An Overview of Telepractice Applications for Comprehensive Cochlear Implant Service Delivery.

Purpose: Numerous follow-up appointments are required to program a cochlear implant (CI) sound processor and monitor the patient's progress over time, particularly within the first year of implantation. This, coupled with the specialty nature of CI service delivery and sparsely located clinics, can...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 8; no. 2; pp. 380 - 396
Autores principales: Premkumar, Priya K., Hughes, Michelle L.
Formato: pictorial review Journal Article
Publicado: American Speech-Language-Hearing Association Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2022_PERSP-22-00173
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        atl: An Overview of Telepractice Applications for Comprehensive Cochlear Implant Service Delivery.
      aug:
        au:
          Premkumar, Priya K.
          Hughes, Michelle L.
        affil: Department of Special Education and Communication Disorders, University of Nebraska-Lincoln
      sug:
        subj:
          Telemedicine Methods
          Cochlear Implant Utilization
          Health Services Accessibility
          Health Care Delivery Standards
          Cochlear Implant Programming Methods
          Speech Perception Evaluation
          Appointments and Schedules
          Telehealth
          Data Analysis Software
          Videoconferencing
          Rehabilitation of Persons with Hearing Loss
          Child
          Adult
          Child: 6-12 years
          Adult: 19-44 years
      ab: Purpose: Numerous follow-up appointments are required to program a cochlear implant (CI) sound processor and monitor the patient's progress over time, particularly within the first year of implantation. This, coupled with the specialty nature of CI service delivery and sparsely located clinics, can pose burdens on recipients' time and access to necessary resources for consistent follow-up. Advances in the application of telepractice for CI service delivery have evolved and expanded over recent years, with further utilization spurred by the COVID-19 pandemic that emerged in late 2019. This review article provides a summary of telepractice applications for adult and pediatric CI processor programming, impedance, and electrically evoked compound action potential testing, speech-perception testing, evaluations of patient and clinician experiences, troubleshooting, and aural rehabilitation for CI recipients. Future directions and opportunities for further implementation of telepractice for CI service delivery are discussed. Conclusions: Studies to date suggest that telepractice can be reliably used for remote sound processor programming for both children and adults, impedance and evoked compound action potential measures, speech-perception testing in adult CI users, and self-monitoring. However, further technological advancements are needed to make remote speech-perception testing more easily implemented, and well-controlled studies are needed to better evaluate the efficacies of aural rehabilitation through teletherapy, particularly for children.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        Journal Article
      ougenre: Article
    language: English
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