Assessment of Central Auditory Processing in Children Using a Novel Tablet-Based Platform: Application for Low- and Middle-Income Countries.
Otol Neurotol
; 45(2): 176-183, 2024 Feb 01.
Article
em En
| MEDLINE
| ID: mdl-38206066
ABSTRACT
OBJECTIVE:
Evaluate whether a portable, tablet-based central auditory processing (CAP) test system using native language training videos and administered by minimally trained community health workers can produce CAP results comparable to previously published norms. Our secondary aim was to determine subject parameters that influence test results. STUDYDESIGN:
Cross-sectional study.SETTING:
Community-based settings in Chontales, Nicaragua, New Hampshire, and Florida. PATIENTS English- and/or Spanish-speaking children and adolescents (n = 245; average age, 12.20 yr; range, 6-18 yr). MAIN OUTCOMEMEASURES:
Completion of the following tests with responses comparable to published norms Pure-tone average (PTA), gap detection threshold (GDT), fixed-level frequency threshold, masking level difference (MLD), Hearing in Noise Test (HINT), Dichotic Digits Test (DDT), and Frequency Pattern Recognition (FPR) test.RESULTS:
GDT, HINT, and DDT had comparable results to previously published normative values. MLD and FPR results differed compared with previously published normative values. Most CAP tests (MLD, GDT, HINT) results were independent of age and PTA (p = 0.1-0.9). However, DDT was associated with age and PTA (p < 0.0001).CONCLUSIONS:
Pediatric CAP testing can be successfully completed in remote low- and middle- income country environments using a tablet-based platform without the presence of an audiologist. Performance on DDT improved with age but deteriorated with hearing loss. Further investigation is warranted to assess the variability of FPR.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Surdez
/
Países em Desenvolvimento
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Child
/
Humans
Idioma:
En
Revista:
Otol Neurotol
/
Otol. neurotol
/
Otology and neurotology
Ano de publicação:
2024
Tipo de documento:
Article