{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:06:31Z","timestamp":1787504791540,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Technological advancements in mobile audiometry (MA) have enabled hearing assessment using tablets and smartphones. This systematic review (PROSPERO ID: CRD42021274761) aimed to identify MA options available to health providers, assess their accuracy in measuring hearing thresholds, and explore factors that might influence their accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting<\/jats:title>\n                    <jats:p>A systematic search of online databases including PubMed, Embase, Cochrane, Evidence Search and Dynamed was conducted on 13th December 2021, and repeated on 30th October 2022, using appropriate Medical Subject Headings (MeSH) terms. Eligible studies reported the use of MA to determine hearing thresholds and compared results to conventional pure\u2010tone audiometry (CA). Studies investigating MA for hearing screening (i.e. reporting just pass\/fail) were ineligible for inclusion. Two authors independently reviewed studies, extracted data, and assessed methodological quality and risk of bias using the Quality Assessment of Diagnostic Accuracy Studies\u20102 (QUADAS\u20102) tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults and children, with and without diagnosis of hearing impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>A meta\u2010analysis was performed to obtain the mean difference between thresholds measured using MA and CA in dB HL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Searches returned 858 articles. After systematic review, 17 articles including 1032 participants were analysed. The most used software application was Shoebox\n                      <jats:sup>TM<\/jats:sup>\n                      (6\/17) followed by Hearing Test\n                      <jats:sup>TM<\/jats:sup>\n                      (3\/17), then HearTest\n                      <jats:sup>TM<\/jats:sup>\n                      (2\/17). Tablet computers were used in ten studies, smartphones in six, and a computer in one. The mean difference between MA and CA thresholds was 1.36 dB (95% CI, 0.07\u20132.66,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). Significant differences between mobile audiometry (MA) and conventional audiometry (CA) thresholds were observed in thresholds measured at 500Hz, in children, when MA was conducted in a sound booth, and when MA was self\u2010administered. However, these differences did not exceed the clinically significant threshold of 10 decibels (dB). Included studies exhibited high levels of heterogeneity, high risk of bias and low concerns about applicability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MA compares favourably to CA in measuring hearing thresholds and has role in providing access to hearing assessment in situations where CA is not available or feasible. Future studies should prioritize the integration of pure\u2010tone threshold assessment with additional tests, such as Speech Recognition and Digits\u2010in\u2010Noise, for a more rounded evaluation of hearing ability, assesses acceptability and feasibility, and the cost\u2010effectiveness of MA in non\u2010specialist settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14107","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T01:54:26Z","timestamp":1697162066000},"page":"74-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Mobile audiometry for hearing threshold assessment: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3908-323X","authenticated-orcid":false,"given":"Babatunde","family":"Oremule","sequence":"first","affiliation":[{"name":"Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Paediatric ENT Department, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7870-2980","authenticated-orcid":false,"given":"Jonathan","family":"Abbas","sequence":"additional","affiliation":[{"name":"Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Paediatric ENT Department, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9997-0845","authenticated-orcid":false,"given":"Gabrielle","family":"Saunders","sequence":"additional","affiliation":[{"name":"Division of Psychology Communication and Human Neuroscience, Faculty of Biology, Medicine and Health, Manchester Centre for Audiology and Deafness (ManCAD), School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-2787","authenticated-orcid":false,"given":"Karolina","family":"Kluk","sequence":"additional","affiliation":[{"name":"Division of Psychology Communication and Human Neuroscience, Faculty of Biology, Medicine and Health, Manchester Centre for Audiology and Deafness (ManCAD), School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2896-4309","authenticated-orcid":false,"given":"Rachel","family":"Isba","sequence":"additional","affiliation":[{"name":"Lancaster Medical School Lancaster University  Lancaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2218-503X","authenticated-orcid":false,"given":"Sebastian","family":"Bate","sequence":"additional","affiliation":[{"name":"Research and Innovation Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0831-4760","authenticated-orcid":false,"given":"Iain","family":"Bruce","sequence":"additional","affiliation":[{"name":"Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Paediatric ENT Department, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust Manchester Academic Health Science Centre  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"OremuleB SaundersG KlukK NichaniJ BruceI.A systematic review of mobile hearing testing devices.2021[cited 2022 Jun 9]. 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