TY - JOUR
T1 - Characteristics and help-seeking behavior of people failing a smart device self-test for hearing
AU - Schönborn, Danielle
AU - Asmail, Faheema Mahomed
AU - De Sousa, Karina C.
AU - Laplante-Lévesque, Ariane
AU - Moore, David R.
AU - Smits, Cas
AU - Swanepoel, De Wet
N1 - Funding Information: This work was supported by National Institute of General Medical Sciences Grant 5R21DC016241-02, awarded to David R. Moore and De Wet Swanepoel. The authors thank the hearX Group (Pty) Ltd for their assistance during the study. Portions of this article were presented at the 14th European Federation of Audiological Societies Congress, Lisbon, Portugal, May 2019. Funding Information: Disclosure: The fifth and last authors have a relationship with the hearX Group (Pty) Ltd, which includes equity, consulting, and potential royalties. The fifth author, David Moore, receives support from the NIHR Manchester Biomedical Research Centre. The authors report no other conflicts of interest. Publisher Copyright: © 2020 American Speech-Language-Hearing Association.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Purpose: This study investigated user characteristics, help-seeking behavior, and follow-up actions of people who failed an app-based digits-in-noise hearing screening test, considering their stage of change. Method: Test and user characteristics of 3,092 listeners who failed the test were retrospectively analyzed. A posttest survey determining follow-up (verb) actions was sent to listeners who failed the test (n = 1,007), of which 59 responded. Results: The majority of listeners were in the precontemplation stage (75.5%). Age and stage of change were significant (p < .05) predictors of the digits-in-noise speech recognition threshold (DIN SRT). Listeners in the precontemplation stage were significantly younger than in other stages (p < .05). Posttest survey response rate was low (5.9%). Of those, most (82.4%) did not think they had a hearing loss. Only 13.6% followed up with an audiologist. Conclusion: Older people presented with poorer DIN SRTs and were typically in a more advanced stage of change. The majority of those who did not follow up after failing the screening test did not believe they had a hearing loss. A combination of factors, including poor DIN SRT, older age, and a more advanced stage of change inclined participants to follow up with audiological care.
AB - Purpose: This study investigated user characteristics, help-seeking behavior, and follow-up actions of people who failed an app-based digits-in-noise hearing screening test, considering their stage of change. Method: Test and user characteristics of 3,092 listeners who failed the test were retrospectively analyzed. A posttest survey determining follow-up (verb) actions was sent to listeners who failed the test (n = 1,007), of which 59 responded. Results: The majority of listeners were in the precontemplation stage (75.5%). Age and stage of change were significant (p < .05) predictors of the digits-in-noise speech recognition threshold (DIN SRT). Listeners in the precontemplation stage were significantly younger than in other stages (p < .05). Posttest survey response rate was low (5.9%). Of those, most (82.4%) did not think they had a hearing loss. Only 13.6% followed up with an audiologist. Conclusion: Older people presented with poorer DIN SRTs and were typically in a more advanced stage of change. The majority of those who did not follow up after failing the screening test did not believe they had a hearing loss. A combination of factors, including poor DIN SRT, older age, and a more advanced stage of change inclined participants to follow up with audiological care.
UR - http://www.scopus.com/inward/record.url?scp=85090491420&partnerID=8YFLogxK
U2 - https://doi.org/10.1044/2020_AJA-19-00098
DO - https://doi.org/10.1044/2020_AJA-19-00098
M3 - Article
C2 - 32510970
SN - 1059-0889
VL - 29
SP - 365
EP - 374
JO - American Journal of Audiology
JF - American Journal of Audiology
IS - 3
ER -