Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice

Goehring, Jenny L.; Hughes, Michelle L.

doi:10.1044/2016_jslhr-h-16-0184

Cited by 17 publications

(34 citation statements)

References 14 publications

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“…This study used the same design as reported by Goehring and Hughes (2017) for the older children tested using CPA. An AB-BA design was used, with each pair of sessions typically spaced over two visits.…”

Section: Methodsmentioning

confidence: 99%

“…Because the procedures used to set upper comfort levels are more subjective and can vary widely across clinicians, we chose to focus on T levels as the primary outcome measure for this study. In accordance with our earlier study (Goehring & Hughes, 2017), we also evaluated test time and measurement success rate for the two test conditions, as well as questionnaire responses from caregivers that rated the acceptance and usability of remote programming. The null hypothesis was that there would be no significant differences in T levels, test time, or measurement success rate between the in-person and remote conditions.…”

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confidence: 92%

“…With this method, a play assistant conditions the child to respond to sound by engaging in a simple play task, such as dropping a block in a bucket or putting a ring on a peg (e.g., Nielsen & Olsen, 1997;Talbott, 1987). In a recent study from our laboratory (Goehring & Hughes, 2017), 19 children with CIs were tested using CPA in person versus remotely to assess the viability of using telepractice for this younger population. Results showed no significant differences in T levels between the two test locations.…”

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confidence: 99%

“…The goal of the present study was to compare behavioral T levels obtained in person versus those obtained remotely using traditional VRA testing methods to determine whether differences existed between the two conditions. As with our earlier study using CPA (Goehring & Hughes, 2017), we only evaluated T levels because they are a more straightforward and reliable measure than upper comfort levels (C or M) for this age group. Young children cannot scale or rate loudness, so the upper comfort levels are typically set above T levels by some fixed amount or by using some combination of objective measures (e.g., Gordon et al, 2004;Hughes et al, 2000).…”

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confidence: 99%

“…The alternative hypothesis was that the in-person and remote conditions would differ; therefore, two-tailed tests were used to determine in what direction any potential differences occurred. On the basis of results from our earlier study (Goehring & Hughes, 2017), we anticipated that outcomes from the questionnaire would generally view remote programming as a feasible alternative to in-person CI programming for very young children.…”

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confidence: 99%

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Measuring Sound-Processor Thresholds for Pediatric Cochlear Implant Recipients Using Visual Reinforcement Audiometry via Telepractice

Hughes

Goehring

Sevier

et al. 2018

J Speech Lang Hear Res

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 92%

mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Measuring Sound-Processor Thresholds for Pediatric Cochlear Implant Recipients Using Visual Reinforcement Audiometry via Telepractice

Hughes

Goehring

Sevier

et al. 2018

J Speech Lang Hear Res

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Techniques for Remotely Programming Children With Cochlear Implants Using Pediatric Audiological Methods via Telepractice

2018

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The purpose of this report is to describe the equipment setup and techniques for successfully testing behavioral thresholds in young children with cochlear implants (CIs) using telepractice. We will also discuss challenges associated with pediatric CI programming that are unique to the use of distance technology, and we will describe ways to overcome those challenges. Last, we will review the results from 2 recent studies specifically targeted toward testing behavioral thresholds in young children with CIs. Method: Conditioned play audiometry or visual reinforcement audiometry was used to measure behavioral thresholds (T levels) for 35 young children with CIs (n = 19 for conditioned play audiometry and n = 16 for visual reinforcement audiometry). Participants were tested in the traditional in-person condition and in the remote condition using an AB-BA study design over 2 visits. Results: There was no significant difference in T levels between the in-person and remote conditions, indicating that it is feasible to test young children using conventional pediatric testing procedures via remote technology. The primary challenges encountered were in regard to proper camera and video monitor placement at the remote site and the timing of communication between the audiologist and test assistant. Conclusions: The results from studies to date suggest that distance technology can be used successfully to program CI sound processors for young children using standard, age-appropriate testing techniques. The alternative of remote testing has substantial implications for reducing time and travel burdens for families, potentially leading to the construction of appropriate maps for young children with CIs in a timelier manner.

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Remote Monitoring of Adult Cochlear Implant Recipients Using Digits-in-Noise Self-Testing

et al. 2022

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Purpose: The COVID-19 pandemic has accelerated the uptake and scope of telehealth. This study determined the accuracy and reliability of a smartphone digits-in-noise (DIN) test when conducted by adult cochlear implant (CI) recipients in a simulated home environment compared with a clinic setup. Perceptions of remote monitoring using speech-in-noise (SIN) testing were also explored. Method: Thirty-three adult CI recipients between 18 and 78 years of age ( M = 46.7, SD = ±20.4) conducted the DIN test in a simulated home environment and a clinic setup. Test–retest reliability across the two environments and comparisons between test settings were evaluated. A survey explored the perceptions of adult CI recipients regarding remote monitoring and use of the DIN self-test. Results: Mean-aided speech reception thresholds (SRTs) in the clinic and simulated home environment test conditions and clinic and simulated home environment retest conditions did not differ significantly. Mean test–retest SRTs in the clinic and simulated home environment were significantly different ( p < .05). High intraclass correlation coefficient and low standard error of measurement scores reflected good and excellent reliability between test–retest measures and between clinic and simulated home environment measures. Most participants were positive about the possibility of using the DIN test at home to self-assess speech perception, although some test adjustments such as including training items and a less adverse starting signal-to-noise ratio may be required. Conclusion: Adult CI recipients can use the smartphone DIN test to self-assess aided SIN performance in a home environment with accuracy and reliability relatively similar to clinic testing. Supplemental Material: https://doi.org/10.23641/asha.20044418

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Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice

Cited by 17 publications

References 14 publications

Measuring Sound-Processor Thresholds for Pediatric Cochlear Implant Recipients Using Visual Reinforcement Audiometry via Telepractice

Measuring Sound-Processor Thresholds for Pediatric Cochlear Implant Recipients Using Visual Reinforcement Audiometry via Telepractice

Techniques for Remotely Programming Children With Cochlear Implants Using Pediatric Audiological Methods via Telepractice

Remote Monitoring of Adult Cochlear Implant Recipients Using Digits-in-Noise Self-Testing

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