Designing and Implementing a Comprehensive Telehealth Aural Rehabilitation Program for Adult Cochlear Implant Recipients

Mosley, Cornetta

doi:10.1044/2021_persp-21-00082

Cited by 1 publication

(2 citation statements)

References 43 publications

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“…The CI rehabilitation protocol used in this study focused not only on enhancing speech recognition abilities, but also on improving communication function in everyday life, reducing the social and emotional impact of their hearing loss and improving quality of life 28 . The present study incorporates three standardized instruments (HHI, GBI, and COSI) that have wide use in the literature and encompass communication and psychosocial domains.…”

Section: Discussionmentioning

confidence: 99%

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Teledelivery of Aural Rehabilitation to Improve Cochlear Implant Outcomes

Brewer,

Bernstein,

Calandrillo

et al. 2023

The Laryngoscope

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Objective(s)This randomized controlled study evaluated the effectiveness of a Telehealth Aural Rehabilitation (TeleAR) training protocol to improve outcomes for adult cochlear implant (CI) users.MethodsThis was a multisite clinical study with participants randomized to either an AR treatment or active control group. The AR protocol consisted of auditory training (words, sentences, and speech tracking), informational counseling, and communication strategies. The control group participants engaged in cognitive stimulation activities (crosswords, sudoku, etc.). Each group completed 6 weekly 90‐min individual treatment sessions delivered remotely. Twenty postlingually deafened adult CI users participated. Assessments were completed pretreatment and 1 week and 2 months posttreatment.ResultsRepeated‐measures ANOVA and planned contrasts were used to compare group performance on AzBio Sentences, Hearing Handicap Inventory (HHI), Client Oriented Scale of Improvement (COSI), and Glasgow Benefit Inventory (GBI). The two groups were statistically equivalent on all outcome measures at pre‐assessment. There was a statistically significant main effect of time for all measures. Improvement over time was observed for participants in both groups, with greater improvement seen for the AR than the CT group on all outcome measures. The AR group showed medium to large effect sizes on all measures over time, suggesting clinically significant outcomes.ConclusionThis randomized controlled study provides evidence of improved speech recognition and psychosocial outcomes following 6 weeks of TeleAR intervention. For adult post‐lingually deafened CI users, including those >3 months post‐activation, AR treatment can leverage neuroplasticity to maximize outcomes.Level of Evidence2 Laryngoscope, 2023

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Section: Discussionmentioning

confidence: 99%

“…Telehealth provision of services is considered both cost‐effective and convenient for client and clinician alike. Comprehensive telehealth AR programs by Mosley 28 and by Völter et al 29 offer good AR protocols and guides for implementation. The authors note that efforts are underway to evaluate the efficacy of these programs.…”

Section: Introductionmentioning

confidence: 99%