Nov 2018 The Sector

screening programMore than half a million school children will have their hearing tested in the next five years as part of a free national screening program announced. The Federal Government unveiled a $4 million national rollout of Sound Scouts –  a tablet-based app that incorporates the science of hearing tests in a fun, interactive game – at Sydney’s Willoughby Public School, which was involved in trials of the app. The funding commitment came after a study by Macquarie University’s Centre for the Health Economy (MUCHE) was able to demonstrate the cost-effectiveness of Sound Scouts, finding it delivered a $10 return in benefits for the children and the community, for every $1 spent on the app. MUCHE also established that parents found it easy to administer the Sound Scouts test to a five-year-old at home – thereby opening up the pathway to diagnosis and treatment of hearing loss. The research, led by MUCHE director Dr Henry Cutler, pointed out that undetected hearing loss can reduce quality of life, and limit academic achievement and lifetime productivity.

 Announcing the rollout, Ken Wyatt, Federal Minister for Indigenous Health, Senior Australians and Aged Care, said the government wanted to ensure children with hearing loss were identified and helped earlier. He said that last year, 600 five to seven year-olds received hearing aids for the first time, and that a recent study had shown up to 1.3 million Australians were living with hearing conditions that could have been prevented.  “The Sound Scouts program is engaging and fun, but with some serious benefits for our nation’s children,” Wyatt said. “We know that delays in recognising and treating hearing loss in children’s first few years of school can be profound and long lasting, undermining their future prospects.”

 Dr Mutsa Gumbie, MUCHE Research Fellow, said MUCHE’s economic evaluation of Sound Scouts had found that it shortened the time it took for children to have hearing loss identified, and helped families to navigate the system and seek treatment.  “We also found that hearing loss obviously affects the quality of life of children, and that can be socially as well; it affects their education, and can also be misidentified as Attention Deficit Disorder,” she said.  The screening made economic sense, Gumbie said, because treating hearing issues would improve educational outcomes and in turn children’s long-term employment outcomes.

For the founder and CEO of Sound Scouts, Carolyn Mee, the funding announcement marked the culmination of eight years of research and development and commercialisation. “So yes, a very big day,” she said.  “I know from speaking to people particularly in rural areas that it’s very hard to access audiology services, and I’ve had many travelling teachers advise that they can wait up to nine months to confirm if a child has a hearing loss, so they are very excited and are loving Sound Scouts as a tool to enable that immediate assessment.” While Australia has universal screening to detect congenital hearing issues at birth, the MUCHE study points out that some children will acquire hearing loss in their first five years of life due to many factors, including inflammation of the middle ear, and common childhood infections such as chickenpox and flu. Early detection can improve education outcomes and social inclusion. Says Mee: “It’s so important that every child is tested and for parents to have the confidence to know that hearing is not the cause of any issues that may arise in their first years of school.”

 Mee developed the app in collaboration with Macquarie University-based National Acoustic Laboratories (NAL), whose testing and studies have scientifically validated the app’s efficacy.

 NAL is the research arm of Australian Hearing, which last financial year treated more than 11,000 children nationally with hearing loss, and will support Sound Scouts with raising awareness of the app and encouraging parents and schools across the country to engage with it, said managing director Kim Terrell. “It’s a very important tool in the armoury for working out if children have mild to moderate hearing loss,” Terrell said. Through children focusing on a story and responding to sound cues, the Sound Scouts app identifies three types of hearing conditions – sensorineural hearing loss, conductive hearing loss and listening difficulties in noise – in children aged between 4 years and 9 months and 12 years, but can also be used for teenagers and adults. “Children can have any one of those 3 conditions,” says Mee,  “and they can be in a classroom environment where they are simply not able to hear the teacher; then in a playground environment where they are not able to hear their friends, so both educationally and socially they are at an immediate disadvantage.

 “ I think what happens to the children is they lose their self esteem, and when that happens at 5 and 6, it’s really hard to gain that back … poor little kids, really getting off to a tricky start.”

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