Assessing online screening tests of health (Goodwin et al., 2022)

Purpose: The purpose of this study was to investigate the extent to which validated online screening measures of cognitive impairment, psychosocial well-being, and cardiovascular health are associated with a validated hearing screener in a sample of adults based in the United Kingdom.Method: Sixty-one adults (43 female; Mage = 44.7 years) participated in a cross-sectional study delivered remotely. Participants completed the hearWHO smartphone application, a digits-in-noise hearing screener, and the Modified Telephone Interview for Cognitive Status (TICS-M), a screening tool for cognitive impairment. Psychosocial well-being (social isolation and loneliness) and cardiovascular health were assessed through self-report.Results: Separate independent analyses of variance, with age, gender, and education as covariates, demonstrated participants who failed the hearWHO screener had poorer scores on the TICS-M, engaged in less physical activity, and reported more sedentary behavior and greater social isolation. Multivariate regression analyses revealed that lower TICS-M scores, having obtained less education, identifying as female, and reporting greater sedentary behavior and social isolation were the strongest predictors of lower hearWHO scores.Conclusions: The results from this study suggest that poorer hearing, as measured by the hearWHO screener, is independently associated with having worse cognitive function, more time spent being sedentary, and greater social isolation. Thus, this study demonstrates the potential of online screening measures to identify additional health conditions that confer risk to chronic disease as hearing loss manifests. This could help to inform the development of tailored treatment and support to improve an individual’s readiness to seek help for and manage both their general and hearing health.Supplemental Material S1. Demographic characteristics of the total sample, with comparisons for younger (18–39 years) and older (≥ 40 years) adults.Goodwin, M. V., Hogervorst, E., & Maidment, D. W. (2022). Test your health at home: Comparing online screening tests of hearing, cognition, and cardiovascular health. American Journal of Audiology. Advance online publication. https://doi.org/10.1044/2021_AJA-21-00199Publisher Note: This article is part of the Special Issue: Internet and Audiology 2021.

研究目的：本研究的目的是探讨经过验证的在线认知障碍、心理健康和社会福祉筛查措施与经过验证的听力筛查工具在基于英国成年人群样本中的关联程度。研究方法：共61名成年人（女性43名；平均年龄为44.7岁）参与了这项远程进行的横断面研究。参与者完成了hearWHO智能手机应用程序、数字在噪声中的听力筛查器和改良的电话认知状态访谈（TICS-M），这是一种用于认知障碍的筛查工具。心理健康和社会福祉（社会孤立和孤独感）以及心血管健康通过自我报告进行评估。研究结果：分别进行方差分析，以年龄、性别和教育程度作为协变量，显示未能通过hearWHO筛查的参与者在TICS-M上的得分较低，参与的身体活动较少，并报告了更多的久坐行为和更大的社会孤立。多元回归分析揭示了TICS-M得分较低、教育程度较低、自我认同为女性、报告更多久坐行为和社会孤立是预测hearWHO得分较低的强有力因素。研究结论：本研究的结果表明，通过hearWHO筛查工具测量的较差听力与较差的认知功能、更多时间久坐以及更大的社会孤立具有独立关联。因此，本研究证明了在线筛查措施在识别可能增加慢性病风险的其他健康条件方面的潜力，特别是听力损失的表现。这有助于为制定针对个体的定制治疗方案和支持措施提供信息，以提高他们寻求帮助和管理自身一般和听力健康的能力。补充材料S1：总样本的人口统计学特征，以及年轻成人（18-39岁）和老年成人（≥40岁）的比较。Goodwin, M. V., Hogervorst, E., & Maidment, D. W. (2022). 在家中测试您的健康：比较听力、认知和心血管健康的在线筛查测试。美国听力学杂志。提前在线发表。https://doi.org/10.1044/2021_AJA-21-00199出版者注释：本文是特刊：2021年互联网与听力学的文章之一。