{"id":33155,"date":"2025-11-19T14:50:20","date_gmt":"2025-11-19T22:50:20","guid":{"rendered":"https:\/\/www.uwb.edu\/news\/?p=33155"},"modified":"2025-11-20T14:08:29","modified_gmt":"2025-11-20T22:08:29","slug":"game-based-audit-drums-up-awareness-for-hearing-impairments","status":"publish","type":"post","link":"https:\/\/www.uwb.edu\/news\/2025\/11\/19\/game-based-audit-drums-up-awareness-for-hearing-impairments","title":{"rendered":"Game drums up awareness for hearing impairments\u00a0"},"content":{"rendered":"\n<p class=\"has-drop-cap\">Hearing loss is the third most common chronic physical condition in the U.S. \u2014 twice as prevalent as diabetes or cancer, according to the Centers for Disease Control and Prevention.&nbsp;It\u2019s&nbsp;also associated with other conditions, and in older adults, it can cause a rapid cognitive decline and&nbsp;diminished&nbsp;quality of life.&nbsp;<\/p>\n\n\n\n<p>Both&nbsp;social stigma&nbsp;or&nbsp;a lack of access&nbsp;to care&nbsp;can&nbsp;prevent people from getting tested for hearing impairments.&nbsp;The expensive equipment needed to test hearing, for example,&nbsp;isn\u2019t&nbsp;available in many&nbsp;rural communities&nbsp;or&nbsp;poorer nations.&nbsp;<\/p>\n\n\n\n<p>This health&nbsp;issue is only expected to grow \u2014 with&nbsp;nearly 2.5&nbsp;billion people projected to have some degree of hearing loss by 2050, according to the World Health Organization.&nbsp;<\/p>\n\n\n\n<p>Dr.&nbsp;Kaibao&nbsp;Nie hopes to improve&nbsp;testing&nbsp;access through&nbsp;Aud\u2022It, his latest research project. A game-based automated hearing testing app,&nbsp;Aud\u2022It&nbsp;makes screening available in the palm of your hand.&nbsp;Test results of the app were recently published in the journal Speech,&nbsp;Language&nbsp;and Hearing:&nbsp;\u201cFeasibility and accuracy of a game-based automated audiometric application (Aud\u2022It) for testing the hearing sensitivity of children and adults.\u201d&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pursuing a\u00a0passion for biomedical innovation\u00a0<\/h2>\n\n\n\n<p>An associate teaching professor in the University of Washington Bothell\u2019s\u00a0<a href=\"https:\/\/www.uwb.edu\/stem\/\" target=\"_blank\" rel=\"noreferrer noopener\">School of STEM<\/a>, Nie has a background in biomedical engineering and focused his doctorate on improving people\u2019s hearing with cochlear implants in China during the \u201990s.\u00a0<\/p>\n\n\n\n<p>\u201cMy father was a doctor, and I saw people&nbsp;having&nbsp;different struggles that they needed treatment for, and that really got me interested in the medical field,\u201d he said. \u201cFor older generations, in particular, I really wanted to help them do better in terms of understanding speech and became interested in how these devices can really improve their lives.\u201d&nbsp;<\/p>\n\n\n\n<p>Nie came to the U.S. to continue his post-doctoral research at the University of California, Irvine. He then gained industry experience developing signal algorithms for hearing aids before returning to academia in 2005 when he joined the faculty at&nbsp;the&nbsp;UW. In addition to his position at UW Bothell, Nie is an adjunct associate teaching professor in&nbsp;the&nbsp;UW\u2019s Department of Electrical &amp; Computer Engineering and&nbsp;is&nbsp;an affiliate member of the Virginia Merrill Bloedel Hearing Research Center in Seattle.&nbsp;<\/p>\n\n\n\n<p>While most of his work has been&nbsp;focused&nbsp;on creating and advancing hearing devices,&nbsp;Nie&nbsp;also became interested in testing devices while working with King Chung,&nbsp;now&nbsp;an audiology&nbsp;professor at Mass General Hospital Institute of Health Professions in Boston. Together, they hoped to create a new way of screening for hearing impairments.&nbsp;<\/p>\n\n\n\n<p>The pair secured funding for the&nbsp;Aud\u2022It&nbsp;app through the Community Health Endowment at Northern Illinois University, where Chung taught at the time. Then, they recruited a student intern to handle the technical aspects of building the app.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Taking a\u00a0game-based approach\u00a0<\/h2>\n\n\n\n<p>A UW Bothell&nbsp;alumnus, Xavier Chan graduated in 2016 with a&nbsp;bachelor\u2019s in Computer&nbsp;Engineering. He&nbsp;was&nbsp;a student of Nie\u2019s&nbsp;when&nbsp;Nie&nbsp;first&nbsp;offered him an internship on the project.&nbsp;Chan served as the software development engineer for the project \u2014 responsible for building the iOS app and working on both the software architecture and implementation.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>&#8220;It was my first project outside of coursework, and it was a significant milestone for my career. It\u00a0greatly expanded\u00a0my technical\u00a0expertise\u00a0and taught me how to quickly learn and adapt to\u00a0new technology\u00a0stacks.&#8221;<\/p><cite>Xavier Chan, Computer Science &amp; Software Engineering \u201916\u00a0<\/cite><\/blockquote><\/figure>\n\n\n\n<p>\u201cThis app is innovative in that we developed it to be more interactive than a traditional hearing test, which is kind of boring,\u201d Nie said. \u201cAs this app is intended for all ages, we wanted to make it more fun and engaging for both children and adults.\u201d&nbsp;<\/p>\n\n\n\n<p>A traditional hearing test typically involves a series of beeps and&nbsp;prompts for&nbsp;users to raise their hand to&nbsp;indicate&nbsp;they\u2019ve&nbsp;heard a beep.&nbsp;Aud\u2022It&nbsp;uses a variety of sounds and shapes to gamify the experience.&nbsp;<\/p>\n\n\n\n<p>\u201cI was drawn to the opportunity to work on technology that could directly help people with hearing assessment and audiology testing,\u201d Chan said. \u201cIt was my first project outside of coursework, and it was a significant milestone for my career. It&nbsp;greatly expanded&nbsp;my technical&nbsp;expertise&nbsp;and taught me how to quickly learn and adapt to&nbsp;new technology&nbsp;stacks.&nbsp;<\/p>\n\n\n\n<p>\u201cThis valuable experience also motivated me to pursue graduate studies,\u201d he said, \u201cand strengthened my application to the National University of Singapore for my master\u2019s degree.\u201d&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-1024x768.jpg\" alt=\"\" class=\"wp-image-33157\" srcset=\"https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-1024x768.jpg 1024w, https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-300x225.jpg 300w, https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-768x576.jpg 768w, https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-1200x900.jpg 1200w, https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie-600x450.jpg 600w, https:\/\/www.uwb.edu\/news\/wp-content\/uploads\/sites\/4\/2025\/11\/Aud-it-Kaibao-Nie.jpg 1500w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><em>Dr.\u00a0Kaibao\u00a0Nie in Brazil during a field-testing study. Image courtesy of Nie.<\/em><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Road testing the app\u00a0<\/h2>\n\n\n\n<p>After finishing with the app,&nbsp;researchers&nbsp;Nie and Chung moved into the testing phase. They teamed up with&nbsp;other&nbsp;researchers in Hong Kong to conduct a field study, which was supported by the University of Hong Kong under the Seed Grant for Basic Research. They&nbsp;then&nbsp;recruited a total of 131 participants, between the ages of 3 and 82, and compared&nbsp;Aud\u2022It&nbsp;results against the standard audiological test.&nbsp;<\/p>\n\n\n\n<p>\u201cI\u2019d say it was very successful,\u201d Nie said. \u201cWe found the testing results to be very consistent and in good agreement with the standard test, and we received positive feedback from the subjects that the game-based approach felt more intuitive.\u201d&nbsp;<\/p>\n\n\n\n<p>Clinical trials for the app are still underway in several countries, including the U.S., Sri Lanka,&nbsp;Taiwan&nbsp;and Brazil.&nbsp;The app currently&nbsp;has to&nbsp;be administered by a professional audiologist, but Nie and his team hope that it will soon be available for public download.&nbsp;<\/p>\n\n\n\n<p>\u201cOur goal is to make this available for screening in the general public, particularly in those underserved countries and communities that can\u2019t afford expensive testing equipment or lack access to health care,\u201d Nie said.&nbsp;<\/p>\n\n\n\n<p>To someday provide testing for children in schools, the team is also currently&nbsp;developing&nbsp;the app&nbsp;on Android phones and tablets&nbsp;in&nbsp;collaboration&nbsp;with researchers in Brazil.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lending an ear\u00a0<\/h2>\n\n\n\n<p>While successful testing and improved access are&nbsp;rewarding in their own right, Nie&nbsp;said&nbsp;it\u2019s&nbsp;the end result&nbsp;of how biomedical engineering can help people that he&nbsp;finds&nbsp;especially gratifying.&nbsp;<\/p>\n\n\n\n<p>In his work with cochlear implants,&nbsp;he\u2019s&nbsp;seen firsthand how&nbsp;the technology&nbsp;has&nbsp;benefited&nbsp;users.&nbsp;He recalls one little girl in particular whom&nbsp;he&nbsp;witnessed&nbsp;receiving the implant&nbsp;\u2014 and how her mother cried when the device was first turned on, and her daughter could hear again.&nbsp;<\/p>\n\n\n\n<p>\u201cI really like helping people improve their lives,\u201d Nie said. \u201cI\u2019ve enjoyed this work,&nbsp;and I\u2019m excited to see the impact this app can have after it\u2019s ready for the public.\u201d&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Kaibao Nie collaborates with researchers around the world to improve access to hearing-loss screenings. <\/p>\n","protected":false},"author":618,"featured_media":33156,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_is_archived":false,"_archived_contact_email":"","footnotes":""},"categories":[209,202,229,253,252,200,214,204,1],"tags":[],"school":[421],"class_list":["post-33155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alumni","category-campus-news","category-faculty","category-global-impact","category-population-health","category-profiles","category-research","category-students","category-uncategorized","school-school-of-stem"],"acf":{"related_links":{"toggle_visibility":false,"link_1":"","link_2":"","link_3":"","link_4":"","link_5":""},"highlight_box":{"toggle_visibility":false,"title":"","content":"","button":"","button_style":"angled-purple-button","button_screen_reader_text":""},"contact_type_1":{"toggle_visibility":true,"contact_title":"","email":"","phone":"","box":"","address_line_1":"","address_line_2":"","location":""},"contact_type_2":{"toggle_visibility":false,"contact_title":"","email":"","phone":"","box":"","address_line_1":"","address_line_2":"","location":""},"social_media":{"toggle_visibility":false,"facebook_url":"","instagram_url":"","linkedin_url":"","twitter_url":"","youtube_url":""},"blog_archive_sidebar_visibility":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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