title: Internet-based hearing screening using speech-in-noise: validation and comparisons of self-reported hearing problems, quality of life and phonological representation.
abstract: OBJECTIVE
  For the last decade a host of different projects have been launched to allow persons who are concerned about their hearing status to quickly and at a low cost test their hearing ability. Most often, this is carried out without collecting complementary information that could be correlated with hearing impairment. In this two-part study we first, present the development and validation of a novel Internet-based hearing test, and second, report on the associations between this test and phonological representation, quality of life and self-reported hearing difficulties.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  An opportunity sample of participants was recruited at the Stockholm central station for the first study. All parts of the second study were conducted via the Internet, with testing and self-report forms adapted for online use.
  
  
  METHODS
  The first part of the study was carried out in direct contact with the participants, and participants from the second study were recruited by means of advertisements in newspapers and on webpages. The only exclusion criterion was that participants had to be over 18 years old. Most participants were between 60 and 69 years old. There were almost an equal number of men and women (total n=316).
  
  
  METHODS
  48 participants failed the Internet-based hearing screening test. The group failing the test reported more problems on the Amsterdam Inventory of Auditory Disability. In addition, they were found to have diminished phonological representational skills. However, no difference in quality of life was found.
  
  
  CONCLUSIONS
  Almost one in five participants was in need of contacting their local hearing clinic. This group had more complaints regarding tinnitus and hyperacusis, rated their own hearing as worse than those who passed, and had a poorer capability of generating accurate phonological representations. This study suggests that it is feasible to screen for hearing status online, and obtain valid data.
authors.affiliation: Department of Behavioural Sciences and Learning, Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Molander
authors.forename: Peter
authors.initials: P
authors.lastname: Nordqvist
authors.forename: Marie
authors.initials: M
authors.lastname: Oberg
authors.forename: Thomas
authors.initials: T
authors.lastname: Lunner
authors.forename: Björn
authors.initials: B
authors.lastname: Lyxell
authors.forename: Gerhard
authors.initials: G
authors.lastname: Andersson
keywords: Telemedicine < BIOTECHNOLOGY & BIOINFORMATICS
references.citation: Clin Otolaryngol. 2012 Feb;37(1):35-43
references.pmid: 22212609
references.citation: Int J Audiol. 2008 Nov;47 Suppl 2:S99-105
references.pmid: 19012117
references.citation: Int J Audiol. 2002 Dec;41(8):545-54
references.pmid: 12477175
references.citation: Int J Audiol. 2003 Jun;42(4):220-6
references.pmid: 12790347
references.citation: Int J Audiol. 2009;48(10):684-91
references.pmid: 19863354
references.citation: J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):87-110
references.pmid: 16195966
references.citation: Int J Audiol. 2010 Nov;49(11):804-14
references.pmid: 20831460
references.citation: Disabil Rehabil. 2008;30(3):203-12
references.pmid: 17852289
references.citation: Int J Audiol. 2011 May;50(5):297-302
references.pmid: 21303228
references.citation: Ear Hear. 2011 Nov-Dec;32(6):720-31
references.pmid: 21697715
references.citation: Audiology. 2001 Mar-Apr;40(2):69-77
references.pmid: 11409765
references.citation: Int J Audiol. 2010 May;49(5):378-87
references.pmid: 20380611
references.citation: Trends Amplif. 2010 Sep;14(3):127-54
references.pmid: 21109549
references.citation: Scand Audiol. 1997;26(3):151-4
references.pmid: 9309810
references.citation: J Adv Nurs. 1995 Sep;22(3):502-8
references.pmid: 7499618
references.citation: J Deaf Stud Deaf Educ. 1996 Summer;1(3):190-201
references.pmid: 15579823
references.citation: Int J Audiol. 2011 Nov;50(11):823-34
references.pmid: 21988504
references.citation: Ear Hear. 2012 Sep-Oct;33(5):615-6
references.pmid: 22568994
references.citation: Int J Audiol. 2008 Nov;47 Suppl 2:S83-90
references.pmid: 19012115
references.citation: Int J Audiol. 2003 Jul;42 Suppl 1:S86-9
references.pmid: 12918614
references.citation: J Aging Health. 2009 Dec;21(8):1098-111
references.pmid: 19897778
references.citation: Scand Audiol. 1982;11(2):79-87
references.pmid: 7178810
references.citation: BMJ. 1998 Feb 14;316(7130):542-5
references.pmid: 9501721
references.citation: Int J Audiol. 2011 Nov;50(11):835-48
references.pmid: 21970351
references.citation: Int J Audiol. 2004 Jan;43(1):15-28
references.pmid: 14974624
references.citation: Scand Audiol Suppl. 1998;49:93-100
references.pmid: 10209783
references.citation: Audiology. 1998 Sep-Oct;37(5):295-301
references.pmid: 9776206
references.citation: BMC Ear Nose Throat Disord. 2012 Oct 29;12:12
references.pmid: 23107440
references.citation: Disabil Rehabil. 2012;34(24):2076-84
references.pmid: 22510206
references.citation: Clin Otolaryngol. 2006 Oct;31(5):436-40
references.pmid: 17014457
references.citation: Gerontologist. 2003 Oct;43(5):661-8
references.pmid: 14570962
references.citation: Audiology. 1998 Sep-Oct;37(5):302-12
references.pmid: 9776207
references.citation: Eur Psychiatry. 2005 Nov;20(7):510-9
references.pmid: 16139488
references.citation: J Am Geriatr Soc. 2010 Mar;58(3):427-34
references.pmid: 20398111
references.citation: Br J Audiol. 1989 Feb;23(1):53-62
references.pmid: 2784987
references.citation: J Med Internet Res. 2008 Oct 21;10(4):e32
references.pmid: 18940783