Maximizing Cochlear Implant Outcomes with Short-Term Aural Rehabilitation
| العنوان: | Maximizing Cochlear Implant Outcomes with Short-Term Aural Rehabilitation |
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| المؤلفون: | Sarah Sydlowski, Claire Marcus Bernstein, Anne D. Olson, Jaclyn B. Spitzer, Diane Majerus Brewer, Elizabeth Machmer, Harry Levitt, Paula C. Schauer, Matthew H. Bakke |
| المصدر: | Journal of the American Academy of Audiology. 32:144-156 |
| بيانات النشر: | Georg Thieme Verlag KG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Speech perception, medicine.medical_treatment, Deafness, Audiology, 03 medical and health sciences, Speech and Hearing, 0302 clinical medicine, Multivariate analysis of variance, Quality of life, Cochlear implant, medicine, Humans, Correction of Hearing Impairment, 030223 otorhinolaryngology, Aged, Aged, 80 and over, business.industry, Middle Aged, Aural rehabilitation, Cochlear Implantation, Cochlear Implants, Quality of Life, Speech Perception, Female, Analysis of variance, Implant, business, Psychosocial, 030217 neurology & neurosurgery |
| الوصف: | Background Increasing numbers of adults are receiving cochlear implants (CIs) and many achieve high levels of speech perception and improved quality of life. However, a proportion of implant recipients still struggle due to limited speech recognition and/or greater communication demands in their daily lives. For these individuals a program of aural rehabilitation (AR) has the potential to improve outcomes. Purpose The study investigated the effects of a short-term AR intervention on speech recognition, functional communication, and psychosocial outcomes in post lingually deafened adult CI users. Research Design The experimental design was a multisite clinical study with participants randomized to either an AR treatment or active control group. Each group completed 6 weekly 90-minute individual treatment sessions. Assessments were completed pretreatment, 1 week and 2 months post-treatment. Study Sample Twenty-five post lingually deafened adult CI recipients participated. AR group: mean age 66.2 (48–80); nine females, four males; months postactivation 7.7 (3–16); mean years severe to profound deafness 18.4 (2–40). Active control group: mean age 62.8 (47–85); eight females, four males; months postactivation 7.0 (3–13); mean years severe to profound deafness 18.8 (1–55). Intervention The AR protocol consisted of auditory training (words, sentences, speech tracking), and psychosocial counseling (informational and communication strategies). Active control group participants engaged in cognitive stimulation activities (e.g., crosswords, sudoku, etc.). Data Collection and Analysis Repeated measures ANOVA or analysis of variance, MANOVA or multivariate analysis of variance, and planned contrasts were used to compare group performance on the following measures: CasperSent; Hearing Handicap Inventory; Nijmegen Cochlear Implant Questionnaire; Client Oriented Scale of Improvement; Glasgow Benefit Inventory. Results The AR group showed statistically significant improvements on speech recognition performance, psychosocial function, and communication goals with no significant improvement seen in the control group. The two groups were statistically equivalent on all outcome measures at preassessment. The robust improvements for the AR group were maintained at 2 months post-treatment. Conclusion Results of this clinical study provide evidence that a short-term AR intervention protocol can maximize outcomes for adult post lingually deafened CI users. The impact of this brief multidimensional AR intervention to extend CI benefit is compelling, and may serve as a template for best practices with adult CI users. |
| تدمد: | 2157-3107 1050-0545 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::de52159d9551ea4de8972a0dc1e0567b https://doi.org/10.1055/s-0041-1722987 |
| رقم الأكسشن: | edsair.doi.dedup.....de52159d9551ea4de8972a0dc1e0567b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21573107 10500545 |
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