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Updated: Feb 25, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

A Web-Based Listening Test System for Cochlear Implant Research and its Validation for Remote Testing.

Tobias Goehring¹, Robert P Carlyon¹

¹Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.

Trends in Hearing

|February 23, 2026

Summary

A new web-based system, AUDITO, enables valid remote listening tests for cochlear implant (CI) research. This technology enhances accessibility and data collection for audiology studies.

Keywords:

auditory perception cochlear implants speech perception web-based experiments

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Area of Science:

Audiology
Biomedical Engineering
Human-Computer Interaction

Background:

Web-based applications are gaining traction in clinical audiology.
Remote testing offers potential benefits for research but requires validation.

Purpose of the Study:

To develop and evaluate AUDITO, a web-based system for remote cochlear implant (CI) listening tests.
To assess the validity and usability of remote testing compared to in-lab conditions.

Main Methods:

Developed AUDITO, a user-friendly, web-based system for flexible listening test administration.
Conducted a pilot study with 20 CI recipients comparing cable vs. Bluetooth streaming and remote vs. in-lab testing.
Implemented tests for speech perception in sentences, digits in noise, and spectro-temporal resolution.

Main Results:

AUDITO demonstrated reliable performance across various Bluetooth-compatible devices.
Test results were consistent between remote and in-lab testing, and across different streaming modalities.
User feedback indicated positive system usability and function, with no compromise in signal quality via streaming.

Conclusions:

Web-based systems like AUDITO are valid for remote audiology research, including CI studies.
AUDITO can improve data collection efficiency, research collaboration, and participant accessibility.
The system supports diverse test paradigms and enhances inclusion in audiological research.