Assessing the agreement between auditory processing test results of children with listening difficulties obtained in a clinical setting and in a zoom-based remote environment.

Objective: To compare results of auditory processing (AP) tests delivered in clinic versus remotely via shared video conferencing (VC) software (Zoom) in children with listening difficulties. Design: Cross-sectional study. Study Sample: 39 children aged 6.8-13.1 years with parent/teacher-reported li...

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Publicado en:International Journal of Audiology Vol. 65; no. 3; pp. 344 - 358
Autores principales: Nixon, Grace, Shiels, Lucy, Patrick, Cameron James, Tomlin, Dani
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
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      pub: Taylor & Francis Ltd
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        10.1080/14992027.2025.2545436
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        atl: Assessing the agreement between auditory processing test results of children with listening difficulties obtained in a clinical setting and in a zoom-based remote environment.
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        au:
          Nixon, Grace
          Shiels, Lucy
          Patrick, Cameron James
          Tomlin, Dani
        affil: Department of Audiology and Speech Pathology, University of Melbourne, Parkville, Australia
      sug:
        subj:
          Hearing Disorders In Infancy and Childhood
          Hearing Tests Methods
          Videoconferencing
          Software
          Human
          Female
          Male
          Child
          Cross Sectional Studies
          Comparative Studies
          Auditory Threshold
          Acoustic Impedance Tests
          Neuropsychological Tests
          Telehealth
          Clinical Assessment Tools
          Auditory Perceptual Disorders
          Intraclass Correlation Coefficient
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Female
          Male
      ab: Objective: To compare results of auditory processing (AP) tests delivered in clinic versus remotely via shared video conferencing (VC) software (Zoom) in children with listening difficulties. Design: Cross-sectional study. Study Sample: 39 children aged 6.8-13.1 years with parent/teacher-reported listening difficulties and with normal cognition, hearing, and middle ear function. Results: Good agreement was found between in-clinic and remote test results for single-channel AP tests assessing temporal patterning (intraclass correlation coefficient (ICC)=0.81) and diotic listening (ICC = 0.77). However, poor to fair agreement occurred for tests requiring two-channel audio delivery, including the Listening in Spatialised Noise-Sentences test of binaural interaction (ICC = 0.43) and the Dichotic Digits difference Test of binaural integration (ICC = 0.32-0.51), likely due to the technical limitations of current VC software. Overall, remote testing showed greater variability in scores compared to in-clinic. Conclusions: While some AP skills could be reliably assessed remotely via VC software, tests requiring complex binaural audio integration were limited by technical factors. Tablet-based assessments or remote operation of clinical software may be more viable alternatives for comprehensive tele-audiology assessment of auditory processing disorder.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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