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Usability of a hearing test mobile app across generations.
Małgorzata Pastucha1,2, Elżbieta Gos1,2, Krzysztof Kochanek1,2
1Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
Plos One
|July 29, 2025
Summary
Mobile hearing test apps show potential for initial assessment, but usability varies by age. Older adults face challenges with installation and result interpretation, indicating a need for interface improvements.
Area of Science:
- Audiology
- Mobile Health Technology
- Gerontology
Background:
- Traditional hearing assessments face accessibility barriers.
- Mobile applications offer a promising alternative for self-hearing assessment.
- Usability and effectiveness of hearing apps across age groups require further investigation.
Purpose of the Study:
- To evaluate the usability of the "Hearing Test" mobile application across different age demographics.
- To compare the app's self-assessed hearing thresholds with traditional pure tone audiometry.
- To identify age-related usability challenges of mobile hearing testing tools.
Main Methods:
- 77 participants were divided into three age groups (16-39, 40-59, 60+).
- Participants used the "Hearing Test" app for self-assessment, followed by audiologist-administered pure tone audiometry.
- App usability was assessed using the Mobile App Rating Scale (MARS) questionnaire, observation, and interviews.
Main Results:
- The app generally produced results comparable to pure tone audiometry.
- Older participants reported greater difficulties with app functionality and engagement.
- Installation and result interpretation posed significant challenges for the oldest age group; none could complete the test independently.
Conclusions:
- The "Hearing Test" app shows potential for preliminary hearing screening, especially for younger users.
- Older adults experienced significant usability issues, including installation and result interpretation.
- Enhancing app usability for older adults requires tailored interfaces, tutorials, and clearer result presentations.

