CC BY-NC-SA 4.0 Attribution-NonCommercial-ShareAlike 4.0 International DeedJohnson, ChristineWhite, Joanna D.2024-01-262024-01-262024-06-20Johnson, C. and White, J.D. (2024) ‘Inter-rater reliability of auditory brainstem response waveforms elicited by complex stimuli’, Hearing Balance and Communication, 22(1), pp. 15–20. Available at: https://doi.org/10.4103/HBC.HBC_4_23.2169-5717https://eresearch.qmu.ac.uk/handle/20.500.12289/13667https://doi.org/10.4103/HBC.HBC_4_23Christine Johnson - ORCID: 0000-0001-8573-5396 https://orcid.org/0000-0001-8573-5396Objective: The objective of this study was to assess the inter-rater reliability of peak marking for the frequency following the response portion of auditory brainstem response (ABR) waveforms elicited by complex stimuli. Materials and Methods: ABR testing was carried out on 30 adult participants with normal hearing, which generated a data set of 60 click-evoked waveforms and 60/da/-evoked waveforms. Three audiologists marked peaks for both click and/da/evoked ABR waveform data, derived from 30 participants aged 18–30 years. To assess inter-rater reliability, a two-way, random effects, single-measure model was used to calculate the intraclass correlation coefficients (ICCs). Results: The ICCs were ≥0.89 for peaks I, III, and V of the click-evoked waveforms. For the/da/evoked waveforms, the ICCs were rated good to high (≥0.83) for peaks V, A, E, F, and O, fair (0.75) for peak D but poor (≥0.45) for peak C. Conclusion: Investigations of reliability of waveform marking should be undertaken before using complex stimuli for ABR testing to prevent premature adoption of screening or diagnostic tools.15-20enThis is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.http://creativecommons.org/licenses/by-nc-sa/4.0/deed.enAuditory Brainstem ResponseFrequency Following ResponseReliabilityArticle