Remote Hearing Aid Support: The Next Frontier

Angley, Gina; Schnittker, Jean Anne; Tharpe, Anne Marie

doi:10.3766/jaaa.16093

Cited by 17 publications

(13 citation statements)

References 12 publications

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“…Considering the limited number of intervention studies that included aspects of HA follow-up consultations (e.g. HA programming, counselling, and instructions) (reviewed in Tao et al 2018;Angley, Schnittker, and Tharpe 2017), comparison of these results is difficult. The closest studies of teleaudiology services have been those examining real ear measurements (Campos and Ferrari 2012;Pross, Bourne, and Cheung 2016), counselling programme Rubinstein 1994, 1995;Laplante-Levesque, Pichora-Fuller, and Gagne 2006;Lundberg, Andersson, and Lunner 2011;Thoren et al 2011;Thoren et al 2014), and of specific procedures performed by teleaudiology but in isolation from the other procedures (Tao et al 2018;Ferrari 2006;Ferrari and Bernardez-Braga 2009;Reginato and Ferrari 2014;Campos and Ferrari 2012;Pearce, Ching, and Dillon 2009;Penteado et al 2012Penteado et al , 2014Venail et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Teleaudiology hearing aid fitting follow-up consultations for adults: single blinded crossover randomised control trial and cohort studies

Tao

Moreira

Jayakody

et al. 2020

International Journal of Audiology

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Objective: To evaluate and compare the effectiveness and quality of standard face-to-face and teleaudiology hearing aid fitting follow-up consultations and blended services for adult hearing aid users. Design and Study sample: Fifty-six participants were randomly allocated to two equal groups, with equal numbers of new and experienced users. One standard and one teleaudiology follow-up consultation were delivered by an audiologist, the latter assisted by a facilitator. The order was reversed for the second group. Outcome measurement tools were applied to assess aspects of participants' communication, fitting (physical, sensorial), quality of life, and service. Cross-sectional and longitudinal outcomes were analysed. Results: Most participants presented with moderate, sloping, and symmetrical sensorineural hearing loss. The duration of teleaudiology (42.96 ± 2.73 min) was equivalent to face-to-face consultations (41.25 ± 2.61 min). All modes of service delivery significantly improved outcomes for communication, fitting, and quality of life (p > 0.05). Satisfaction for both consultation modes was high, although significantly greater with standard consultations. The mode and order of delivery of the consultations did not influence the outcomes. Conclusion: Teleaudiology hearing aid follow-up consultations can deliver significant improvements, and do not differ from standard consultations. Blended services also deliver significant improvements. Satisfaction can be negatively impacted by technical or human-related issues.

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Section: Discussionmentioning

confidence: 99%

Teleaudiology hearing aid fitting follow-up consultations for adults: single blinded crossover randomised control trial and cohort studies

Tao

Moreira

Jayakody

et al. 2020

International Journal of Audiology

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“…First, patients who have mobility problems, are time-poor, or do not live near an audiology clinic can find it difficult to make repeated in-person visits to a provider. 10 As a result, they may delay or forgo seeking help for their hearing aid problems. Second, patients can struggle to accurately describe listening problems retrospectively.…”

mentioning

confidence: 99%

A Smartphone App to Facilitate Remote Patient-Provider Communication in Hearing Health Care: Usability and Effect on Hearing Aid Outcomes

Convery

Keidser

McLelland

et al. 2020

Telemedicine and e-Health

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Background: Patients often need multiple fine-tuning appointments with their hearing health care provider to achieve satisfactory hearing aid outcomes. A smartphone app that enables patients to remotely request and receive new hearing aid settings could improve hearing health care access and efficiency. Introduction: We assessed the usability of ReSound AssistÔ, (ReSound America, Bloomington, MN) the remote communication feature of a hearing aid app, and investigated whether hearing aid outcomes are influenced by app-based versus inperson patient-provider communication. Materials and Methods: Thirty adults were fit bilaterally with hearing aids and randomized to intervention and control groups. During a 6-week field trial, participants reported hearing aid problems via ReSound Assist (intervention) or at a scheduled face-to-face follow-up appointment (control). Usability of ReSound Assist was assessed with a questionnaire and interview. Hearing aid performance, benefit, satisfaction, and daily usage were compared for both groups. Results: ReSound Assist was rated as highly usable. Participants identified specific aspects of effectiveness and efficiency that could be improved. Similar problems were reported by intervention and control participants regardless of communication mode (app-based vs. in-person). However, almost half the requests received via ReSound Assist were for problems that required advice from the provider or physical modifications to the hearing aids rather than fine-tuning, highlighting the continued importance of in-person hearing health care. There was no significant difference in hearing aid outcomes between intervention and control participants. Conclusions: Apps enabling remote patient-provider communication are a viable method for hearing aid users to seek and receive help with hearing aid problems that can be addressed through fine-tuning.

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“…[11][12][13][14] Likewise, teleaudiology has been used, albeit sporadically, for audiometric evaluations, while hearing aid and cochlear implant remote programming are emerging practices. [15][16][17][18][19][20][21] Two major obstacles heretofore to the development of teletechnology have been the inability to bill for teleservices, and the need for all platforms-the physician's and the patient's-to be HIPAA compliant. Previously only face-to-face encounters could be reim- For years, before the advent of COVID restrictions, the emerging live-motion technology had been embraced by Deaf and hearing-impaired people.…”

mentioning

confidence: 99%

“…Otolaryngologists/head and neck surgeons who serve rural populations have long used telemedicine modalities to accommodate the inherent transportation challenges associated with physically bringing patients and physicians together 11‐14 . Likewise, teleaudiology has been used, albeit sporadically, for audiometric evaluations, while hearing aid and cochlear implant remote programming are emerging practices 15‐21 . Two major obstacles heretofore to the development of teletechnology have been the inability to bill for teleservices, and the need for all platforms—the physician's and the patient's—to be HIPAA compliant.…”

mentioning

confidence: 99%

Expanded use of teleservices in otology and neurotology in response to the COVID‐19 (SARS‐Cov‐2) pandemic

Redleaf

Welling

Wackym

2020

Laryngoscope Investig Oto

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Beginning in December 2019, Dr Li Wenliang, an ophthalmologist, was silenced by the Chinese government as he tried to alert health authorities about a novel and deadly disease similar to SARS. On December 31, 2019, the first report of an epidemic of a serious respiratory disease caused by a new coronavirus virus originating in Wuhan (Hubei province), China was made to the local World Health Organization office. The virus and disease were termed Severe Acute Respiratory Syndrome (SARS-CoV-2) coronavirus 2. The disease caused by this virus was later named COVID-19. 1 On January 20, 2020, an otolaryngologist/head and neck surgeon in Wuhan became the first physician to die of COVID-19. 2 On February 6, 2020, Li Wenliang, the ophthalmologist who originally tried to raise the alarm, died of COVID-19. 3,4 The first recorded instance of an entire surgical care team becoming infected by COVD-19 also occurred in Wuhan: All 14 team members participating in an endonasal endoscopic-assisted hypophysectomy and providing preoperative and postoperative care to the patient were infected. 5 The COVID-19 viral load was later determined to be concentrated in the upper airway, causing the high rates of infections and death among otolaryngologists/ head and neck surgeons, ophthalmologists, and Chinese endoscopists during the first several months of the epidemic. 6-9 Later, Patel and coworkers reported that many Italian and Iranian otolaryngologists/ head and neck surgeons were infected and isolated. 7 The same high risk has been recorded in Europe. This high-risk to otolaryngologists/ head and neck surgeons has recently been reviewed. 10

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Remote Hearing Aid Support: The Next Frontier

Abstract: On average, participants and the study audiologist were satisfied with remote hearing aid follow-up visits. Additional support might be needed for older patients with little confidence in their ability to interact with technology.

Cited by 17 publications

References 12 publications

Teleaudiology hearing aid fitting follow-up consultations for adults: single blinded crossover randomised control trial and cohort studies

Teleaudiology hearing aid fitting follow-up consultations for adults: single blinded crossover randomised control trial and cohort studies

A Smartphone App to Facilitate Remote Patient-Provider Communication in Hearing Health Care: Usability and Effect on Hearing Aid Outcomes

Expanded use of teleservices in otology and neurotology in response to the COVID‐19 (SARS‐Cov‐2) pandemic

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