2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
| Preschool Hearing and Speech Education - University of Pittsburgh (PHASE-UP): Effects of Different Preschool Hearing Screening Protocols
Preschool Hearing and Speech Education - University of Pittsburgh (PHASE-UP): Effects of Different Preschool Hearing Screening Protocols
Preschool Hearing and Speech Education – University of Pittsburgh (PHASE-UP) is a hearing screening program that partners with the Pittsburgh community to provide no-cost, comprehensive hearing screenings for local preschoolers. The goal of this study was to compare the sensitivity and specificity of a one-criterion and two-criteria pass-fail distortion product otoacoustic emissions (DPOAE) protocol to determine if a stricter criterion would result in more efficient hearing screenings for preschool children. PHASE-UP hearing screening results from September 2018 to April 2022 were retrospectively reviewed. Results included tympanometry and/or otoscopy, DPOAEs, and conditioned play audiometric screening. A pass result on the one-criterion pass-fail DPOAE protocol occurred when the difference between the distortion product amplitude and the noise floor (e.g., signal-to-noise ratio, SNR) was greater than or equal to 6 dB. A pass result on the two-criteria pass-fail DPOAE protocol occurred when the absolute DPOAE amplitude was greater than or equal to 0 dB SPL and the SNR was greater than or equal to 6 dB. Pure-tone audiometric screening results were used as the gold standard when comparing sensitivity and specificity of the DPOAE screening protocols. Statistical analyses are ongoing and involve domain analyses evaluating the sensitivity and specificity of each DPOAE protocol within each age group and within tympanometry and/or otoscopy criteria. With results scaled in order of pass, unilateral refer, and bilateral refer, the preliminary weighted Kappa statistics were .56 for agreement between the one-criterion DPOAE protocol and pure-tone audiometric screening, and .41 for agreement between two-criteria DPOAE protocol and pure-tone audiometric screening. There were fewer false negatives with the two-criteria DPOAE protocol than with one-criterion DPOAE protocol; the sensitivity was .75 for the two-criteria DPOAE protocol and .65 for the one-criterion DPOAE protocol. Conversely, test specificity was .91 for the two-criteria DPOAE protocol and .97 for the one-criterion DPOAE protocol.
- Outline the standard screening protocol recommended for preschool aged children
- Summarize important considerations for implementing preschool hearing screenings
- Describe the difference in sensitivity and specificity between a one-criterion and two-criterion distortion product otoacoustic emissions (DPOAE) in the preschool population
Presentation:
3478265_16437HayleySchneider.pdf
3478265_16437NicoleCorbin.pdf
Handouts:
3478265_16437NicoleCorbin.pdf
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Sarah Meier
(Primary Presenter,Co-Presenter,Author,Co-Author), University of Pittsburgh, sam484@pitt.edu;
Sarah Meier is a third-year Doctor of Audiology student and former LEND trainee at the University of Pittsburgh.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Financial relationship with Maternal and Child Health Bureau-LEND Program
Pennsylvania Lions Research Hearing Grant
Preschool Hearing and Speech Education-University of Pittsburgh.
Nature: LEND is funded through a grant, and I received a stipend as a LEND trainee.
Pennsylvania Lions Research Hearing Grant: I was paid as an hourly employee to be a research assistant.
Preschool Hearing and Speech Education-University of Pittsburgh: University of Pittsburgh Doctor of Audiology Student: Collected Portions of These Data as Part of Clinical Practicum Requirement for AuD Program.
Nonfinancial -
No relevant nonfinancial relationship exists.
Madeline Sutter
(Co-Presenter,Author,Co-Author), University of Pittsburgh, mas969@pitt.edu;
Madeline Sutter is a third-year Doctor of Audiology student and former LEND trainee at the University of Pittsburgh.
ASHA DISCLOSURE:
Financial -
• Receives Grants,Other financial benefit for Other activities from Maternal and Child Health Bureau - LEND Program.
Nonfinancial -
• Has a Other relationship (University of Pittsburgh Doctor of Audiology Student; Collected portions of these data as part of clinical practicum requirements for AuD Program)
relationship for Other volunteer activities.
AAA DISCLOSURE:
Financial -
Financial relationship with Maternal and Child Health Bureau - LEND Program, Preschool Hearing and Speech Education - University of Pittsburgh.
Nature: University of Pittsburgh Doctor of Audiology Student; Collected Portions of These Data as Part of Clinical Practicum Requirements for AuD Program.
Nonfinancial -
No relevant nonfinancial relationship exists.
Hayley Schneider
(Co-Presenter,Author,Co-Author), University of Pittsburgh, has306@pitt.edu;
Hayley Schneider is a second-year Doctor of Audiology student and current LEND trainee at the University of Pittsburgh.
ASHA DISCLOSURE:
Financial -
• Receives Other financial benefit for Other activities from Maternal and Child Health Bureau-LEND Program.
Nonfinancial -
• Has a Other relationship (University of Pittsburgh Doctor of Audiology Student; Collected Portions of These Data as Part of Clinical Practicum Requirement for AuD Program)
relationship for Other volunteer activities.
AAA DISCLOSURE:
Financial -
Financial relationship with - Maternal and Child Health Bureau-LEND Program
- Preschool Hearing and Speech Education-University of Pittsburgh.
Nature: -LEND Trainee
-University of Pittsburgh Doctor of Audiology Student; Collected Portions of These Data as Part of Clinical Practicum Requirement for AuD Program.
Nonfinancial -
No relevant nonfinancial relationship exists.
Katie Vellody
(Co-Author), University of Pittsburgh, katie.vellody@pitt.edu;
Katie Vellody is a clinical pediatric audiologist. She coordinates and oversees the PHASE-UP clinic at the University of Pittsburgh.
ASHA DISCLOSURE:
Financial -
• Receives Salary for Employment from University of Pittsburgh - Audiology clinical Instructor.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with University of Pittsburgh.
Nature: Employed part time as audiology clinical instructor, coordinate & instructor in the Preschool Hearing and Speech Education Univeristy of Pittsburgh (PHASE UP) clinic. .
Nonfinancial -
No relevant nonfinancial relationship exists.
Nicole Corbin
(Co-Author), University of Pittsburgh, NEC61@pitt.edu;
Nicole Corbin is an Assistant Professor in the Department of Communication Science and Disorders in the School of Health and Rehabilitation Sciences at the University of Pittsburgh.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with University of Pittsburgh
Maternal and Child Health Bureau LEND Grant.
Nature: Salary support.
Nonfinancial -
No relevant nonfinancial relationship exists.