dc.contributor.author |
Hussein, Shouneez Yousuf
|
|
dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Biagio-de Jager, Leigh
|
|
dc.contributor.author |
Myburgh, Hermanus Carel
|
|
dc.contributor.author |
Eikelboom, Robert H.
|
|
dc.contributor.author |
Hugo, Johannes F.M.
|
|
dc.date.accessioned |
2017-05-08T09:39:35Z |
|
dc.date.available |
2017-05-08T09:39:35Z |
|
dc.date.issued |
2016-10 |
|
dc.description.abstract |
INTRODUCTION : Access to ear and hearing health is a challenge in developing countries, where the burden of disabling hearing loss is greatest. This study investigated community-based identification of hearing loss using smartphone hearing screening (hearScreen™) operated by community health workers (CHWs) in terms of clinical efficacy and the reported experiences of CHWs. METHOD : The study comprised two phases. During phase one, 24 CHWs performed community-based hearing screening as part of their regular home visits over 12 weeks in an underserved community, using automated test protocols employed by the hearScreen™ smartphone application, operating on low-cost smartphones with calibrated headphones. During phase two, CHWs completed a questionnaire regarding their perceptions and experiences of the community-based screening programme. RESULTS : Data analysis was conducted on the results of 108 children (2-15 years) and 598 adults (16-85 years). Referral rates for children and adults were 12% and 6.5% respectively. Noise exceeding permissible levels had a significant effect on screen results at 25 dB at 1 kHz (p<0.05). Age significantly affected adult referral rates (p < 0.05), demonstrating a lower rate (4.3%) in younger as opposed to older adults (13.2%). CHWs were positive regarding the hearScreen™ solution in terms of usability, need for services, value to community members and time efficiency. CONCLUSION : Smartphone-based hearing screening allows CHWs to bring hearing health care to underserved communities at a primary care level. Active noise monitoring and data management features allow for quality control and remote monitoring for surveillance and follow-up. |
en_ZA |
dc.description.department |
Electrical, Electronic and Computer Engineering |
en_ZA |
dc.description.department |
Family Medicine |
en_ZA |
dc.description.department |
Speech-Language Pathology and Audiology |
en_ZA |
dc.description.librarian |
hb2017 |
en_ZA |
dc.description.sponsorship |
The financial assistance of the National Research Foundation (NRF) towards this research is hereby acknowledged. |
en_ZA |
dc.description.sponsorship |
The National Research Foundation (NRF) |
en_ZA |
dc.description.uri |
http://jtt.sagepub.com |
en_ZA |
dc.identifier.citation |
Hussein, SY, Swanepoel, DW, De Jager, LB, Myburg, HC, Eikelboom, RH & Hugo, J 2016, 'Smartphone hearing screening in mHealth assisted community-based
primary care', Journal of Telemedicine and Telecare, vol. 22, no. 7, pp. 405-412. |
en_ZA |
dc.identifier.issn |
1357-633X (print) |
|
dc.identifier.issn |
1758-1109 (online) |
|
dc.identifier.uri |
http://hdl.handle.net/2263/60266 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Sage |
en_ZA |
dc.rights |
© The Author(s) 2015 |
en_ZA |
dc.subject |
Community-based |
en_ZA |
dc.subject |
mHealth |
en_ZA |
dc.subject |
Primary care |
en_ZA |
dc.subject |
Smartphone |
en_ZA |
dc.subject |
Tele-assisted |
en_ZA |
dc.title |
Smartphone hearing screening in mHealth assisted community-based primary care |
en_ZA |
dc.type |
Postprint Article |
en_ZA |