دورية أكاديمية
أعرض في EDS

Patient-Related Factors Do Not Predict Use of Computer-Based Auditory Training by New Adult Cochlear Implant Recipients.

التفاصيل البيبلوغرافية
العنوان: Patient-Related Factors Do Not Predict Use of Computer-Based Auditory Training by New Adult Cochlear Implant Recipients.
المؤلفون: Dornhoffer JR; Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina., Kinkhabwala CM, Chidarala S, Ma C, Schvartz-Leyzac KC, Meyer TA, Sterba KR, Dubno JR, McRackan TR
المصدر: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2023 Feb 01; Vol. 44 (2), pp. e81-e87. Date of Electronic Publication: 2022 Nov 29.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001-
مواضيع طبية MeSH: Cochlear Implantation* , Cochlear Implants* , Hearing Aids* , Speech Perception*, Humans ; Adult ; Quality of Life ; Prospective Studies ; Hearing Loss, Bilateral ; Treatment Outcome
مستخلص: Objective: The use of computer-based auditory training (CBAT) after cochlear implantation is associated with improved speech recognition and real-world functional abilities. However, patient-related factors associated with CBAT use remain unknown. This study seeks to identify such factors and recognize those at risk for not implementing CBAT.
Study Design: Prospective natural experiment.
Setting: Tertiary academic center.
Patients: A total of 117 new adult cochlear implant (CI) recipients with bilateral moderate-to-profound hearing loss.
Interventions/main Outcome Measures: Patient demographic and lifestyle information, preimplantation aided speech recognition scores, Cochlear Implant Quality of Life (CIQOL) domain and global scores, CIQOL-Expectations scores, and CBAT use in the first 3 months after activation. Patient-related variables included age, sex, race, duration of hearing loss before implantation, hours of CI use per day, hearing-aid use before implantation, living arrangements/marital status, annual household income, employment, technology use, and education.
Results: Overall, 33 new CI users (28.2%) used CBAT in the first 3 months after activation. On bivariate analysis of the pre-CI CIQOL scores, CIQOL-Expectations score, aided speech recognition scores, and demographic/lifestyle factors examined, regular use of smartphone, tablet, or computer technology was significantly associated with an increased likelihood of CBAT use (odds ratio, 9.354 [1.198-73.020]), whereas higher CIQOL-Expectations emotional domain scores were associated with a lower likelihood of CBAT use (d = -0.69 [-1.34 to -0.05]). However, using multivariable analysis to control for potential confounding factors revealed no significant associations between CBAT use in the first 3 months after cochlear implantation and any examined factor.
Conclusions: No associations between patient demographic, lifestyle, or pre-CI speech recognition and patient-reported outcome measures and CBAT use were identified. Therefore, discussions with all patients after implantation on the availability of CBAT and its potential benefits are warranted. In addition, given the limited overall use of CBAT and its association with improved CI outcomes, future studies are needed to investigate facilitators and barriers to CBAT use.
Competing Interests: The authors disclose no conflicts of interest.
(Copyright © 2022, Otology & Neurotology, Inc.)
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معلومات مُعتمدة: K23 DC016911 United States DC NIDCD NIH HHS
تواريخ الأحداث: Date Created: 20230110 Date Completed: 20230111 Latest Revision: 20240202
رمز التحديث: 20240202
مُعرف محوري في PubMed: PMC9835008
DOI: 10.1097/MAO.0000000000003764
PMID: 36624594
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-4505
DOI:10.1097/MAO.0000000000003764