Smartphone-Based Hearing Testing Versus Clinical Audiometry: A Comparative Study in Ear, Nose, and Throat Practice.

Area of Science:

• Audiology
• Digital Health
• Mobile Health (mHealth)

Background:

• Hearing loss is a global health issue with limited access to audiometric testing.
• Mobile applications present a viable solution for accessible, cost-effective hearing screening and monitoring.
• Digital health tools can empower individuals to manage their hearing health proactively.

Purpose of the Study:

• To evaluate the diagnostic accuracy and reliability of the Mimi Hearing Test app.
• To compare the app's performance against standard clinical audiometry.
• To assess user experience and suitability for at-home hearing health monitoring.

Main Methods:

• A comparative study involving 30 adult patients from an otolaryngology clinic.
• Dual assessments: traditional pure-tone audiogram and Mimi Hearing Test app.
• Post-assessment questionnaires on app usability, result clarity, and at-home suitability.

Main Results:

• Strong concordance between app and clinical audiometry for normal to moderate hearing loss.
• Discrepancies observed in profound or asymmetric hearing loss cases, with potential underestimation of thresholds.
• Generally positive user feedback, with high interest in regular at-home monitoring, though older adults reported more challenges.

Conclusions:

• The Mimi Hearing Test app is a valuable screening and monitoring tool for mild-to-moderate hearing impairment.
• It serves as an effective complementary tool to clinical audiometry, enhancing patient awareness and self-monitoring.
• The app supports earlier intervention for hearing health but is not a substitute for comprehensive clinical evaluation in complex cases.