Proceeding, 1st ICST Mataram University 2016

Kadriyan and Sutardi 85

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
until 37%, according to PEW research center.10
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Proceeding, 1st ICST Mataram University 2016

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.

Figure 1. Application of early detection in Newborn hearing impairment

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Proceeding, 1st ICST Mataram University 2016

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.
Based on perception to 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 (Figure 3).
Based on perception to 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 (Figure 4). 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 (Figure 5).

Kadriyan and Sutardi 88

Proceeding, 1st ICST Mataram University 2016

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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Proceeding, 1st ICST Mataram University 2016

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.
[19] Tobias AP, Tobias ES. Developing educational iPhone, Android and Windows smartphone cross-platform
apps to facilitate understanding of clinical genomics terminology. Applied & Translational Genomics 6
(2015) 15-17