Use of Telehealth for Research and Clinical Measures in Cochlear Implant Recipients: A Validation Study.

Purpose: The goal of this study was to compare clinical and research-based cochlear implant (CI) measures using telehealth versus traditional methods. Method: This prospective study used an ABA design (A = laboratory, B = remote site). All measures were made twice per visit for the purpose of assess...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 55; no. 4; pp. 1112 - 1128
Autores principales: Hughes, Michelle L., Goehring, Jenny L., Baudhuin, Jacquelyn L., Diaz, Gina R., Sanford, Todd, Harpster, Roger, Valente, Daniel L., Bacon, Sid, Abbas, Paul
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 8/1/2012
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/1/2012
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      pub: American Speech-Language-Hearing Association
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        10.1044/1092-4388(2011/11-0237)
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        atl: Use of Telehealth for Research and Clinical Measures in Cochlear Implant Recipients: A Validation Study.
      aug:
        au:
          Hughes, Michelle L.
          Goehring, Jenny L.
          Baudhuin, Jacquelyn L.
          Diaz, Gina R.
          Sanford, Todd
          Harpster, Roger
          Valente, Daniel L.
          Bacon, Sid
          Abbas, Paul
        affil: Boys Town National Research Hospital, Omaha, Nebraska
      su:
        Analysis of variance
        Hard of hearing people
        Rehabilitation
        Cochlear implants
        Experimental design
        Longitudinal method
        Research methodology
        Case studies
        Medical equipment calibration
        Psychophysiology
        Questionnaires
        Research funding
        Speech perception
        Statistics
        Telemedicine
        Videoconferencing
        Repeated measures design
        Descriptive statistics
      sug:
        subj:
          Analysis of variance
          Hard of hearing people
          Rehabilitation
          All Other Business Support Services
          Cochlear implants
          Experimental design
          Longitudinal method
          Research methodology
          Case studies
          Medical equipment calibration
          Psychophysiology
          Questionnaires
          Research funding
          Speech perception
          Statistics
          Telemedicine
          Videoconferencing
          Repeated measures design
          Descriptive statistics
      keyword:
        cochlear implants
        technology
        telepractice
        cochlear implants
        technology
        telepractice
      ab: Purpose: The goal of this study was to compare clinical and research-based cochlear implant (CI) measures using telehealth versus traditional methods. Method: This prospective study used an ABA design (A = laboratory, B = remote site). All measures were made twice per visit for the purpose of assessing within-session variability. Twenty-nine adult and pediatric CI recipients participated. Measures included electrode impedance, electrically evoked compound action potential thresholds, psychophysical thresholds using an adaptive procedure, map thresholds and upper comfort levels, and speech perception. Subjects completed a questionnaire at the end of the study. Results: Results for all electrode-specific measures revealed no statistically significant differences between traditional and remote conditions. Speech perception was significantly poorer in the remote condition, which was likely due to the lack of a sound booth. In general, subjects indicated that they would take advantage of telehealth options at least some of the time, if such options were available. Conclusions: Results from this study demonstrate that telehealth is a viable option for research and clinical measures. Additional studies are needed to investigate ways to improve speech perception at remote locations that lack sound booths and to validate the use of telehealth for pediatric services (e.g., play audiometry), sound-field threshold testing, and troubleshooting equipment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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