{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:16:51Z","timestamp":1782872211817,"version":"3.54.5"},"reference-count":49,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2020,9,3]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>\n              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              <jats:italic>n<\/jats:italic>\n              = 1,007), of which 59 responded.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>\n              The majority of listeners were in the precontemplation stage (75.5%). Age and stage of change were significant (\n              <jats:italic>p<\/jats:italic>\n              &lt; .05) predictors of the digits-in-noise speech recognition threshold (DIN SRT). Listeners in the precontemplation stage were significantly younger than in other stages (\n              <jats:italic>p<\/jats:italic>\n              &lt; .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.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>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.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2020_aja-19-00098","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T19:40:23Z","timestamp":1591645223000},"page":"365-374","source":"Crossref","is-referenced-by-count":9,"title":["Characteristics and Help-Seeking Behavior of People Failing a Smart Device Self-Test for Hearing"],"prefix":"10.1044","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5867-2462","authenticated-orcid":false,"given":"Danielle","family":"Sch\u00f6nborn","sequence":"first","affiliation":[{"name":"Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3666-8331","authenticated-orcid":false,"given":"Faheema 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