{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:33:38Z","timestamp":1777426418555,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Merry Electronics, Inc.","award":["MEHO-N1803-A-0025H"],"award-info":[{"award-number":["MEHO-N1803-A-0025H"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study compared a simplified in situ self-administered hearing screening test, conducted with a neckband-type self-fitting device, with conventional pure-tone audiometry. It evaluated the maximum speech-shaped noise level for screening (MSNLS), crucial for evaluating the feasibility of this in situ screening test in quiet environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study included 30 adults with normal hearing and 30 adults with mild to moderately severe hearing impairment. A binaural neckband-type self-fitting device was developed. The results of an in situ hearing screening test conducted using the self-fitting device were compared with those obtained using traditional pure-tone audiometry conducted using TDH-50 earphones. Subsequently, MSNLS was determined by assessing noise-masking effects on screening outcomes. All tests were conducted in an audiometric booth, with the hearing screening test conducted in the booth with the door open.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Strong positive correlations were observed between the results of pure-tone audiometry and those of hearing screening tests across all test frequencies, with the strongest correlation observed at 2000\u2009Hz (\n                      <jats:italic>\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.793,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and the weakest correlation observed at 500\u2009Hz (\n                      <jats:italic>\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.625,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Comparisons of screening tests results with pure-tone thresholds across all test frequencies revealed differences of approximately 10\u2009dB HL for 80% of all ears. The sensitivity and specificity of the hearing screening test in detecting candidates with hearing loss (&gt;30\u2009dB HL) who are suitable for this device were 93% and 90%, respectively. The hearing-impaired group exhibited MSNLSs, such as 57\u2009dB SPL at 500\u2009Hz, exceeding ambient noise levels in an empty classroom.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The in situ hearing screening test, conducted using a self-fitting device, exhibited reasonable accuracy for self-fitting scenarios in general quiet environments. This test can be used for monitoring mild to moderate hearing loss or fluctuating hearing loss, such as that associated with M\u00e9ni\u00e8re\u2019s disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251325617","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T07:35:51Z","timestamp":1741764951000},"page":"502-510","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of an In Situ Self-Administered Hearing Test with a Self-Fitting Device for Mild to Moderately Severe Hearing Loss in Various Acoustic Environments"],"prefix":"10.1177","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4975-3903","authenticated-orcid":false,"given":"Tun-Shin","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung, Taiwan (R.O.C.)"},{"name":"Department of Otolaryngology, Chung Shan Medical University Hospital, Taichung, Taiwan (R.O.C.)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5592-5479","authenticated-orcid":false,"given":"Hung-Yue","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, National Chung Hsing University, Taichung, Taiwan (R.O.C.)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. Deafness and hearing loss. Accessed March 7 2021. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss"},{"key":"e_1_3_3_3_2","unstructured":"US Food and Drug Administration (FDA). FDA reauthorization act of 2017 (FDARA). Accessed April 24 2021. https:\/\/www.congress.gov\/115\/plaws\/publ52\/PLAW-115publ52.pdf"},{"key":"e_1_3_3_4_2","volume-title":"World Report on Hearing","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. World Report on Hearing. World Health Organization; 2021."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000663"},{"issue":"1","key":"e_1_3_3_6_2","first-page":"1","article-title":"Self-fitting hearing aids: status quo and future predictions","volume":"20","author":"Keidser G","year":"2016","unstructured":"Keidser G, Convery E. Self-fitting hearing aids: status quo and future predictions. Trends Hear. 2016;20(1):1-15.","journal-title":"Trends Hear"},{"key":"e_1_3_3_7_2","volume-title":"Criteria for Evaluating Room Noise","author":"American National Standard Institution (ANSI S12.2-2008)","year":"2008","unstructured":"American National Standard Institution (ANSI S12.2-2008). Criteria for Evaluating Room Noise. American National Standard Institution; 2008."},{"key":"e_1_3_3_8_2","volume-title":"Maximum permissible ambient Noise Levels for Audiometric Test Rooms","author":"American National Standard Institution (ANSI S3.1-1999 (R2013)","year":"2013","unstructured":"American National Standard Institution (ANSI S3.1-1999 (R2013)). Maximum permissible ambient Noise Levels for Audiometric Test Rooms. American National Standard Institution; 2013."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6815-13-6"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2019.1627006"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.03.033"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.14092"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2222"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJA-17-0070"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJA-21-00171"},{"key":"e_1_3_3_16_2","volume-title":"Presented at: Seminars in Hearing","author":"Reed NS","year":"2019","unstructured":"Reed NS, Oliver A, Srinivasan NK, Lin FR, Korczak PA. Pilot comparison of adjustment protocols of personal sound amplification products. Presented at: Seminars in Hearing. New York, NY: Thieme Medical Publishers; 2019."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2023.2220909"},{"key":"e_1_3_3_18_2","volume-title":"Specification for Audiometers","author":"American National Standard Institution (ANSI S3.6-2018)","year":"2018","unstructured":"American National Standard Institution (ANSI S3.6-2018). Specification for Audiometers. American National Standard Institution; 2018."},{"key":"e_1_3_3_19_2","unstructured":"International Electrotechnical Commission (IEC 60318-4:2010). Simulators of human head and ear - part 4: Occluded-ear simulator for the measurement of earphones coupled to the ear by means of ear inserts. International Electrotechnical Commission; 2010."},{"key":"e_1_3_3_20_2","volume-title":"Acoustics - Audiometric Test Methods - Part 1: Pure-Tone Air and Bone Conduction Audiometry","author":"International Organization for Standardization (ISO 8253-1: 2010)","year":"2010","unstructured":"International Organization for Standardization (ISO\u20098253-1: 2010). Acoustics - Audiometric Test Methods - Part 1: Pure-Tone Air and Bone Conduction Audiometry. Geneva, Switzerland: International Organization for Standardization; 2010."},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001496"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1044\/2024_AJA-23-00230"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3533-9"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.15041"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00025572-200003000-00006"},{"key":"e_1_3_3_26_2","volume-title":"Acoustics - Reference Zero for the Calibration of Audiometric Equipment - Part 9: Preferred Test Conditions for the Determination of Reference Hearing Threshold Levels","author":"International Organization for Standardization (ISO 389-9: 2009)","year":"2009","unstructured":"International Organization for Standardization (ISO\u2009389-9: 2009). Acoustics - Reference Zero for the Calibration of Audiometric Equipment - Part 9: Preferred Test Conditions for the Determination of Reference Hearing Threshold Levels. Geneva, Switzerland: International Organization for Standardization; 2009."}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251325617","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894251325617","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251325617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:31:09Z","timestamp":1777375869000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894251325617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,12]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/00034894251325617"],"URL":"https:\/\/doi.org\/10.1177\/00034894251325617","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,12]]}}}