ArticleAge and ageing2025
Integrated digit in noise test (iDIN) for rapid hearing and cognitive screening: a preliminary exploration.
Article in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Integrated digit-in-noise testing for hearing and cognitive screening.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- [Elucidating the gene-environment interplay in risk factors for Age-related hearing loss].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Article
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3 authors.
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Abstract
backgroundHearing and cognitive impairments are common amongst older adults, both affecting communication and are not easy to distinguish from each other.
objectiveTo preliminarily evaluate the efficacy of the integrated Digit in Noise Test (iDIN) for rapid screening of hearing and cognitive functions in older adults.
designThis cross-sectional cohort study was conducted at multiple clinical sites.
settingData collection occurred in sound-treated booths and quiet rooms at several outpatient clinics and elderly community centres. SUBJECTS: The study included 107 older adults, aged 58-96, who were long-term residents of Hong Kong and native Cantonese speakers. Participants were selected through convenience sampling.
methodsPrimary outcomes were the speech reception thresholds (SRTs) for 2-, 3- and 5-digit sequences with forward and 3-digit sequences with backward recall measured on iDIN. Hearing level was assessed using pure-tone audiometry. Cognitive function was assessed using the Hong Kong version of the Montreal Cognitive Assessment (HK-MoCA).
resultsThe 2-digit and 3-digit SRTs effectively distinguished participants with hearing loss, demonstrating high sensitivity (0.815 and 0.908, respectively) and specificity (0.905 and 0.853, respectively). The SRT3b-3f index effectively discriminated between participants who passed or failed the MoCA, with sensitivities of 0.727 and 0.781, and specificities of 0.885 and 0.787 using the two MoCA scoring methods. No significant correlation was found between SRT3b-3f and hearing levels after adjustment for educational background.
conclusionsiDIN demonstrates significant promise for rapid and effective screening of both hearing and cognitive impairments in older adults.
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