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To evaluate the acceptability and usability of the Hear Glue Ear mobile application to guide families and support speech and language development in children with otitis media with effusion (OME). To assess the validity of the app's game-based hearing test to estimate changes in hearing levels between audiology appointments. This evaluation examined 60 children aged 2-8 with and without OME, attending Cambridge Community Audiology clinics. Children's performance in the app's hearing test was compared to their pure tone average (PTA) ob