Telehealth-enabled auditory brainstem response testing for infants living in rural communities: the British Columbia Early Hearing Program experience
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Objective: The present study investigated a telehealth-enabled auditory-brainstem-response (TH-ABR) programme provided by the British Columbia Early Hearing Program (BCEHP) to families in a remote northern area who face barriers such as travel distance and access to audiologists trained in ABR testing. Objectives were to: (i) outline the design/implementation of a TH-ABR programme, (ii) summarise equipment/procedures, and (iii) report on results for the TH-ABR programme (cost/time effectiveness, testing accuracy/efficiency, and caregiver satisfaction).Design: TH-ABR implementation was described and TH-ABR results were compared to behavioural follow-up findings to evaluate TH-ABR test accuracy. Caregivers were invited to complete TH-ABR satisfaction surveys following their appointment(s).Study sample: One hundred and two infants (mean age: 2.3 months) were assessed via TH-ABR at four points-of-care; 41/66 caregivers completed surveys.Results: The TH-ABR programme was suitable, sustainable and scalable. After 29 TH-ABR events, the service was cost neutral to BCEHP ($91,250 averted after 102 TH-ABRs). Fifty infants were identified with hearing loss and TH-ABR accuracy and efficiency were comparable to face-to-face assessments. Parent survey results indicated a high level of satisfaction with the TH-ABR experience.Conclusions: TH-ABR is efficient, accurate, valued by parents, optimises availability to audiology resources, builds local service capacity, and reduces costs for northern BC communities.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it