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Table 3. Screening Options
Type of test Method Description
History Medical provider
inquiring about perceived
hearing loss — "Do you
have difficulty with your
hearing ?"
To occur at the time of a health care
encounter
Electronic
medical record
(EMR) based
best practice
alerts
EMR prompt for inquiry
on perceived hearing loss
Best practice alert with single question
prompt — "Do you have difficulty
with your hearing ?"
Questionnaire Hearing Handicap
Inventory for the Elderly
(HHIE)
25-item questionnaire intended to
identify the problems being caused by
an individual's hearing loss
Score potential: 0–100
Questionnaire Hearing Handicap
Inventory for the
Elderly-Screening version
(HHIE-S)
10-item questionnaire intended to
identify the problems being caused by
an individual's hearing loss
Score potential: 0–40
Questionnaire Self-Assessment of
Communication (SAC)
10-item questionnaire intended to
classify an individual's communication
difficulties associated with hearing loss
Score potential: 10–50
Questionnaire Revised Quantified
Denver Scale of
Communications (RQDS)
5-item questionnaire designed to
measure communication difficulties in
adults with hearing impairment
Screening
testing
(clinician
administered)
Handheld tone emitting
otoscope
Typically 5–6 specified tones emitted
Audiometry Screening audiogram e standard screening audiometer
tests at 1, 2 and 3 kilo Hertz (kHz)
at intensity levels of 25, 40, and 60
decibel (dB)
Physical exam Whispered voice Clinician standing behind patient
whispers words to patient (i.e.,
number-letter-number combination)
Tables
