PMID- 31518844
OWN - NLM
STAT- MEDLINE
DCOM- 20200206
LR  - 20200206
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 127
DP  - 2019 Dec
TI  - Community health workers obtain similar results using cell-phone based hearing 
      screening tools compared to otolaryngologists in low resourced settings.
PG  - 109670
LID - S0165-5876(19)30423-9 [pii]
LID - 10.1016/j.ijporl.2019.109670 [doi]
AB  - OBJECTIVE: To establish community health workers as reliable hearing screening 
      operators in a technology-based pre-surgical hearing screening program in a low 
      and middle-income country (LMIC). METHODS: This is a cross sectional study that 
      evaluated community health worker driven hearing screening that took place in 
      semi-rural Malindi, Kenya during an annual two-week otolaryngology surgical 
      training mission in October 2017. At five separate locations (four schools) near 
      Malindi, Kenya, children between the ages of 2-16 underwent hearing screening 
      using screening audiometry (Android-based HearX Group). Children were screened by 
      a community health worker who underwent a short training course, a senior 
      otolaryngology resident, or both. Hearing screening results were compared to 
      determine the reliability and concordance between independent, blinded community 
      health worker and otolaryngology resident testing. RESULTS: One hundred and four 
      participants (53% males) underwent hearing screening. Hearing screening pass rate 
      was 93%. Community health workers obtained a similar result to otolaryngology 
      residents 96% of the time (McNemar test: p = 0.16, OR 0.96, 95% CI 0.9-1.0). 
      CONCLUSION: Community health workers can obtain reliable results using a 
      technology-based, pre-surgical hearing screening platform when compared to 
      otolaryngology residents. This finding has profound implications in low-resourced 
      settings where hearing healthcare specialists (audiologists and 
      otolaryngologists) are limited and can ultimately improve the surgical yield of 
      patients presenting to local otolaryngologists in these settings.
CI  - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Shinn, Justin R
AU  - Shinn JR
AD  - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, 
      TN, USA. Electronic address: justin.r.shinn@vumc.org.
FAU - Zuniga, M Geraldine
AU  - Zuniga MG
AD  - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, 
      TN, USA.
FAU - Macharia, Ian
AU  - Macharia I
AD  - Department of Otolaryngology, University of Nairobi, Nairobi, Kenya.
FAU - Reppart, Jim
AU  - Reppart J
AD  - Caris Foundation, Malindi, Kenya.
FAU - Netterville, James L
AU  - Netterville JL
AD  - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, 
      TN, USA; Caris Foundation, Malindi, Kenya.
FAU - Jayawardena, Asitha D L
AU  - Jayawardena ADL
AD  - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, 
      TN, USA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20190905
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Adolescent
MH  - Audiometry/*instrumentation
MH  - *Cell Phone
MH  - Child
MH  - Child, Preschool
MH  - *Community Health Workers
MH  - Cross-Sectional Studies
MH  - *Developing Countries
MH  - Female
MH  - Hearing Loss/*diagnosis
MH  - Humans
MH  - Kenya
MH  - Male
MH  - Mass Screening
MH  - Otolaryngology
MH  - Poverty
MH  - Reproducibility of Results
OTO - NOTNLM
OT  - Audiometry
OT  - Community health workers
OT  - Global health
OT  - Hearing loss
OT  - Hearing tests
OT  - Low- and middle-income countries
OT  - Low-resourced settings
OT  - Mobile health
OT  - Physician-extenders
OT  - Public health
EDAT- 2019/09/14 06:00
MHDA- 2020/02/07 06:00
CRDT- 2019/09/14 06:00
PHST- 2019/06/09 00:00 [received]
PHST- 2019/09/01 00:00 [revised]
PHST- 2019/09/03 00:00 [accepted]
PHST- 2019/09/14 06:00 [pubmed]
PHST- 2020/02/07 06:00 [medline]
PHST- 2019/09/14 06:00 [entrez]
AID - S0165-5876(19)30423-9 [pii]
AID - 10.1016/j.ijporl.2019.109670 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109670. doi: 
      10.1016/j.ijporl.2019.109670. Epub 2019 Sep 5.