Participant-generated Cochlear Implant Programs: Speech Recognition, Sound Quality, and Satisfaction.
Otol Neurotol
; 37(7): e209-16, 2016 08.
Article
em En
| MEDLINE
| ID: mdl-27228018
ABSTRACT
OBJECTIVE:
To determine whether patient-derived programming of one's cochlear implant (CI) stimulation levels may affect performance outcomes.BACKGROUND:
Increases in patient population, device complexity, outcome expectations, and clinician responsibility have demonstrated the necessity for improved clinical efficiency.METHODS:
Eighteen postlingually deafened adult CI recipients (meanâ=â53 years; range, 24-83 years) participated in a repeated-measures, within-participant study designed to compare their baseline listening program to an experimental program they created.RESULTS:
No significant group differences in aided sound-field thresholds, monosyllabic word recognition, speech understanding in quiet, speech understanding in noise, nor spectral modulation detection (SMD) were observed (pâ>â0.05). Four ears (17%) improved with the experimental program for speech presented at 45âdB SPL and two ears (9%) performed worse. Six ears (27.3%) improved significantly with the self-fit program at +10âdB signal-to-noise ratio (SNR) and four ears (26.6%) improved in speech understanding at +5âdB SNR. No individual scored significantly worse when speech was presented in quiet at 60âdB SPL or in any of the noise conditions tested. All but one participant opted to keep at least one of the self-fitting programs at the completion of this study. Participants viewed the process of creating their program more favorably (tâ=â2.11, pâ=â0.012) and thought creating the program was easier than the traditional fitting methodology (tâ=â2.12, pâ=â0.003). Average time to create the self-fit program was 10âminutes, 10âseconds (meanâ=â922; range, 446-2440).CONCLUSIONS:
Allowing experienced adult CI recipients to set their own stimulation levels without clinical guidance is not detrimental to success.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Autocuidado
/
Implantes Cocleares
Tipo de estudo:
Guideline
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Otol Neurotol
Ano de publicação:
2016
Tipo de documento:
Article