Hearing Threshold Estimation With Distortion Product Otoacoustic Emission Growth Functions in People With Intellectual Disabilities in an Outreach Setting.

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Title: Hearing Threshold Estimation With Distortion Product Otoacoustic Emission Growth Functions in People With Intellectual Disabilities in an Outreach Setting.
Authors: Savvas, Eleftherios (AUTHOR), Dimitrakopoulou, Emmanouela (AUTHOR), Euler, Harald A. (AUTHOR), Coninx, Frans (AUTHOR), Bluemel, Felix (AUTHOR), Krieger, Anne (AUTHOR), Schaefer, Karolin (AUTHOR), Mathmann, Philipp (AUTHOR), Gietmann, Corinna (AUTHOR), Neumann, Katrin (AUTHOR)
Source: Journal of Intellectual Disability Research. Dec2025, Vol. 69 Issue 12, p1474-1485. 12p.
Subjects: Hearing disorder diagnosis, Receiver operating characteristic curves, Data analysis, Business management of health facilities, Scientific observation, Diagnosis, Otoacoustic emissions, Audiometry, Descriptive statistics, Intellectual disabilities, Longitudinal method, Adult education workshops, Statistics, Hearing levels, Hearing disorders, Data analysis software, Comparative studies, Impedance audiometry, Regression analysis, Sensitivity & specificity (Statistics), Disease complications
Geographic Terms: Germany
Abstract: Background: People with intellectual disabilities often have undetected hearing loss. Methods: In this prospective observational study featuring 110 adults with intellectual disabilities, hearing evaluations based on objective hearing threshold estimation using distortion‐product otoacoustic emission growth functions (DPOAEgfs) were performed in a sheltered workshop. Results were compared with thresholds obtained by conventional subjective pure‐tone audiometry (cPTA) and the adaptive self‐test PTA Multiple‐Choice‐Auditory‐Graphical‐Interactive‐Check (MAGIC). Results: The differences between the lowest thresholds obtained by cPTA and MAGIC for the frequencies 1, 2, 4 and 6 kHz (LPTATs) and the estimated distortion‐product thresholds (EDPTs) were calculated. Four hundred twenty‐seven of 880 (48.5%) pairs of measurements did not differ by any more than 5 dB. With LPTATs as reference criterion, for a favourable four‐frequency average over 1.0, 2.0, 4.0 and 6.0 kHz with a cutoff of 20 dB HL, the sensitivity of the EDPTs was 92% and the specificity 62%; a cutoff of 30 dB HL increased the respective values to 98% and 77%. Conclusions: DPOAEgfs are acceptable for estimating hearing thresholds in individuals with intellectual disability who may have limitations in performing conventional audiometry. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell 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: Psychology and Behavioral Sciences Collection
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  Data: Hearing Threshold Estimation With Distortion Product Otoacoustic Emission Growth Functions in People With Intellectual Disabilities in an Outreach Setting.
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  Data: <searchLink fieldCode="AR" term="%22Savvas%2C+Eleftherios%22">Savvas, Eleftherios</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dimitrakopoulou%2C+Emmanouela%22">Dimitrakopoulou, Emmanouela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Euler%2C+Harald A%2E%22">Euler, Harald A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coninx%2C+Frans%22">Coninx, Frans</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bluemel%2C+Felix%22">Bluemel, Felix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krieger%2C+Anne%22">Krieger, Anne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schaefer%2C+Karolin%22">Schaefer, Karolin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mathmann%2C+Philipp%22">Mathmann, Philipp</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gietmann%2C+Corinna%22">Gietmann, Corinna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neumann%2C+Katrin%22">Neumann, Katrin</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Dec2025, Vol. 69 Issue 12, p1474-1485. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Hearing+disorder+diagnosis%22">Hearing disorder diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Business+management+of+health+facilities%22">Business management of health facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Otoacoustic+emissions%22">Otoacoustic emissions</searchLink><br /><searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Intellectual+disabilities%22">Intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Adult+education+workshops%22">Adult education workshops</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+levels%22">Hearing levels</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Impedance+audiometry%22">Impedance audiometry</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Germany%22">Germany</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: People with intellectual disabilities often have undetected hearing loss. Methods: In this prospective observational study featuring 110 adults with intellectual disabilities, hearing evaluations based on objective hearing threshold estimation using distortion‐product otoacoustic emission growth functions (DPOAEgfs) were performed in a sheltered workshop. Results were compared with thresholds obtained by conventional subjective pure‐tone audiometry (cPTA) and the adaptive self‐test PTA Multiple‐Choice‐Auditory‐Graphical‐Interactive‐Check (MAGIC). Results: The differences between the lowest thresholds obtained by cPTA and MAGIC for the frequencies 1, 2, 4 and 6 kHz (LPTATs) and the estimated distortion‐product thresholds (EDPTs) were calculated. Four hundred twenty‐seven of 880 (48.5%) pairs of measurements did not differ by any more than 5 dB. With LPTATs as reference criterion, for a favourable four‐frequency average over 1.0, 2.0, 4.0 and 6.0 kHz with a cutoff of 20 dB HL, the sensitivity of the EDPTs was 92% and the specificity 62%; a cutoff of 30 dB HL increased the respective values to 98% and 77%. Conclusions: DPOAEgfs are acceptable for estimating hearing thresholds in individuals with intellectual disability who may have limitations in performing conventional audiometry. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell 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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/jir.70043
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        Text: English
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      – SubjectFull: Hearing disorder diagnosis
        Type: general
      – SubjectFull: Receiver operating characteristic curves
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      – SubjectFull: Data analysis
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      – SubjectFull: Business management of health facilities
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      – SubjectFull: Diagnosis
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      – SubjectFull: Otoacoustic emissions
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      – SubjectFull: Audiometry
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Intellectual disabilities
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Adult education workshops
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      – SubjectFull: Statistics
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      – SubjectFull: Hearing levels
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      – SubjectFull: Hearing disorders
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      – SubjectFull: Data analysis software
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      – SubjectFull: Germany
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      – TitleFull: Hearing Threshold Estimation With Distortion Product Otoacoustic Emission Growth Functions in People With Intellectual Disabilities in an Outreach Setting.
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              Text: Dec2025
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