Protocol - Hearing Screener
hearScreen USA is a clinically validated, U.S. national hearing screening application (app). The app provides accurate detection of hearing impairment. The user is presented with a 23-step hearing screening test, the Digits in Noise Test (DIN). Completion time is under 3 minutes. If hearing impairment is detected, the app will suggest that the user contact a verified audiologist. Appointments with an audiologist can be made using the app.
This protocol requires you to download an application (app) to your tablet or smartphone. Download the free hearScreen USA app for your Android™ or Apple™ device. More information about the application is available at the following website: https://hearscreenusa.com/.
After downloading the hearScreen USA app, the user attaches earphones to the tablet/smartphone and opens the app. Note that the app will detect whether or not earphones are being used and will not continue if they are not attached to the device.
There are a few demographic questions at the beginning of the app.
The user will be prompted to adjust the volume to a comfortable level and begin the hearing test.
The app will say 3 digits, for example “1, 4, 8,” after which the user enters the numbers on the tablet/phone. This is repeated 23 times. Background noise is present throughout the test and will make hearing the digits more difficult.
The app will compute the total and provide a score at the end of the test.
If a hearing loss is detected, the user will be provided with an option to be connected to the nearest audiologist who is registered in the app’s system, based on geolocation. Audiologists who receive referrals can follow up with prospective patients regarding receiving a diagnostic consultation.
Personnel and Training Required
Smartphone or tablet device with access to the Internet
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Adolescent, Adult, Senior
Children, adolescents, and adults, ages 6 and older having modest intellectual competence
The hearScreen USA application (app) is a self-administered and validated tool that utilizes the Digit in Noise Test (DIN). The DIN is valuable in screening for age-related hearing loss (ARHL) because it correlates closely with the pure tone threshold and is additionally sensitive to speech in noise (e.g., conversation in a crowded restaurant), a common indicator of auditory disability.
|caDSR Common Data Elements (CDE)||Hearing hearScreen USA Assessment Score Ê||6773755||CDE Browser|
Process and Review
The Expert Review Panel #7 (ERP 7) reviewed the measures in the Speech and Hearing domain.
Guidance from ERP 7 includes the following:
- Added a new measure
- New Data Dictionary
Protocol Name from Source
Digits in Noise Test (DIN)
The hearScreen USA application (app) available at the Apple™ Store and Google™ Store.
Smits, C., Kapteyn, T. S., & Houtgast, T. (2004). Development and validation of an automatic speech-in-noise screening test by telephone. International Journal of Audiology, 43, 15–28.
Smits, C., & Houtgast, T. (2005). Results from the Dutch speech-in-noise screening test by telephone. Ear Hear, 26, 89–95.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX201801010000||What is your birth year?||N/A|
|PX201801060000||Do you have earphones on?||N/A|
|PX201801020000||What is your gender?||N/A|
|PX201801030000||What is the language you speak at home?||N/A|
|PX201801040000||Do you think you have a hearing problem?||N/A|
|PX201801050000||Are you in a quiet place?||N/A|
|PX201801070100||What three digits do you hear?||N/A|
|PX201801071000||What three digits do you hear?||N/A|
|PX201801071100||What three digits do you hear?||N/A|
|PX201801071200||What three digits do you hear?||N/A|
|PX201801071300||What three digits do you hear?||N/A|
|PX201801071400||What three digits do you hear?||N/A|
|PX201801071500||What three digits do you hear?||N/A|
|PX201801071600||What three digits do you hear?||N/A|
|PX201801071700||What three digits do you hear?||N/A|
|PX201801071800||What three digits do you hear?||N/A|
|PX201801071900||What three digits do you hear?||N/A|
|PX201801070200||What three digits do you hear?||N/A|
|PX201801072000||What three digits do you hear?||N/A|
|PX201801072100||What three digits do you hear?||N/A|
|PX201801072200||What three digits do you hear?||N/A|
|PX201801072300||What three digits do you hear?||N/A|
|PX201801070300||What three digits do you hear?||N/A|
|PX201801070400||What three digits do you hear?||N/A|
|PX201801070500||What three digits do you hear?||N/A|
|PX201801070600||What three digits do you hear?||N/A|
|PX201801070700||What three digits do you hear?||N/A|
|PX201801070800||What three digits do you hear?||N/A|
|PX201801070900||What three digits do you hear?||N/A|
June 4, 2019
This is a self-administered application (app) used to detect hearing loss.
This self-administered application (app), downloadable to smartphone or tablet, can be used to screen for hearing loss. If hearing loss is indicated, users are encouraged to contact an audiologist.
Speech and hearing, hearing test, Digits in Noise Test, DIN, phone application, phone app, tablet application, tablet app
|Protocol ID||Protocol Name|
There are no publications listed for this protocol.