To investigate the efficacy of routine screening for high frequency hearing loss (HFHL) including 3000, 6000, 8000 Hz with conventional test frequencies (1000, 2000, 4000 Hz) in adults and children in a university outreach program.
Screening outcomes were examined in two cohorts of adults (1: N = 315, M = 66.2 years; 2: N = 67, M = 68.3 years) and children (1: N= 177, M = 6.5 years; 2: N = 57, M = 6.9 years) with a HF screen protocol (1000-8000 Hz at 25 dB HL [adults]; 20 dB HL [children]) using supra-aural headphones. A rescreen was conducted in Cohort 2 with a modified protocol using insert earphones and monitored ambient noise levels.
Average total test time significantly increased (p < .0001) and nearly doubled with inclusion of 3000, 6000, 8000 Hz frequencies, adding approximately 1 minute. Rescreen refer rates decreased by ~2-16% at 1000-8000 Hz (~13-16% at 6000, 8000 Hz) using the modified protocol in adults and children, supporting false positive responses using supra-aural headphones.
Screening for HFHL should include insert earphones in order to prevent potential errors, particularly at 6000 and 8000 Hz.