Evidence map›Paper›PMID 40062640›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Feasibility of Stepwise Technology-Based Audiometry With Rapid Results (STARR) Protocol in Minnesota Elementary Schools.

Autefeh Sajjadi, Morgan McBride, Kimberly Guettler, Stephanie Janasko, Staci House, Cesley Bergsten, Nobles Antwi, Madeline Marker, Soorya Todatry, Stacey Rabusch and 6 more

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Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Autefeh SajjadiDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Morgan McBrideDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota Medical School-Twin Cities, Minneapolis, MN, USA.
Kimberly GuettlerEdina Public Schools, Edina, Minnesota, USA.
Stephanie JanaskoEdina Public Schools, Edina, Minnesota, USA.
Staci HouseEdina Public Schools, Edina, Minnesota, USA.
Cesley BergstenEdina Public Schools, Edina, Minnesota, USA.
Nobles AntwiDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota Medical School-Twin Cities, Minneapolis, MN, USA.
Madeline MarkerDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota Medical School-Twin Cities, Minneapolis, MN, USA.
Soorya TodatryDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota Medical School-Twin Cities, Minneapolis, MN, USA.
Stacey RabuschChildren's Minnesota Research Institute, Minneapolis, Minnesota, USA.
Rebecca MaherDepartment of Pediatric ENT and Facial Plastic Surgery, Children's Minnesota, Pediatric ENT and Facial Plastic Surgery, Minneapolis, Minnesota, USA.
Brianne RobyDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Abby C MeyerDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Andrew RedmannDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Sivakumar ChinnaduraiDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Asitha D L JayawardenaDepartment of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0002-9932-8748

Funding

Minnesota Lions Hearing Grant
6 · The paper itself

Abstract

objectiveThis study aims to understand the utility of a stepwise technology-based audiometry with rapid results (STARR) school screening protocol. STUDY

designA prospective cohort study.

settingSix elementary schools in a single school district in Minnesota.

methodsStudents at 6 elementary schools in Minnesota participated in the STARR protocol and underwent initial technology-based hearing screening, followed by additional comprehensive automated audiometry with insert earphones and point-of-care otoscopy if they were referred. Results were reviewed by an otolaryngologist remotely, and parents received treatment recommendations based on these findings.

resultsA total of 454 (81% of eligible) students were screened and 27 students (5.9%) referred. On average, the initial screening took 55 seconds (standard deviation [SD] = 22) for those who passed and 116 seconds (SD = 55) for those who were referred. Comprehensive audiometry screening took 163 seconds (SD = 27) for those who passed and 252 seconds (SD = 100) for those who referred. A team of 6 screeners could screen a class of 30 students in 30 minutes. The total number of nursing encounters required to ensure a student saw a provider after a referral was reduced using the STARR protocol (2.47 encounters per referral) compared to traditional audiometric screening (3.39 encounters per referral) (P < .01).

conclusionThe STARR protocol is a feasible and efficient method of screening in public schools that can reduce false referral rate, provide parents with more information at the point of referral, and reduce nursing burden. IMPLICATIONS FOR PRACTICE: Technology-based hearing screenings should be considered in school settings as a means to provide more patient and family-centered hearing health care. Further research is necessary to understand how the STARR protocol influences loss to follow-up rates after failed hearing screening.

Indexed as

AudiometryHearing LossMass ScreeningSchool Health ServicesChildFeasibility StudiesFemaleHumansMaleMinnesotaProspective StudiesSchoolsdisparitiesearly hearing identificationhearing screeningpediatric hearing loss

Identifiers

PMID40062640
PMCPMC12120045

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.