Validation of DPOAE screening conducted by village health workers in a rural community with real-time click evoked tele-auditory brainstem response.
<italic>Objective</italic>: This study assessed the validity of DPOAE screening conducted by village health workers (VHWs) in a rural community. Real-time click evoked tele-auditory brainstem response (tele-ABR) was used as the gold standard to establish validity. <italic>Design</italic>: A cross-se...
| Published in: | International Journal of Audiology Vol. 57; no. 5; pp. 370 - 376 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
May2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129156926&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129156926 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14992027 JW2 jtl: International Journal of Audiology issn: 14992027 maglogo: Y pubinfo: dt: May2018 vid: 57 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 129156926 129156926 129156926 10.1080/14992027.2018.1425001 129156926 ppf: 370 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Validation of DPOAE screening conducted by village health workers in a rural community with real-time click evoked tele-auditory brainstem response. aug: au: Ramkumar, Vidya Vanaja, C. S. Hall, James W. Selvakumar, K. Nagarajan, Roopa affil: Department of Speech, Language and Hearing Sciences, Sri Ramachandra University, Chennai, India sug: subj: Hearing Screening Evoked Potentials, Auditory, Brainstem Community Health Workers Hearing Disorders Human Cross Sectional Studies Infant, Newborn Infant Child, Preschool Random Sample Sensitivity and Specificity Rural Areas Algorithms India Predictive Value of Tests Confidence Intervals Funding Source Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years ab: <italic>Objective</italic>: This study assessed the validity of DPOAE screening conducted by village health workers (VHWs) in a rural community. Real-time click evoked tele-auditory brainstem response (tele-ABR) was used as the gold standard to establish validity. <italic>Design</italic>: A cross-sectional design was utilised to compare the results of screening by VHWs to those obtained via tele-ABR. <italic>Study samples</italic>: One hundred and nineteen subjects (0 to 5 years) were selected randomly from a sample of 2880 infants and young children who received DPOAE screening by VHWs. <italic>Method</italic>: Real time tele-ABR was conducted by using satellite or broadband internet connectivity at the village. An audiologist located at the tertiary care hospital conducted tele-ABR testing through a remote computing paradigm. Tele-ABR was recorded using standard recording parameters recommended for infants and young children. Wave morphology, repeatability and peak latency data were used for ABR analysis. <italic>Results</italic>: Tele-ABR and DPOAE findings were compared for 197 ears. The sensitivity of DPOAE screening conducted by the VHW was 75%, and specificity was 91%. The negative and positive predictive values were 98.8% and 27.2%, respectively. <italic>Conclusions</italic>: The validity of DPOAE screening conducted by trained VHW was acceptable. This study supports the engagement of grass-root workers in community-based hearing health care provision. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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