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Updated: May 21, 2026

An Automated System for Sound Localization Testing in Hearing-Impaired Listeners
Published on: March 13, 2026
Clinical evaluation of a computerized self-administered hearing test
Anna Chi Shan Kam1, John Ka Keung Sung, Tan Lee
1Department of Otorhinolaryngology, Head and Neck Surgery, Chinese University of Hong Kong, Shatin, Hong Kong. annakam@ent.cuhk.edu.hk
Objective:
To establish the reliability and validity of a computerized self-administered hearing test.
Design:
Cross-sectional within a comparative study of subjects.
Study Sample:
Subjects were 100 Chinese adults who attended the audiology clinic in a hospital for a hearing test.
Results:
There was no significant difference in the thresholds of unmasked air-conduction hearing obtained with the computerized self-administered hearing test via a smartphone and those obtained with standard pure-tone audiometry. High test-retest reliability was observed with the self-administered hearing test (intraclass correlation coefficient = 0.95), and was comparable with that observed in standard pure-tone audiometry (intraclass correlation coefficient = 0.97). The thresholds of the self-administered hearing test measured in a sound-proof booth were not significantly different from those measured in a quiet office room.
Conclusions:
The results suggest that the computerized self-administered hearing test is a reliable and valid measure of unmasked air-conduction hearing thresholds.
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