Headphone Evaluation for App-Based Automated Mobile Hearing Screening

Abstract

Introduction With the need for hearing screenings increasing across multiple populations, a need for automated options has been identified. This research seeks to evaluate the hardware requirements for automated hearing screenings using a mobile application.

Objective Evaluation of headphone hardware for use with an app-based mobile screening application.

Methods For the purposes of this study, hEAR, a Bekesy-based mobile application designed by the research team, was compared with pure tone audiometric tests administered by an audiologist. Both hEAR and the audiologist's test used 7 frequencies (125 Hz, 250 Hz, 500 Hz, 1,000 Hz, 2000 Hz, 4,000 Hz and 8,000 Hz) adopting four different sets of commercially available headphones. The frequencies were regarded as the independent variable, whereas the sound pressure level (in decibels) was the dependent variable. Thirty participants from a university in Texas were recruited and randomly assigned to one of two groups, whose only difference was the order in which the tests were performed. Data were analyzed using a generalized estimating equation model at α = 0.05.

Results Findings showed that, when used to collect data with the mobile app, both the Pioneer HDJ-2000 (Pioneer, Bunkyo, Tokyo, Japan) (p > 0.05) and the Sennheiser HD280 Pro (Sennheiser, Wedemark, Hanover, Germany) (p > 0.05) headphones presented results that were not statistically different from the audiologist's data across all test frequencies. Analyses indicated that both headphones had decreased detection probability at 4kHz and 8kHz, but the differences were not statistically significant.

Conclusion Data indicate that a mobile application, when paired with appropriate headphones, is capable of reproducing audiologist-quality data.

Keywords

hearing tests - mobile applications - automation

• References

• 1 World Health Organization (WHO). Deafness and Hearing Loss. 2015 [cited 2016 Jun 05]. Available from: http://www.who.int/mediacentre/factsheets/fs300/en/
• 2 Oyler AL. Untreated hearing loss in adults - A growing national epidemic. American Speach-Language-Hearing Association (ASHA) 2012 [cited 2017 Jan 31]. Available from: http://www.asha.org/aud/articles/untreated-hearing-loss-in-adults
• 3 U.S. Department of Health and Human Services (DHHS). Administration on Aging 2010. A profile of older Americans: 2011. [cited 2017 Jun 06]. Available from: http://www.aarp.org/content/dam/aarp/livable-communities/learn/demographics/a-profile-of-older-americans-2011-aarp.pdf
• 4 Choi JM, Sohn J, Ku Y, Kim D, Lee J. Phoneme-based self hearing assessment on a smartphone. IEEE J Biomed Health Inform 2013; 17 (03) 526-529
• 5 Ciorba A, Bianchini C, Pelucchi S, Pastore A. The impact of hearing loss on the quality of life of elderly adults. Clin Interv Aging 2012; 7: 159-163
• 6 American Speech and Language Association (ASHA). 2013 Market Trends. [cited 2016 Jul 02]. Avaliable from: http://www.asha.org/Careers/Market-Trends/
• 7 European Agency for Safety and Health at Work. 2005. The Impact of Noise at Work. [cited 2016 Jul 05]. Available from: https://osha.europa.eu/en/tools-and-publications/publications/factsheets/57
• 8 National Institute for Occupational Safety and Health (NIOSH). 2012. National Occupational Research Agenda (NORA). [cited 2016 Jul 02]. Available from: http://www.cdc.gov/niosh/nora
• 9 Kriesky J. Unvonventional drilling for natural gas: The gap between what we know and what we need to know . Pittsburgh, PA: School of Public Health, University of Pittsburgh, Center for Healthy Environments and Communities; 2012
• 10 Yueh B, Shapiro N, MacLean CH, Shekelle PG. Screening and management of adult hearing loss in primary care: scientific review. JAMA 2003; 289 (15) 1976-1985
• 11 Ferrari DV, Lopez EA, Lopes AC, Aiello CP, Jokura PR. Results obtained with a low cost software-based audiometer for hearing screening. Int Arch Otorhinolaryngol 2013; 17 (03) 257-264
• 12 Rourke R, Bromwich M, Chan D. iPad Audiometry in Canada's North: A portable and cost-effective method for hearing screening. Otolaryngol Head Neck Surg 2014; 151 (1_suppl): P104-P104
• 13 Van der Aerschot M, Swanepoel W, Mahomed-Asmail F, Myburgh HC, Eikelboom RH. Affordable headphones for accessible screening audiometry: An evaluation of the Sennheiser HD202 II supra-aural headphone. Int J Audiol 2016; 55 (11) 616-622
• 14 Swanepoel DW. Smartphone-based National Hearing Test Launched in South Africa. Hear J 2017; 10 (01) 14-16
• 15 Pickens AW, Robertson LD, Smith ML, Zhao H, Mehta R, Song S. Limitations of a mobile hearing test application. Hear J 2017; 70 (06) 34-37
• 16 Franks JR. Hearing measurement. Occupational Exposure to Noise: Evaluation, Prevention, and Control. Geneva: World Health Organization (WHO); 1995: 183-232
• 17 Occupational Safety and Health Administration (OSHA). Code of Federal Regulations Title 29 Part 1910: General Industry Subpart 95 Occupational Noise Exposure, Appendix D: Audiometric Test Rooms. [cited 2015 Feb 11]. Available from: https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9739
• 18 Pickles A. Generalized estimating equations. Encyclopedia of Biostatistics. New Jersey: John Wiley & Sons, Ltd.; 1998
• 19 Hertsens T. A better traveler's sanctuary: The Bose Quiet Comfort 25. Inner Fidelity 2014 [cited on 2016 Jun 02]. Available from: https://www.innerfidelity.com/content/better-travelers-sanctuary-bose-quiet-comfort-25