Validation of Non-Soundproof Tablet Audiometry in Pediatrics: Comparison With Traditional Audiometry.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Validation of Non-Soundproof Tablet Audiometry in Pediatrics: Comparison With Traditional Audiometry.
Συγγραφείς: Ensing AE; Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, USA., Mueller L; Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, USA.; School of Medicine, Tulane University, New Orleans, Louisiana, USA., Lee DS; Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, USA., Kallogjeri D; Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, USA., Lieu JEC; Department of Otolaryngology-Head and Neck Surgery, Washington University in St. Louis, St. Louis, Missouri, USA.
Πηγή: The Laryngoscope [Laryngoscope] 2026 Sep; Vol. 136 (9), pp. 4056-4063. Date of Electronic Publication: 2026 Mar 19.
Τύπος έκδοσης: Journal Article; Comparative Study; Validation Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
Imprint Name(s): Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
Ιατρικοί όροι (MeSH): Audiometry, Pure-Tone*/instrumentation , Audiometry, Pure-Tone*/methods , Hearing Loss*/diagnosis , Audiometry*/methods , Audiometry*/instrumentation , Computers, Handheld*, Humans ; Child ; Child, Preschool ; Adolescent ; Female ; Male ; Reproducibility of Results ; Auditory Acuity ; Auditory Threshold ; Sensitivity and Specificity
Περίληψη: Objectives: Portable, tablet-based audiometry has been proposed as a diagnostic tool for patients unable to access traditional sound booth audiometry. However, the validity of tablet-based audiometry for diagnostic use in pediatric patients has not been established. The objective of this study is to validate self-administered tablet-based diagnostic audiometry in a pediatric clinic setting.
Methods: Children 4 to 17.9 years-old were recruited from a pediatric audiology clinic. Tablet audiometry was performed with tablet-based software, SHOEBOX Audiometry (Ottawa, ON) at six frequencies (250-8000 Hz). Hearing thresholds from traditional pure tone audiometry in a sound booth were used as a gold-standard comparison. Hearing loss was defined as ≥ 1 hearing threshold of > 20 dB.
Results: 120 children underwent tablet-audiometry, though not all were able to complete the test. In 948 individual frequencies tested, the mean threshold difference was -0.95 dB (95% CI -1.5 to -0.42 dB) between traditional and tablet audiogram. Most tablet-assessed thresholds (92%, n = 873) were within 10 dB of corresponding traditional audiometry thresholds. Tablet audiometry demonstrated 92% sensitivity (95% CI 84%-97%) and 85% specificity (95% CI 77%-92%) for diagnosis of hearing loss. Test-retest reliability of tablet audiometry was high, with 93% (55/59) of test-retest hearing threshold differences falling within ±5 dB.
Conclusion: Tablet audiometry is valid and reliable for children aged 5-17 years who can successfully complete testing in a non-soundproof clinic setting. It may serve as a tool for remote hearing testing, with potential applications in schools, clinics, and research.
(© 2026 The American Laryngological, Rhinological and Otological Society, Inc.)
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Grant Information: R25 DC020706 United States DC NIDCD NIH HHS; R25DC020706 United States NH NIH HHS; Denardo Education and Research Foundation
Contributed Indexing: Keywords: diagnostic audiometry; hearing loss; pediatric audiology; pure‐tone audiometry; tablet‐based audiometry
Entry Date(s): Date Created: 20260319 Date Completed: 20260811 Latest Revision: 20260814
Update Code: 20260814
PubMed Central ID: PMC13460469
DOI: 10.1002/lary.70514
PMID: 41856760
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1531-4995
DOI:10.1002/lary.70514