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Validation of the Wireless Automated Hearing Test System for Clinical Use in Adults
Alyssa Davidson1, Benjamin Sheffield2
1National Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, United States.
Military Medicine
|November 15, 2025
Summary
The Wireless Automated Hearing Test System (WAHTS) shows high accuracy compared to traditional audiometry for hearing tests. This technology could improve access to hearing healthcare services.
Area of Science:
- Audiology
- Hearing Health Technology
- Medical Devices
Background:
- Traditional audiometry requires specialized equipment and trained personnel.
- Access to hearing healthcare can be limited in remote or underserved areas.
- Automated hearing testing systems offer potential solutions for increased accessibility.
Purpose of the Study:
- To validate the Wireless Automated Hearing Test System (WAHTS) against standard clinical audiometry.
- To assess the reliability and agreement of WAHTS for unmasked air conduction thresholds.
Main Methods:
- A cross-sectional study comparing WAHTS and manual audiometry.
- Ninety-three thresholds from 28 participants at Clinic 1 and 112 thresholds from 24 participants at Clinic 2 were analyzed.
- Participants included U.S. Service Members with diverse hearing profiles.
Main Results:
- WAHTS demonstrated strong agreement with clinical thresholds (correlation coefficients > 0.94).
- Kappa agreement within ±10 dB was high (90% at Clinic 1, 87% at Clinic 2).
- Mean absolute difference between repeated WAHTS measurements was 2.21 dB.
Conclusions:
- WAHTS is a valid tool for unmasked air conduction threshold evaluations.
- The system's portability and accuracy support its use in expanding hearing healthcare access.
- WAHTS shows promise for use in remote or resource-limited settings.

