© 2020 Auditory Insight LLC. Confidential and Proprietary. No public use without prior written permission. All rights reserved.

U.S. Online Hearing Testing and Best Practices

for Patient Engagement in Response to Covid-19

JULY 2020

© 2020 Auditory Insight LLC. Confidential and Proprietary. No public use without prior written permission. All rights reserved.

BEST PRACTICE INTRODUCTIONPresenting meaningful test results

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Presenting meaningful test results

Auditory Insight Patient Engagement Framework for Online Hearing Testing

Presenting meaningful test results

© 2020 Auditory Insight LLC

© 2020 Auditory Insight LLC. Confidential and Proprietary. No public use without prior written permission. All rights reserved. Licensed per Terms of Use to Company Name.

ANALYSIS OF CURRENT TESTS The 16 bands presented test results using a variety of approaches

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VisualsReal-World Implications for: Clinical

ResultsSounds Situations Voices

America Hears

Audicus

Blamey Saunders 2

Eargo

Hearing Direct

Lively

MDHearingAid

Nuheara1

Miracle-Ear

Beltone

ReSound

Phonak3

Starkey

Shoebox

Signia

Widex

D2C Brands

HCP Brands

Key: 1 Age plotted against SNR ratio2 Readout on vowel and consonant types3 Non-traditional audiogram; fewer frequencies

No Parent Company

Amplifon

GN Store Nord

Sonova

WS Audiology

© 2020 Auditory Insight LLC. Confidential and Proprietary. No public use without prior written permission. All rights reserved.

EXAMPLES OF BEST ENGAGEMENT PRACTICESLively patient engagement best practice –Visual representation

• Lively’s thermometer-styled graphic represented patients’ hearing trouble with an understandable, appealing visual

• Rather than using the traditional categories of “mild” through “severe,” Lively’s categories of “at risk” to “severely impaired” are more understandable to patients

• The test results described how our test taker’s ability to hear certain components of speech and voices could improve with hearing aids, by frequency band and ear

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Lively

© 2020 Auditory Insight LLC. Confidential and Proprietary. No public use without prior written permission. All rights reserved.

CURRENT CONTEXTApple is accelerating patient expectations for self-monitoring

• With the Mimi hearing test app, patients may test their hearing as often as they would like and access a history of their test results, conveniently displayed

• In addition, patients may store their Mimi audiograms in the Apple iPhone Health app

• This patient experience contrasts with patients’ saving emails of online hearing tests results (or requesting paper copies of audiograms from brick-and-mortar clinics)

• Apple’s iOS 14 release, anticipated in September 2020, includes a new “Headphones Accommodations” section, enabling the Air Pods Pro to function as hearing aids, which will provide increased visibility to hearing test apps like Mimi’s

• Forthcoming Auditory Insight published research will discuss the opportunities and threats from Apple’s entry into hearing amplification

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Images from Apple.com and Mimi app

Mimi App & Apple Health App