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Validation of Screening Tools for Identifying Hearing-Impaired Elderly in Primary Care
Abstract
Two instruments for the detection of hearing impairment, the Welch-Allyn audioscope (Welch-Allyn Inc, Skaneateles Falls, NY) and the Hearing Handicap Inventory for the Elderly--Screening Version (HHIE-S), were validated against pure tone audiometry in 178 patients over 65 years old screened in primary care practice. The prevalence of hearing impairment in this sample was 30%. The audioscope yielded reproducible results in the physicians' offices and a hearing center. The sensitivity of the audioscope was 94% in both locations, while its specificity was 90% in the hearing center and 72% in the physicians' offices. The HHIE-S yielded reproducible results between the two test locations. An HHIE-S score from 0 to 8 resulted in a likelihood ratio of 0.36 (95% confidence interval, 0.19 to 0.68), and a score of 26 or more yielded a likelihood ratio of 12.00 (95% confidence interval, 2.62 to 55.00) for predicting the presence of hearing impairment. Used together, the two instruments had a test accuracy of 83%. The audioscope and HHIE-S are valid, reliable, inexpensive tools for detecting hearing impairment in the elderly.
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Cited by
Popelka, M. M., Cruickshanks, K. J., Wiley, T. L., Tweed, T. S., Klein, B. E. K., & Klein, R. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb06643.x · Cited by 326
Development, feasibility and performance of a health risk appraisal questionnaire for older persons
Stuck, A. E., Kharicha, K., Dapp, U., Anders, J., von Renteln-Kruse, W., Meier-Baumgartner, H. P., Harari, D., Swift, C. G., Ivanova, K., Egger, M., et al. (2007) · BMC Medical Research Methodology · doi:10.1186/1471-2288-7-1 · Cited by 324
Thorén, E. S., Öberg, M., Wänström, G., Andersson, G., & Lunner, T. (2014) · International Journal of Audiology · doi:10.3109/14992027.2014.892643 · Cited by 107
Reyes-Ortiz, C. A., Berges, I. M., Raji, M. A., Koenig, H. G., Kuo, Y.-F., & Markides, K. S. (2008) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/63.5.480 · Cited by 85
Molander, P., Hesser, H., Weineland, S., Bergwall, K., Buck, S., Jäder Malmlöf, J., Lantz, H., Lunner, T., & Andersson, G. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1365929 · Cited by 58
Metadata
- Authors
- Lichtenstein, M. J.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1988-05-20
- Volume
- 259
- Issue
- 19
- Pages
- 2875
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2034153058
- Cited by
- 270
- References
- 0
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- closed
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- Lichtenstein, M. J. (1988). Validation of Screening Tools for Identifying Hearing-Impaired Elderly in Primary Care. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1988.03720190043029
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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