Remote hearing screenings via telehealth in a rural elementary school.

PURPOSE: Telehealth (telepractice) is the provision of health care services using telecommunications. Telehealth technology typically has been employed to increase the level of health care access for consumers living in rural communities. In this way, audiologists can use telehealth to provide servi...

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Publicado en:American Journal of Audiology Vol. 17; no. 2; pp. 114 - 123
Autores principales: Lancaster P, Krumm M, Ribera J, Klich R
Formato: equations & formulas research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Dec2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2008
      vid: 17
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/1059-0889(2008/07-0008)
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        atl: Remote hearing screenings via telehealth in a rural elementary school.
      aug:
        au:
          Lancaster P
          Krumm M
          Ribera J
          Klich R
        affil: Hearing and Balance Centers at the Elks, Nampa, ID
      sug:
        subj:
          Hearing Disorders Prevention and Control
          Hearing Screening In Infancy and Childhood
          Remote Consultation
          Rural Areas
          School Health Services
          Telehealth
          Acoustic Impedance Tests
          Audiometry, Pure-Tone
          Child
          Data Analysis Software
          Descriptive Statistics
          Female
          Hearing Disorders Diagnosis
          Male
          Models, Theoretical
          Otoscopy
          Pilot Studies
          Schools, Elementary
          Sensitivity and Specificity
          Software
          User-Computer Interface
          Utah
          Videorecording
          Human
          Child: 6-12 years
          Female
          Male
      ab: PURPOSE: Telehealth (telepractice) is the provision of health care services using telecommunications. Telehealth technology typically has been employed to increase the level of health care access for consumers living in rural communities. In this way, audiologists can use telehealth to provide services in the rural school systems. This is important because school hearing screening programs are the foundation of educational audiology programs. Therefore, the goal of this study was to determine the feasibility of providing hearing screening services by telehealth technology to school-age children. METHOD: Hearing screening services-including otoscopy, pure-tone, and immittance audiometry-were conducted on 32 children in 3rd grade attending an elementary school in rural Utah. Each child received 1 screening on-site and another through telehealth procedures. RESULTS: Immittance and otoscopy results were identical for on-site and telehealth screening protocols. Five children responded differently to pure-tone stimuli presented by the telehealth protocol than by the on-site protocol. However, no statistically significant difference was found for pure-tone screening results obtained by telehealth or on-site screening procedures (binomial test, p = .37). Likewise, overall screening results obtained by traditional and telehealth procedures were not statistically significant (binomial test, p = .37). CONCLUSION: The results of this study suggest that school hearing screenings may be provided using telehealth technology. This study did find that 5 students performed differently to pure-tone screenings administered by the telehealth protocol in contrast to on-site hearing screening services. Further research is necessary to identify factors leading to false responses to pure-tone hearing screening when telehealth technology is used. In addition, telehealth hearing screening protocols should be conducted with participants of different age groups and experiencing a wide range of hearing loss to further clarify the value of telehealth technology.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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