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Diagnostic Accuracy and Acceptability of a Mobile Health Hearing Screening Program for Older Adults in Primary Care: A Multicenter Study.

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Title: Diagnostic Accuracy and Acceptability of a Mobile Health Hearing Screening Program for Older Adults in Primary Care: A Multicenter Study.
Authors: Rivera, Sebastián1,2,3, Fuentes-López, Eduardo4, Marcotti, Anthony5, Contreras, Jimena6, Silva-Letelier, Catherine7,8, Retamal-Walteri, Felipe9,10 f.retamalwalter@uq.edu.au
Source: Journal of Speech, Language & Hearing Research. Jul2026, Vol. 69 Issue 7, p3399-3416. 18p.
Subject Terms: *Audiometry, *Research, Mobile apps, Cross-sectional method, Research funding, Primary health care, Research evaluation, Statistical sampling, Logistic regression analysis, Chi-squared test, Telemedicine, Statistics, Data analysis software, Sensitivity & specificity (Statistics), Old age
Geographic Terms: Australia
Abstract: Purpose: Given that mobile health (mHealth) technology offers a feasible solution for early hearing loss (HL) screening, the purpose of this study was to determine the diagnostic accuracy and acceptability of an mHealth intervention for HL screening in people over 65 years old across four primary health care (PHC) centers. It was hypothesized that the mHealth app would have higher diagnostic accuracy compared with other index tests. Method: Using a multicenter diagnostic accuracy comparative study design, 203 adults over 65 years old (Mdn = 72 years) were assessed using pure-tone audiometry as the reference-standard test, with mild (> 25 dB) and moderate (≥ 40 dB) HL as cutoffs. Index tests included the following: mHealth hearing screening app, preventive medical examination assessment, diagnostic hearing assessments, and self-reported HL measures. Sensitivity, specificity, and area under the curve (AUC) values were estimated. Acceptability was determined using a validated Likert-type questionnaire . Results: The results of the mHealth HL screening showed the highest sensitivity for mild (90.06%) and moderate (98.44%) HL. The AUC for the mHealth intervention was significantly higher (p < .001) for mild HL compared with all index tests, and it was significantly higher (p < .001) for moderate HL compared with the preventive medical examination assessment. Acceptability of the mHealth intervention was rated as highly acceptable by older adults and professionals. Conclusions: mHealth screening is a sensitive, user-friendly, and acceptable tool for HL screening in older adults. Integration within preventive medical examination programs is feasible and could enhance early HL detection and management within PHC contexts. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Diagnostic Accuracy and Acceptability of a Mobile Health Hearing Screening Program for Older Adults in Primary Care: A Multicenter Study.
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  Data: Purpose: Given that mobile health (mHealth) technology offers a feasible solution for early hearing loss (HL) screening, the purpose of this study was to determine the diagnostic accuracy and acceptability of an mHealth intervention for HL screening in people over 65 years old across four primary health care (PHC) centers. It was hypothesized that the mHealth app would have higher diagnostic accuracy compared with other index tests. Method: Using a multicenter diagnostic accuracy comparative study design, 203 adults over 65 years old (Mdn = 72 years) were assessed using pure-tone audiometry as the reference-standard test, with mild (&gt; 25 dB) and moderate (≥ 40 dB) HL as cutoffs. Index tests included the following: mHealth hearing screening app, preventive medical examination assessment, diagnostic hearing assessments, and self-reported HL measures. Sensitivity, specificity, and area under the curve (AUC) values were estimated. Acceptability was determined using a validated Likert-type questionnaire . Results: The results of the mHealth HL screening showed the highest sensitivity for mild (90.06%) and moderate (98.44%) HL. The AUC for the mHealth intervention was significantly higher (p &lt; .001) for mild HL compared with all index tests, and it was significantly higher (p &lt; .001) for moderate HL compared with the preventive medical examination assessment. Acceptability of the mHealth intervention was rated as highly acceptable by older adults and professionals. Conclusions: mHealth screening is a sensitive, user-friendly, and acceptable tool for HL screening in older adults. Integration within preventive medical examination programs is feasible and could enhance early HL detection and management within PHC contexts. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Speech, Language &amp; Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2026_JSLHR-25-00419
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 18
        StartPage: 3399
    Subjects:
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Mobile apps
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Chi-squared test
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      – SubjectFull: Telemedicine
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      – SubjectFull: Statistics
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      – SubjectFull: Data analysis software
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      – SubjectFull: Sensitivity & specificity (Statistics)
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      – SubjectFull: Old age
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      – SubjectFull: Australia
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    Titles:
      – TitleFull: Diagnostic Accuracy and Acceptability of a Mobile Health Hearing Screening Program for Older Adults in Primary Care: A Multicenter Study.
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              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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