دورية أكاديمية
Patient-Related Factors Do Not Predict Use of Computer-Based Auditory Training by New Adult Cochlear Implant Recipients.
العنوان: | Patient-Related Factors Do Not Predict Use of Computer-Based Auditory Training by New Adult Cochlear Implant Recipients. |
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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.) |
References: | Chen F, Ni W, Li W, Li H. Cochlear implantation and rehabilitation. Adv Exp Med Biol 2019;1130:129–44. Lenarz T. Cochlear implant—State of the art. GMS Curr Top Otorhinolaryngol Head Neck Surg 2018;16:Doc04. Firszt JB, Holden LK, Skinner MW, et al. Recognition of speech presented at soft to loud levels by adult cochlear implant recipients of three cochlear implant systems. Ear Hear 2004;25:375–87. Holden LK, Finley CC, Firszt JB, et al. Factors affecting open-set word recognition in adults with cochlear implants. Ear Hear 2013;34:342–60. Gifford RH, Noble JH, Camarata SM, et al. The relationship between spectral modulation detection and speech recognition: Adult versus pediatric cochlear implant recipients. Trends Hear 2018;22:2331216518771176. Manrique MJ, Espinosa JM, Huarte A, et al. Cochlear implants in post-lingual persons: Results during the first five years of the clinical course. Acta Otorrinolaringol Esp 1998;49:19–24. Dillon MT, Buss E, Adunka MC, et al. Long-term speech perception in elderly cochlear implant users. JAMA Otolaryngol Head Neck Surg 2013;139:279–83. Dornhoffer J. An otologist's experience as a cochlear implant patient—The power of neuroplasticity. JAMA Otolaryngol Head Neck Surg 2019;145:401–2. Harris MS, Capretta NR, Henning SC, et al. Postoperative rehabilitation strategies used by adults with cochlear implants: A pilot study. Laryngoscope Investig Otolaryngol 2016;1:42–8. Stacey PC, Summerfield AQ. Comparison of word-, sentence-, and phoneme-based training strategies in improving the perception of spectrally distorted speech. J Speech Lang Hear Res 2008;51:526–38. Fu QJ, Galvin JJ 3rd. Maximizing cochlear implant patients' performance with advanced speech training procedures. Hear Res 2008;242(1–2):198–208. Fu QJ, Galvin JJ 3rd. Perceptual learning and auditory training in cochlear implant recipients. Trends Amplif 2007;11:193–205. Henry B, Pedley K, Fu QJ. Adult cochlear implant home-based auditory training manual: postlingual hearing loss . NSW, Australia: Cochlear Limited: 2015. Reis M, Boisvert I, Beedell E, Mumford V. Auditory training for adult cochlear implant users: A survey and cost analysis study. Ear Hear 2019;40:1445–56. Plant G, Bernstein CM, Levitt H. Optimizing performance in adult cochlear implant users through clinician directed auditory training. Semin Hear 2015;36:296–310. Dornhoffer JR, Reddy P, Ma C, et al. Use of auditory training and its influence on early cochlear implant outcomes in adults. Otol Neurotol 2022;43:e165–73. Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377–81. Sweetow RW, Sabes JH. The need for and development of an adaptive Listening and Communication Enhancement (LACE) program. J Am Acad Audiol 2006;17:538–58. Fu QJ, Galvin J, Wang X, Nogaki G. Effects of auditory training on adult cochlear implant patients: A preliminary report. Cochlear Implants Int 2004;5(Suppl 1):84–90. Boothroyd A. Adult aural rehabilitation: What is it and does it work? Trends Amplif 2007;11:63–71. Tillman TW, Carhart R. An expanded test for speech discrimination utilizing CNC monosyllabic words. Northwestern University Auditory Test No. 6. SAM-TR-66-55. Tech Rep SAM-TR 1966;1–12. Spahr AJ, Dorman MF, Litvak LM, et al. Development and validation of the AzBio sentence lists. Ear Hear 2012;33:112–7. Byrne D, Dillon H. The National Acoustic Laboratories' (NAL) new procedure for selecting the gain and frequency response of a hearing aid. Ear Hear 1986;7:257–65. McRackan TR, Hand BN, Velozo CA, Dubno JR; Cochlear Implant Quality of Life Development Consortium. Cochlear Implant Quality of Life (CIQOL): Development of a profile instrument (CIQOL-35 profile) and a global measure (CIQOL-10 global). J Speech Lang Hear Res 2019;62:3554–3563. McRackan TR, Hand BN, Velozo CA, Dubno JR; Cochlear Implant Quality of Life Consortium. Validity and reliability of the Cochlear Implant Quality of Life (CIQOL)-35 Profile and CIQOL-10 Global Instruments in comparison to legacy instruments. Ear Hear 2021;42:896–908. Cohen J. Statistical Power Analysis for the Behavioral Sciences . New York, NY: Routledge; 2013. McRackan TR, Reddy P, Costello MS, Dubno JR. Role of preoperative patient expectations in adult cochlear implant outcomes. Otol Neurotol 2021;42:e130–6. |
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 |
تدمد: | 1537-4505 |
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DOI: | 10.1097/MAO.0000000000003764 |