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This is an evaluation report about Android App – Hearing Test, it is intended for communication between Joseph and Patrick only. It should not be used by any third parties. It’s a working document toward a Screening App.

Figure 1 Hearing Test App

App Summary

The app provides two basic hearing tests: pure-tone audiometry (PTA) and the speech intelligibility test (the digits-in-noise, or DIN).  It has two versions, Standard and Pro, this article evaluates the Standard version.  The standard version has 11005 reviews out of 1,000,000+ users.  The Pro version has 200 reviews out of 1000+ users. They are rated 4.5/5 and 4.4/5 respectively.

It is an app developed by Information Technology in Medicine Medical Practice Marcin MasaLski. Its located in:  Gwiaździsta 23/1 m.2, 55-010 Radwanice, PL. 

Captured Understandings

Figure 2: Calibration

Before using it, a user has to ask someone who has good hearing to calibrate the app. The calibration lasts for at least 7 minutes. It has to be done by a person who has no hearing issues.  To avoid calibration, a user can use Bundled headphones, which requires another purchase.

During the calibration, a constant beeping starts from 125hz and slowly goes across various frequencies non-linearly to 10000hz.  It requires the calibrator to press and hold a button ” I can hear now” as long as s/he can hear the beeping. When the button is pressed, the volume goes up, otherwise, the volume goes down.

It draws a boundary of volume parameters for different frequencies.  In terms of data logging, it records a volume value for each frequency across the entire range.

If this process has other meanings or requires additional data to be logged. Please let me know.

Figure 3: PTA Test

A PTA test picks up seven frequencies, namely 250hz, 500hz, 1000hz, 2000hz, 4000hz, 6000hz and 8000hz. It tries to test the volume at different frequencies for both ears separately.

Figure 4: PTA test result sample

Hearing results are then compared with a preset range with 5 bands,

  1. Normal
  2. Mild hearing loss
  3. Moderate hearing loss
  4. Severe hearing loss
  5. Deafness.

Each hearing test is associated with a calibration ID. Both figures 3 and 4 refer to Calibration ID 358960.

Figure 5: PTA test result in different formats

It has three types of interpretations, as shown in Figure 5

  1.  Degrees of hearing loss
  2.  Age norms
  3.  Speech banana

No medical advice is given as to whether a patient should visit a doctor.

Figure 6: DIN test in progress

A  digits-in-noise (DIN) test for speech intelligibility measures a user’s capability to identify a meaning sound from a given background noise.  In scientific terms it measures the user’s capability in different SNR (signal-to-noise-ratio).

Figure 7: DIN test in progress

During a DIN test, it checks a listeners capability to identify 3 digits in various SNRs, and intelligibility is calculated based on the accuracy of the answers.  There are 24 tests for each ear, and it starts from the clearest SNR, i.e. 4dB.  If the user successfully identified 3 digits, it moves to a lower SNR. In other words, it becomes harder and harder to hear as the noise become more and more dominant.  If the user missed 1 or 2 digits the SNR tunes a little bigger. Otherwise, it goes a little smaller.

Normally the test goes back and forth at the lower SNR where the user tends to make more and more mistakes.

Figure 8: DIN test result

There are three types of presentations of the final results, as shown in Figure 8:

  1. Norms, digit scoring
  2. Norms, triplet scoring
  3. Number of digits presented
ParameterValueRemarks
Version2.0.24Standard
Size4.4MBCompiled Size
DeviceNexus 4AVD
Screen768×1020
API level30
Screen CaptureYes
CalbirationPerformedin-App
Tests performed16
Crash0
Screen LayoutLandscape,portraitforced by app
  • As an amateur user, the App is considered easy to use. (not for elderly people)
  • The parameters and tests are easy to understand.
  • Flow is intuitive and conforms to Android standards.

Video1: A complete evluation cycle

Video2: Calibration

Video3: PTA Test

Video4: DIN Test

Video5: Browse Tests

Video6: Switch Test Category

Questions

What is speech banana? Do we need it?

Digit in Noise Test - how to calculate Intelligibility?

When the read bar moves back and forth, are they imply any test algorithms?

Pure-Audio-Test Are we chaing Volume to test the Hearing Capability?

In PIA test what is the criteria to generate sound?

Calibration: is it necessary?

The calibration can improve efficiency for sure.  Is it a compulsory component in the Screening App that we are going to develop? If yes, we need a detailed description of how to calibrate.

Target Screening - App - Is it correct?

The target app is used mainly for marketing purposes. Its key feature is to include simple tests that are easy to use for elderly people.  If the people need to see a doctor, then capture of their name, date of birth and contact is required.

After a test is finished, If the user requests to see a doctor, then the contact information will be emailed to a given address, say Joseph’s email.

The App should be able to be white-labelled, i.e. change logo, and change the target email so that different doctors can white label the App.

Is the above understanding correct? Anything missing?

Target App: Screening App

For markting purpose

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