a counterbalanced manner. For the normal-hearing group each test was repeated to determine
test-retest reliability and recording time, and preference for threshold-seeking method (manual vs. automated) was documented.
RESULTS : Test-retest thresholds were not significantly different for manual and automated testing. Manual audiometry test-retest correspondence was 5 dB or less in 88% of thresholds compared to 91% for automated audiometry. Thresholds for automated audiometry did not differ significantly from manual audiometry with 87% of thresholds in the normal-hearing group and 97% in the hearingimpaired
group, corresponding within 5 dB or less of each other. The largest overall average absolute difference across frequencies was
3.6 – 3.9 dB for the normal-hearing group and 3.3 – 2.4 for the hearing-impaired group. Both techniques were equally time efficient in the normal-hearing population, and 63% of subjects preferred the automated threshold-seeking method. CONCLUSIONS : Automated audiometry provides reliable, accurate, and time-efficient hearing assessments for normal-hearing and hearing-impaired adults. Combined with an
asynchronous telehealth model it holds significant potential for reaching
underserved areas where hearing health professionals are unavailable. |
en |
dc.identifier.citation |
Swanepoel, DW, Mngemane, S, Molemong, S, Mkwanazi, H & Tutshini, S 2010, 'Hearing assessment - reliability, accuracy, and efficiency of automated audiometry', Telemedicine and e-Health, vol. 16, no. 5, pp. 557-563. [http://www.liebertpub.com/products/product.aspx?pid=54] |
en |
dc.identifier.issn |
1530-5627 |
|
dc.identifier.other |
10.1089=tmj.2009.0143 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/15606 |
|
dc.language.iso |
en |
en_US |
dc.publisher |
Mary Ann Liebert |
en_US |
dc.rights |
Mary Ann Liebert. This is a copy of an article published in the Telemedicine and e-Health, © 2010 Mary Ann Liebert, Inc. Telemedicine and e-Health is available online at: http://www.liebertonline.com. |
en |
dc.subject |
E-health |
en |
dc.subject |
Telehealth |
en |
dc.subject |
Telemedicine |
en |
dc.subject |
Automated hearing assessment |
en |
dc.subject |
Tele-audiology |
en |
dc.subject.lcsh |
Medical telematics |
en |
dc.subject.lcsh |
Telecommunication in medicine |
en |
dc.subject.lcsh |
Audiometry -- Technological innovations |
en |
dc.title |
Hearing assessment - reliability, accuracy, and efficiency of automated audiometry |
en |
dc.type |
Article |
en |