Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| The Society of General Practice, J. E. Purkyne Czech Medical Association | UNKNOWN |
| Hospital Pardubice | UNKNOWN |
Not provided
Not provided
Not provided
The goal of this single-arm quasi-experimental study is to evaluate the feasibility, effectiveness, and management of three different hearing screening methods in adults aged 50 years and older in the Czech Republic. The main questions it aims to answer are:
Are the selected hearing screening methods effective in detecting hearing loss in the target population? Can these methods be successfully implemented within the national healthcare system to address gaps in current practices?
Participants will:
This single-arm quasi-experimental study involves a total of 330 participants aged 50 and older. The study evaluates the feasibility and effectiveness of three distinct hearing screening methods, conducted first by general practitioners and subsequently confirmed by ENT specialists, according to a standardized protocol.
Study Population and Interventions
Participants:
A total of 330 adults aged 50 years and older will be enrolled in the study.
Interventions:
The interventions are divided into two stages:
General Practitioners' Offices:
Before the screening:
Explanation of the screening process. Personal medical history review. Otoscopy and patient instruction.
Screening procedures (performed for all participants in the same order according to the standardized protocol):
ENT Clinics:
Before the evaluation:
Explanation of the evaluation process. ENT-specific medical history review. Otoscopy and patient instruction.
Diagnostic procedures (performed for all participants in the same order according to the standardized protocol):
The findings will provide evidence for developing a comprehensive, national-scale hearing screening program for the aging population in the Czech Republic.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants | Experimental | Participants over 50 years old. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Screening HHIA questionnaire | Diagnostic Test | Completion of the abbreviated (screening) version of the standardized "HHIA" questionnaire (Czech version). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Hearing Loss Detected by Pure-tone Screening Audiometry | This outcome measure evaluates the effectiveness of screening pure-tone audiometry at 35 dB at specific frequencies (500, 1000, 2000, and 4000 Hz) to detect hearing loss. Results will be compared to the reference standard (pure-tone audiometry performed at ENT clinics), calculating sensitivity, specificity, and agreement. | From enrollment by the general practitioner to ENT examination, up to 4 weeks. |
| Number of Participants with Hearing Loss Detected by Whisper Test | This outcome measure assesses the effectiveness of the whispered voice test in detecting hearing loss. Results will be compared with the reference standard (pure-tone audiometry performed at ENT clinics), evaluating sensitivity, specificity, and overall agreement. | From enrollment by the general practitioner to ENT examination, up to 4 weeks. |
| Number of Participants with Hearing Loss Detected by the HHIA Questionnaire | This outcome measure evaluates the effectiveness of the abbreviated Hearing Handicap Inventory for Adults (HHIA) questionnaire in identifying hearing loss. Results will be validated against the reference standard (pure-tone audiometry performed at ENT clinics), assessing sensitivity, specificity, and agreement. | From enrollment by the general practitioner to ENT examination, up to 4 weeks. |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Viktor Chrobok, prof., M.D., CSc., Ph.D. | University Hospital Hradec Kralove | Study Chair |
| MUDr. Michal Homoláč | University Hospital Hradec Kralove | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Hradec Kralove | Hradec Králové | Czech Republic | 50005 | Czechia | ||
| Pardubice Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | WORLD HEALTH ORGANIZATION. Hearing Screening Considerations For Implementation. World Health Organization. 2021, 1-64. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
single-arm quasi-experimental study
Not provided
Not provided
Not provided
Not provided
| Whispered voice test | Diagnostic Test | Whispered voice test conducted following the standardized protocol. |
|
| Screening pure tone audiometry | Diagnostic Test | Screening pure-tone audiometry at a level of 35 dB at the frequencies: 500, 1000, 2000, and 4000 Hz. |
|
| Pure Tone Audiometry | Diagnostic Test | Clinical Pure Tone Audiometry |
|
| Tympanometry | Diagnostic Test | Clinical Tympanometry |
|
| Pardubice |
| Czech Republic |
| 53203 |
| Czechia |
| ID | Term |
|---|---|
| D034381 | Hearing Loss |
| D011304 | Presbycusis |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006319 | Hearing Loss, Sensorineural |
Not provided
Not provided
| ID | Term |
|---|---|
| D001301 | Audiometry, Pure-Tone |
| D000158 | Acoustic Impedance Tests |
| ID | Term |
|---|---|
| D001299 | Audiometry |
| D006320 | Hearing Tests |
| D003939 | Diagnostic Techniques, Otological |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
Not provided
Not provided