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Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
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Apple Hearing Test Feature for the AirPods Pro 2: Accuracy, Reliability, and Time-Efficiency.

Megan Kruger1,2,3, Vinaya Manchaiah1,2,3,4,5,6, De Wet Swanepoel1,2,3,4

  • 1Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.

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PubMed
Summary
This summary is machine-generated.

Apple's Hearing Test Feature (HTF) shows clinically acceptable accuracy and reliability for hearing monitoring. This smartphone-based tool is significantly faster than traditional pure-tone audiometry (PTA).

Keywords:
Apple Hearing Test Featurehearing aidshearing lossmobile audiometryover‐the‐counter

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Area of Science:

  • Audiology and Hearing Science
  • Digital Health Technologies
  • Consumer Electronics in Healthcare

Background:

  • Traditional pure-tone audiometry (PTA) is the gold standard for hearing assessment but can be time-consuming and requires specialized equipment.
  • The increasing prevalence of hearing loss and the rise of consumer electronics necessitate accessible and efficient hearing screening tools.
  • Smartphone-based hearing assessment tools offer potential for convenient, widespread hearing monitoring.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of Apple's Hearing Test Feature (HTF) against reference standard PTA.
  • To assess the test-retest reliability of the HTF.
  • To compare the time-efficiency of HTF testing versus PTA.

Main Methods:

  • A cross-sectional validation study was conducted at a university clinic.
  • Twenty-five adults with self-reported mild-to-moderate hearing loss participated, contributing 400 threshold comparisons.
  • Participants underwent standard PTA and two independent HTF assessments using Apple AirPods Pro 2 and an iPhone 13.

Main Results:

  • 86.5% of HTF thresholds were within 10 dB HL of PTA, with root mean square deviation (RMSD) values meeting minimally acceptable accuracy.
  • Test-retest reliability was high, with 84.1% of thresholds within 5 dB HL and 96.6% within 10 dB HL.
  • HTF testing was significantly faster (median 5.5 minutes) than PTA (10.0 minutes).

Conclusions:

  • Apple's HTF demonstrates clinically acceptable accuracy and reliability for hearing assessment.
  • The HTF offers improved time-efficiency compared to traditional PTA.
  • Findings support the potential use of HTF for consumer-led hearing monitoring and self-fitting of over-the-counter hearing aids.