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French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening

In France 58% of persons with hearing loss still do not wear hearing aids. Pure-tone audiometry is the traditional gold standard in assessment and screening of hearing impairment, but it requires the use of calibrated devices and soundproof booth. The antiphasic digits-in-noise (DIN) test does not r...

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Autores principales: Ceccato, Jean-Charles, Duran, Marie-Josée, Swanepoel, De Wet, Smits, Cas, De Sousa, Karina C., Gledhill, Lewis, Venail, Frédéric, Puel, Jean-Luc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551565/
https://www.ncbi.nlm.nih.gov/pubmed/34722438
http://dx.doi.org/10.3389/fpubh.2021.725080
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author Ceccato, Jean-Charles
Duran, Marie-Josée
Swanepoel, De Wet
Smits, Cas
De Sousa, Karina C.
Gledhill, Lewis
Venail, Frédéric
Puel, Jean-Luc
author_facet Ceccato, Jean-Charles
Duran, Marie-Josée
Swanepoel, De Wet
Smits, Cas
De Sousa, Karina C.
Gledhill, Lewis
Venail, Frédéric
Puel, Jean-Luc
author_sort Ceccato, Jean-Charles
collection PubMed
description In France 58% of persons with hearing loss still do not wear hearing aids. Pure-tone audiometry is the traditional gold standard in assessment and screening of hearing impairment, but it requires the use of calibrated devices and soundproof booth. The antiphasic digits-in-noise (DIN) test does not require calibrated material and can run on a standard headset or earbuds connected to a smartphone or a computer. The DIN test is highly correlated with pure tone audiometry and has already shown to be effective in hearing loss screening in its English version promoted by the WHO. The aim of the present study was to develop and validate a French version of the antiphasic DIN test for implementation on a national screening test offered as a smartphone app. The audio files recorded from a French native female speaker were selected and normalized in intensity according to their recognition probability. The French DIN test application was then tested on normal hearing- and hearing-impaired subjects. Based on the strong correlation between pure tone audiometry (PTA) and DIN SRT, we calculated ROC curves and Z-score. For PTA > 20 dB HL, a SNR cutoff of 12.9 dB corresponds to a sensitivity and specificity of 0.96 and 0.93, respectively. To detect moderate and more severe hearing loss (PTA > 40 dB HL), the SNR cutoff was −10.9 dB, corresponding to a sensitivity and specificity of 0.99 and 0.83, respectively. The Z-score was calculated to define statistical criteria of normality for speech-in-noise evaluation. While a score of 0 roughly corresponds to the normality (DIN SRT = −15.4 dB SNR), a subject with DIN SRT > −12.2 (Z-score > 2) is ranked in the hearing loss population. Next, the French antiphasic DIN test was implemented in the Höra iOS and Android apps. In total, 19,545 Höra tests were completed and analyzed. Three quarters of them were classified as normal (74 %) and one quarter presented mild (9%) or more severe loss (17%). Together, results argue for the use of the French version of antiphasic DIN test in the general population to improve the screening of hearing-impaired individuals.
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spelling pubmed-85515652021-10-29 French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening Ceccato, Jean-Charles Duran, Marie-Josée Swanepoel, De Wet Smits, Cas De Sousa, Karina C. Gledhill, Lewis Venail, Frédéric Puel, Jean-Luc Front Public Health Public Health In France 58% of persons with hearing loss still do not wear hearing aids. Pure-tone audiometry is the traditional gold standard in assessment and screening of hearing impairment, but it requires the use of calibrated devices and soundproof booth. The antiphasic digits-in-noise (DIN) test does not require calibrated material and can run on a standard headset or earbuds connected to a smartphone or a computer. The DIN test is highly correlated with pure tone audiometry and has already shown to be effective in hearing loss screening in its English version promoted by the WHO. The aim of the present study was to develop and validate a French version of the antiphasic DIN test for implementation on a national screening test offered as a smartphone app. The audio files recorded from a French native female speaker were selected and normalized in intensity according to their recognition probability. The French DIN test application was then tested on normal hearing- and hearing-impaired subjects. Based on the strong correlation between pure tone audiometry (PTA) and DIN SRT, we calculated ROC curves and Z-score. For PTA > 20 dB HL, a SNR cutoff of 12.9 dB corresponds to a sensitivity and specificity of 0.96 and 0.93, respectively. To detect moderate and more severe hearing loss (PTA > 40 dB HL), the SNR cutoff was −10.9 dB, corresponding to a sensitivity and specificity of 0.99 and 0.83, respectively. The Z-score was calculated to define statistical criteria of normality for speech-in-noise evaluation. While a score of 0 roughly corresponds to the normality (DIN SRT = −15.4 dB SNR), a subject with DIN SRT > −12.2 (Z-score > 2) is ranked in the hearing loss population. Next, the French antiphasic DIN test was implemented in the Höra iOS and Android apps. In total, 19,545 Höra tests were completed and analyzed. Three quarters of them were classified as normal (74 %) and one quarter presented mild (9%) or more severe loss (17%). Together, results argue for the use of the French version of antiphasic DIN test in the general population to improve the screening of hearing-impaired individuals. Frontiers Media S.A. 2021-10-14 /pmc/articles/PMC8551565/ /pubmed/34722438 http://dx.doi.org/10.3389/fpubh.2021.725080 Text en Copyright © 2021 Ceccato, Duran, Swanepoel, Smits, De Sousa, Gledhill, Venail and Puel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Ceccato, Jean-Charles
Duran, Marie-Josée
Swanepoel, De Wet
Smits, Cas
De Sousa, Karina C.
Gledhill, Lewis
Venail, Frédéric
Puel, Jean-Luc
French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title_full French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title_fullStr French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title_full_unstemmed French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title_short French Version of the Antiphasic Digits-in-Noise Test for Smartphone Hearing Screening
title_sort french version of the antiphasic digits-in-noise test for smartphone hearing screening
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551565/
https://www.ncbi.nlm.nih.gov/pubmed/34722438
http://dx.doi.org/10.3389/fpubh.2021.725080
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