Completing a test workflow

In this article:

• Completing an automated test

• Completing an manual test

• Reviewing results

Completing an automated test

1. On the home screen, use the search bar to find and select the subject you would like to test. If you are testing a brand-new subject, be sure to add them to your device first by tapping the Plus icon .

   • Note: Before tapping on the Start Testing! button, confirm that the test subject's demographics are correct before continuing. The panel will provide a reminder for you, highlighted in yellow.

     

   • Important: If you receive either of these messages, that means your headphone data was removed, or that your organization has blocked testing with expired headphones. This is done to maintain compliance with regulatory requirements. You will need to install newly recalibrated headphones to proceed. Contact an admin user if you do not have the new headphones.

     

2. If you have not yet performed the test prep activities, you will be prompted to do so.

3. Select your desired workflow. For PureTest versions 2.2 or earlier, the default workflow is the only available option. With version 2.3, it is possible to select one or more workflows depending on your needs. For example, you can set up a workflow that has a questionnaire and another that does not. Likewise, different workflows can be set up for different regulations and use cases depending on your needs.

   

4. Tap on Start Testing! to begin the testing workflow. You will be asked to confirm that you are testing the right test subject before continuing.

   

   
   The subject will select their language, and will then be brought to their personalized start page, where they will view a preview of their expected workflow.
    

   
   Note: Tapping the Pause button in the top-right corner of the screen will prompt you to enter your passcode and provide you with an overview of the workflow’s current status. If you need to end the workflow for any reason, you can tap on End Workflow to discard the current workflow and return to the home screen. It is important to remember that the workflow cannot be resumed once exited, and exiting the workflow before the results screen will NOT generate a results report PDF, though questionnaire and audiogram data will be synced.

   

5. If the pre-test questionnaire is enabled, the subject will first perform the pre-test questionnaire.

   

6. If the workflow is configured with an automated test (default), the subject will be presented with a short tutorial on how to complete the test once they have completed the questionnaire.

   • Note: The tutorial is optional, and can be toggled off in the web portal by an admin user). It will explain that they must drag the blue disc to either the green “sound speaker” icon if they heard a tone, or the red “no sound speaker” icon if they did not hear a tone.

   • Note: Ensure the test subject has the headphones comfortably fitted onto their head, with the red cup on the right ear. If the workflow is configured with a manual test, skip to step 10.

     

7. After viewing the tutorial, the subject will then begin the automated test. If the noise monitor detects excessive background noise, it will pause the test and notify the user.

   • Important: Do not place the iPad flat on a table. When using the provided iPad stand, do not place the iPad at an angle that could reduce the reliability of the microphone at measuring background noise. For optimal results, the iPad should be placed horizontally and evenly on the provided iPad stand when performing automated hearing tests and Room Scans.

      

     

8. During the workflow, you may notice that your test subject is having difficulty completing the hearing test. If the test detects any abnormalities, or if the background noise does not subside, you will be required to enter your passcode and assist with the workflow.

   • Note: The test can also be manually paused by tapping on in the top-left corner of the test screen.

     

9. If there are difficulties with the automated test, a good troubleshooting option to complete the workflow quickly is to toggle the Assisted Mode switch and proceed using Assisted Mode. 
   
   In Assisted Mode, you present each tone manually to the subject. You will ask the subject to face away from you, and ask them to provide an indication if they heard the tone or not, such as raising their hand. The frequency and volume of each tone will be displayed below the noise monitor at the top of the screen.

   

10. Once the test is complete, the subject will be thanked for taking the test and asked to remove the headphones. They will be prompted to return the iPad to the test administrator to proceed to the results screen.

    

    • Note: If frequencies were skipped, or the test was too noisy, you will be notified.

      
11. Proceed to Reviewing results.

Completing a manual test

This section describes how to complete a manual test in PureTest. Manual testing provides advanced users with more flexibility in how they administer a test and potentially reduces the time required for testing.

To view the settings available for manual testing, see Manual Hearing Test in Establishing your testing workflow.

1. On the home screen, use the search bar to find and select the subject you would like to test. If you are testing a brand-new subject, be sure to add them to your device first by tapping the Plus icon .
   • Note: Before beginning the test, confirm that the test subject’s demographics are correct before continuing. The panel will provide a reminder for you, highlighted in yellow.
     
   • Important: If you receive either of these messages, that means your headphone data was removed, or that your organization has blocked testing with expired headphones. This is done to maintain compliance with regulatory requirements. You will need to install newly recalibrated headphones to proceed. Contact an admin user if you do not have the new headphones.
     
2. Select your manual workflow from the list of workflow options. To view all available workflows, tap More workflow options.
   
3. Tap Start Testing! to begin the testing workflow.
4. Allow the test subject to select their preferred language.
   
    
5. If the pre-test questionnaire is enabled, turn the iPad towards the test subject to allow them to answer the questions.
   
6. A personalized start page will then be displayed showing a preview of the workflow and prompt the test subject to return the iPad to you. Depending on whether the questionnaire was used, tap Start manual hearing test or Let’s get started.
   
7. A screen will be displayed reminding you to instruct the test subject to put on their headphones. Ensure the test subject has the headphones comfortably fitted onto their head with the red cup on the right ear Once the test subject is wearing their headphones, tap Start the Test!
   
8. The test interface will be displayed.
   
   Use the following buttons to adjust the test’s settings:
   • In the bottom-left, adjust the presentation level using the + and – dB buttons .
   • In the bottom-left, adjust the frequency using the left or right Hz buttons .
   • In the bottom-right, select the type of tone to present. You can choose between Pulsed tone, Warble tone, and Pure tone .
   • To switch the ear being tested, tap Switch Ears .
9. To play a tone, tap the blue Play button .
10. To record a response from the test subject, use the following buttons:
    • If the test subject hears the tone, tap Set threshold.
    • If the test subject does not hear the tone, tap No response.
    • If the test subject was uncertain, tap Unreliable.
    • To clear the tone without recording a response, tap Clear .
11. If you want to add notes about the ear being tested, tap Add Note and enter the text for the note.
    
12. Once you have completed testing, tap Complete Test in the top-right corner of the screen.
    • Note: If you did not test all the recommended frequencies configured for the workflow, a warning will be displayed showing the remaining frequencies for each ear. If you want to resume testing the missed frequencies, tap Resume Test. Otherwise, end the test by tapping Complete Test.
      
    • Note: Tapping the Quit Test button in the top-left corner of the screen at any point during the test will provide you with an overview of the workflow’s current status.
      
      If you need to end the workflow, you can tap End Workflow to discard the current workflow and return to the home screen. It is important to remember that the workflow cannot be resumed once it is ended. If no responses were recorded, the results screen will not generate a results report PDF, though questionnaire and audiogram data will be synced.
      
      If any responses were recorded, the results screen will generate a results report PDF.
13. Proceed to Reviewing results.

Reviewing results

After completing a test, you can review the results with the test subject.

1. To proceed to the results screen, you will need to enter your passcode. You will then be able to review the test results with the subject.
   • Note for admin users: For more information on what can be configured on this page, see Results in Establishing your testing workflow.
     
     Results can be viewed in both the examiner and subject’s language if multiple languages are enabled.
     
     An easy-to-read results summary can be found at the bottom of the audiogram, along with a symbol legend and a timestamp for when the last room scan was passed.
     
2. If signatures are enabled, both the subject and the test examiner will be prompted to enter their confirmation signatures after reviewing the test results. When both signatures have been entered, tap Continue.
   
    
3. The final screen of the workflow will ask if the subject would like a copy of their test results. If they would like a copy, you can provide them with a physical copy by tapping on Print and printing their test results, or you can provide them with a digital copy by tapping on Email.
   
   Click here to learn how to print from your app using AirPrint.
   
   
   If sending the subject their results via email, you will need to confirm their personal information and email address with them. If no date of birth or email address was entered when the test subject was created, you will need to enter it now. The subject's personal information will act as security information that the subject will need to access the document.
   
   Important: Organizations with locked demographics enabled will not be able to edit the subject's information at this stage. If the subject is missing their date of birth and/or email, the option to send results via email will be grayed out, and an admin user will need to send the subject their results using the SHOEBOX Data Management Portal. If the subject's DOB/email are filled in, the option to send via email will still be present, but the option to edit will be locked out.
   
   After the information has been updated, tapping on Send Now will send the email to the customer's address once your data has been synced to the cloud. The subject will receive an email with a link to their results. The email will be sent by no-reply@shoebox.md. Please inform the subject to check their spam or junk folders in case the email does not appear in their inbox.
   • Note: You can always send the test subject their results from the web portal later on if the app sync fails and the email request is lost, or if the subject does not request a copy of their results during the test but changes their mind later on.
     
      

4. If this was a manual test, tapping Finished will return you to the home screen.
   
   If this was an automated test, tapping Finished will return you to the workflow overview screen. Tapping Return Home will complete the workflow and return you to the home screen.