JAAA CEU Program

The questions on this page refer to Mui et al, “Validating Smartphone-Based and Web-Based Applications for Remote Hearing Assessment.”

Learner Outcomes

Readers of this article should be able to:

• Understand the performance of the three examined hearing-assessment smartphone-based and web-based applications (apps).

• Consider the use of hearing-assessment apps for screening and monitoring purposes.

CEU Questions

• 1)Which of the following uses of apps for self-led management is not discussed in the article?
  • a)Tinnitus management
  • b)Auditory training
  • c)Vestibular rehabilitation
• 2)Out of the 187 smartphone-based and web-based hearing-assessment apps identified by a scoping review in 2023, how many were deemed to have acceptable functionality?
  • a)14
  • b)22
  • c)44
• 3)Which of the following apps uses Békésy audiometry as the testing method, as opposed to the other two apps that use conventional pure-tone audiometry?
  • a)Hearing Test (Android) app
  • b)Mimi Hearing Test (iOS) app
  • c)MDHearing Aid (Web) test
• 4)Hearing assessments were repeated in the home environment on Day 2 to determine ecological validity. Which of the following measures was employed to ensure more accurate results?
  • a)Provision of standardized earphones
  • b)Instructions to undertake the assessments in a quiet location
  • c)Simultaneous assistance via a video call
• 5)Among the examined apps, when identifying a hearing loss:
  • a)The Hearing Test app showed the second highest sensitivity and highest specificity.
  • b)The Mimi Hearing Test app showed the highest sensitivity and second highest specificity.
  • c)The MDHearing Aid test showed the lowest sensitivity and highest specificity.
• 6)Regarding app accuracy when compared against standard audiometric testing,
  • a)the Hearing Test app underestimated hearing thresholds (i.e., better hearing) across all frequencies.
  • b)the Mimi Hearing Test app overestimated hearing thresholds (i.e., reduced hearing) across all frequencies.
  • c)the MDHearing Aid test overestimated hearing thresholds at some frequencies and underestimated hearing thresholds at other frequencies.
• 7)When the testing was repeated on Day 1 to determine test-retest reliability,
  • a)all apps showed moderate to good test-retest reliability across all frequencies.
  • b)the MDHearing Aid test showed good to excellent test-retest reliability across all frequencies.
  • c)the Hearing Test app and Mimi Hearing Test app showed good to excellent test-retest reliability across all frequencies.
• 8)Replication of hearing assessments in the home environment on Day 2 showed that:
  • a)the Mimi Hearing Test app had moderate to excellent ecological validity above 1000 Hz.
  • b)the MDHearing Aid test had good ecological validity below 1000 Hz.
  • c)all apps had moderate ecological validity below 2000 Hz.
• 9)Based on the mHealth App Usability Questionnaire (MAUQ) scores,
  • a)the usability of the Hearing Test app was ranked second highest.
  • b)the usability of the Mimi Hearing Test app was ranked highest.
  • c)the usability of the Hearing Test app and MDHearing Aid test was ranked highest.
• 10)Which of the following apps was suggested to be potentially useful for hearing screening and monitoring in adults with additional validation?
  • a)Hearing Test app
  • b)Mimi Hearing Test app
  • c)MDHearing Aid test