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Validation of the clinical assistant for research and learning (CARL) for pure-tone audiometric procedures.

Created on 22 Jun 2026

Authors

Mohamed Rahme, Muneeb Alam, Hasan K Saleh, Paula Folkeard, Robert Koch, Steve Beaulac, Matthew Holden, Sheila Moodie, Vijay Parsa, Susan Scollie

Published in

International journal of audiology. Volume 65. Issue 3. Pages 290-302. Epub Jul 26, 2025.

Abstract

To evaluate the validity, clinical utility, barriers and facilitators of the manikin-based audiometric simulator, Clinical Assistant for Research and Learning.
The validity, clinical utility, barriers, facilitators and simulation accuracy were evaluated via an online questionnaire and in-person pure-tone audiometric assessments.
A total of 38 participants (age range 21-63) completed the study. All participants had formal training in pure-tone audiometric assessments. Participants were audiology students, registered practicing audiologists, hearing instrument dispensers, and undergraduate students.
The programmed and measured audiograms had an absolute agreement within 5 decibel hearing level. Ease of use, clarity of workflow, realism, and feasibility in clinical practice were the reported facilitators, whereas cost and availability of technical support were the identified barriers to implementation.
The manikin-based simulator was shown to be an accurate and valid tool in practicing pure-tone audiometric procedures. Clinical applications and future directions were also discussed.

PMID:
42324719
Bibliographic data and abstract were imported from PubMed on 22 Jun 2026.

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