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Early Detection of Newborn Hearing Impairment: The Useful of Mobile

Application

Hamsu Kadriyan, Sapto Sutardi

Medical Faculty, University of Mataram

Abstract

The incidence of newborn hearing impairment in the world is about 1-3 of 1000 live births. If the treatment was decided lately, a severe social effect will occure such as speech impairment. On the other hand, an increasing of mobile phone was surprising all over the world, including Indonesia. In the last periods, the most familiar mobile phone is smart phone, which have some advantages to operated any application to help people to do their work. For instance, application to make a diagnosis of specific disease, such as the early detection of hearing impairment. Aim of study was to measures the usefullness of mobile application that writer developed on early detection of newborn hearing impairment. This study design with cross sectional methods. Subject on this study including general practitioner with inclusion criteria were subject should have a smart phone, based on android or ios, agree as subject. Subject will excluded if he/she didn’t answer the questionare. The step of study including : 1. Development of mobile application; 2. Application trial; 3. Installing application to subject smartphone; 4. Application trial by subject; 5. Filling a questionare by subject; 6. Statistical analysis. During period of study, there are 41 subject enrolled to this study, consist of 20 male (49%) and 21 female (51%) with the mean of age is 26,1 years old. Based on perception of easiness of application installation, most of subject said that very easy to install (75,6%), easy (24,4%) and none of them said difficult or very difficult. Based on perception easiness to use the application, most of subject said that very easy to use (70,7%) and the remaining said easy (29,3%) and none of them said difficult or very difficult. In the aspect of features, 44 % said that application is very interesting and 49% interesting, but there are 4,8% said common sense and also 2,4% said that the features is not interesting. However, 21 subject (51,2%) and 20 (48,8%) consecutively said that this application is very useful and useful to help them to diagnosed the newborn hearing impairment. The conclusion of this research was mobile application on newborn early detection of hearing impairment is very useful (51,2%) to help general practitioners on their duty.

Keywords : mobile application, newborn, hearing impairment, general practitioners

1. Introduction

Wireless technology is getting more popular worldwide, especially mobile phone devices. Almost all people have this devices nowadays1 and it’s used are significant to changed

informatics system generation.2 Furthermore, it can become increased or changed a personal

computer (PC) function. For instance, mobile phone can perform quicker execution than PC in some application feature3,4 although it has small memory and processor.5

The characteristic of mobile phone are as follows: 1) more economist than PC; 2) more efficient in some work; 3) it have some PC program and low energy needed.6,7 In general,

mobile phones becoming popular in society. Almost 60% population useing this devices on daily activities and several scientist agreed that it will be increased in this era.8

2.1. Smart Phone and It’s Application

One of special variance of mobile phones is smart phone. This is because smart phone is inserted with a PC operation. According to Indonesian bodies for telecommunication regulation (BRTI) 2015, the number of smart phone users in Indonesia 281,9 million, hereas in worldwide reach 1,86 bilion or 25% population.9 In the end of 2015 the user is increase

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To make a smart phone functionally work, it should have software (application). An excelent software should fulfill a user needed. So it is necessary to decide or to know the user needed. Several advantages of software can be reaches as long as it fulfill a user needed. For instance, to help early detection of hearing impariment in children, writer should developed a specific software for this purposes.11,12

2.2. Hearing Impairment in Newborn and It’s Effect

Congenital hearing impairment has been recognized for decades as a serious disability for affected children. Studies showed that newborns that have significant hearing impairment are estimated to range from 1 to 3 per 1000 live births. 13 In Mataram, West Nusa Tenggara,

Indonesia, based on hearing screening in neonatal intensive care unit, the incidence of hearing impairment were relatively high as well as 12% of newborn baby.14

The importance of normal hearing in the psychological and social development of children is unquestionable. Hearing loss may have significant adverse effects on the development of speech, language capabilities and social-emotional development, as well as lead to worse educational and occupational performance in adulthood. Thus, hearing disorders need to be detected as early as possible.15

2.3. Mobile application in health purposes

Several appilcation or software are used to health purposes. Sutardi et al (2010) have developed a software to help general practitioner to make a diagnosis and treatment of malnutrtition. Kadriyan and Sutardi (2014) has developed a software to early detection of hearing impairment in children based on standard indicators from otorhinolaryngologist society. The software can guided a practitioner such as midwife or general practitioner to early diagnosed the hearing impairment in newborn or children (figure 1).

2.4. Aim of Study

The aim of this study is to measures the usefullness of mobile application that writer developed to early detection a newborn hearing impairment.

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2. Materials and Methods

This study is design with cross sectional. Subject on this study including general practitioner with inclusion criteria were subject should have a smart phone, based on android or ios, agree as subject. Subject will excluded if he/she didn’t answer the questionare. The step of study are as follows : 1. Development of mobile application which is based on android or ios program; 2. Application trial was tried by few practitioner in real patient, a good result were collected; 3. Installing application to subject smartphone by downloading the application application store; 4. Application trial by subject; 5. Filling a questionare by subject to knows their perception to this application; 6. Statistical analysis was done by descriptive analysis.

3. Results and Disscussion

During period of study, there are 41 subject enrolled to this study, consist of 20 male (49%) and 21 female (51%) with the mean of age is 26,1 years old. Detailed data distribution can be seen in figure 2.

Figure 2. Age distribution

Several caracteristic were analyzed on this study, including perception of easiness to installed an application or software on smart phone, perception of easiness to use an application or software, application or software feature and the usefullness of application or software on their daily practices.

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There were 21 subjects (51,2%) said that this application is very useful to help them to diagnosed the newborn hearing impairment on their daily practices (Figure 6). This result were similar with several studies who develoved an application for health purposes. Offiah MC, et al. (2014),18 found that smart phone application was very useful in replacement of

hearing aid function. This studies also congruent with Tobias AP et al (2015),19 with their

result was smartphone application was make clinicians easier to understand the clinical genomics terminology.

Figure 6. Perception of usefullness

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4. Conclusion

Mobile application on Newborn early detection of hearing impairment is very useful (51,2%) to help general practitioner on their duty.

References

[1] Klingsheim, André N.. 2004. J2ME Bluetooth Programming.-. The No Wires Research Group. Available from: https://bora.uib.no/.

[2] Whitten, Jeffry L., et. al.. 2004. Metode Desain dan Analisis Sistem. Yogyakarta: Andi.

[3] Sun Microsystem. 2009. Java™ 2 Platform, Micro Edition (J2ME™) Web Services, For the Java™ 2 Platform, Micro Edition. Santa Clara: Sun Microsystems. Available from: http://java.sun.com/.

[4] Narsoo, J and Mohamudally, N. 2008.Issues in Informing Science and Information Technology, vol. 5 ed. 2008: Identification of Design Patterns for Mobile Services with J2ME. California: Informing Science Institute http://proceedings.informingscience.org/.

[5] Steiner, Urs. 2001. J2ME: Introduction, Configurations and Profiles. Zürich, University of Zürich. Available from: http://www.ifi.uzh.ch/.

[6] Efrain, Turban, R. Kelly Rainer, and Richard E. Potter. 2006. Pengantar Teknologi Informasi, Terjemahan Introduction to Information Technology. Jakarta: Salemba Infotek

[7] JENI (2007).Pengembangan Aplikasi Mobile. - . JENI. Available from: http://poss.ipb.ac.id/.

[8] Daily Mail. 2008. Mobile phone use explodes as 60% of the world's population signs up for a handset. http://www.dailymail.co.uk/.

[9] Anonim.2016. Population, total. http://data.worldbank.org/indicator/SP.POP.TOTL.-, The World Bank. [10] Poushter, Jacob. 2016, "Smartphone Ownership and Internet Usage Continues to Climb in Emerging Economies". Pew Research Center.

[11] Guzdial, Mark. 1999. Designing User Interface, chapter 6. Designing User Interfaces in Squeak. Available from: http://stephane.ducasse.free.fr/

[12] Nugroho, Adi. 2002. Analisis dan Perencanaan Sistem Informasi dan Metodologi Berorientasi Objek. Bandung, Informatika Bandung.

[13] Barsky-Firkser L, Sun S. Universal newborn hearing screenings: a three-year experience. Pediatrics. 1997;99(6):133–138.

[14] Kadriyan H, Rambu M, Trisna IGA. Newborn hearing screening in neonatal intensive care unit in Mataram General Hospital, West Nusa Tenggara.2008. Presented as poster in Otologic annual meeting Bandung.

[15] J.M. Davis, J. Elfenbein, R. Schum, R.A. Bentler, Effects of mild and moderate hearing impairments on language, educational, and psychosocial behavior of children, J. Speech Hear. Disord. 51 (1) (1986) 53e62. [16] Sutardi S. Z-saptors score in diagnosis and treatment of malnutrition. Patent Awarded by HAKI 2010. [17] Kadriyan H, Sutardi S. Mobile application in early detection of newborn hearing impairment. Report of community services program, Medical Faculty, Mataram University 2014. Unpublish

[18] Offiah MC, Rosenthal S, Borschbach M. Assessing the Utility of Mobile Applications with Support for or as Replacement of Hearing Aids. Procedia Computer Science 34 ( 2014 ) 593 – 600.

Gambar

Figure 2. Age distribution
Figure 6. Perception of usefullness

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