Hearing Loss Clinical Trial
Official title:
The Evaluation of Thai-version Five Minute Hearing Test to Screen Hearing in Community
This study is aimed to test the sensitivity and specificity of Thai-version Five Minutes Hearing test against the audiometry to screen hearing problem in community.
Study Population Phu Wieng district, Khon Kaen Province was chose to be a represent of rural
community in Thailand. 551 subjects were desired to cover 80% sensitivity of the original
test, at 95% confidence level, 80% power, and 7% margin of error. Regarding to 22.7% of the
estimated prevalence of hearing loss and 10% drop out rate, then the total subjects need was
606 persons. Subjects were divided to recruit from simple random villages, one from the
municipal and the other from non-municipal area. All people in target villages whether
having ear problem or not, who was older than 18 years old, could read or understand Thai
language, and wanted to participate, were persuaded. Those who had aphasia, or severe mental
disability, or other conditions that could not perform audiometry were excluded.
Study Procedure After consenting to participate, subjects were interviewed with Thai-FMHT.
Then the subjects were undergone the audiometry in the soundproof booth performed by
audiologists who were blinded the result of Thai-FMHT. Pure tone threshold at 250, 500,
1000, 2000, 3000, 4000, 6000, 8000 Hz of both ears were recorded. Tympanogram was done to
confirm middle ear pathology. Any pure tone air-conduction threshold greater than 25 dB in
one or two frequencies was considered as abnormal hearing. However, the severity of hearing
loss was defined by pure tone average air-conduction threshold according to ASHA criteria.
To compare with the original FMHT, the pure tone average air-conduction threshold at 500,
1000, and 2000 Hz was defined as speech PTA (SF-PTA), whereas, the pure tone average
air-conduction threshold at 3000, 4000, 6000, 8000 Hz was defined as high frequency PTA
(HF-PTA). Hearing disability was classified according to the hearing level of the better
hearing ear.
Otolaryngologists did history taking. Ear symptoms such as otalgia, itching, otorrhea,
tinnitus, and hearing loss was asked before performing otoscopy and making a final
diagnosis. The treatment, or medication if needed, and advice were complementary provided to
subjects as post-trial benefits.
Statistical analysis Descriptive analysis was used to present demographic data. The
sensitivity, specificity, and ROC were analyzed using STATA software version 10.
;
Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Diagnostic
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