Desenvolvimento de um módulo adaptativo para o Sistema de Treinamento das Habilidades Auditivas / Adaptive module development for Sistema de Treinamento das Habilidades Auditivas - SisTHA / Desarrollo de un módulo adaptativo para el Sistema de Entrenamiento de Habilidades Auditivas

Objetivo: O objetivo deste estudo foi desenvolver um modelo conceitual e implementar um módulo adaptativo de treinamento auditivo para o Sistema de Treinamento das Habilidades Auditivas (SisTHA) para adultos e idosos usuários de aparelho auditivo. Métodos: Foi implementado um modelo de treinamento auditivo baseado no perfil do usuário, nas suas restrições socioemocionais e queixas auditivas iniciais, e em seu desempenho ao longo do treinamento. Os questionários Hearing Handicap Inventory for the Adult (HHIA), Hearing Handicap Inventory for the Eldery (HHIE) e de queixas auditivas foram aplicados antes e depois do treinamento. Resultados: Foram implementadas melhorias de responsividade da interface e navegabilidade no SisTHA. O modelo adaptativo foi utilizado para definir o protocolo de treinamento resultando em quatro algoritmos para detecção de perfil, definição do treinamento, treinamento e medição de desempenho. Conclusão: Em futuros ensaios clínicos usando os grupos adaptativo e padrão espera-se avaliar se o treinamento adaptativo possui maior efetividade sobre o padronizado.

Objective: To develop a conceptual model and implement an adaptive hearing training module for the Hearing Skills Training System (SisTHA) for adults and elderly hearing aid users. Methods: A hearing training model based on the user's profile, psychosocial restrictions and initial hearing complaints, and their performance throughout the training was implemented. The Hearing Handicap Inventory for the Adult (HHIA), Hearing Handicap Inventory for the Elderly (HHIE) and Hearing Complaints questionnaires were applied before and after training. Results: Improvements in SisTHA interface responsiveness and navigability was implemented. The adaptive model was used to define the training protocol resulting in four algorithms for profile detection, training definition, training and performance measurement. Conclusion: Future clinical trials will be performed using the adaptive and standard groups to evaluate the possibility of adaptive training is more effective than the standardized ones.

Objetivo: El objetivo de esta investigación fue desarrollar y evaluar un módulo de entrenamiento auditivo adaptativo para el Sistema de Entrenamiento de las Capacidades Auditivas (SisTHA) para adultos y ancianos usuarios de audífonos. Métodos: un modelo de entrenamiento auditiva basado en el perfil del usuario, sus restricciones psicosociales y quejas iniciales de audición y su desempeño a lo largo del entrenamiento fue puesto en ejecución. Los cuestionarios Hearing Handicap Inventory for the Adult (HHIA), Hearing Handicap Inventory for the Eldery (HHIE) y quejas auditivas había sido aplicado antes y después del entrenamiento. Resultados: se han implementado mejoras en la capacidad de respuesta y navegabilidad de la interfaz SisTHA. El modelo adaptativo fue utilizado para definir el protocolo de entrenamiento que resultó en cuatro algoritmos para la detección de perfil, definición de entrenamiento, entrenamiento y medición de rendimiento. Conclusión: en futuros ensayos clínicos que usen los grupos adaptativos y estándar, se espera evaluar si el entrenamiento adaptativo es más efectivo que los estandarizados.

Web-based auditory self-training system for adult and elderly users of hearing aids.

INTRODUCTION: Adults and elderly users of hearing aids suffer psychosocial reactions as a result of hearing loss. Auditory rehabilitation is typically carried out with support from a speech therapist, usually in a clinical center. For these cases, there is a lack of computer-based self-training tools for minimizing the psychosocial impact of hearing deficiency. OBJECTIVE: To develop and evaluate a web-based auditory self-training system for adult and elderly users of hearing aids. METHODS: Two modules were developed for the web system: an information module based on guidelines for using hearing aids; and an auditory training module presenting a sequence of training exercises for auditory abilities along the lines of the auditory skill steps within auditory processing. We built aweb system using PHP programming language and a MySQL database .from requirements surveyed through focus groups that were conducted by healthcare information technology experts. The web system was evaluated by speech therapists and hearing aid users. An initial sample of 150 patients at DSA/HRAC/USP was defined to apply the system with the inclusion criteria that: the individuals should be over the age of 25 years, presently have hearing impairment, be a hearing aid user, have a computer and have internet experience. They were divided into two groups: a control group (G1) and an experimental group (G2). These patients were evaluated clinically using the HHIE for adults and HHIA for elderly people, before and after system implementation. A third web group was formed with users who were invited through social networks for their opinions on using the system. A questionnaire evaluating hearing complaints was given to all three groups. The study hypothesis considered that G2 would present greater auditory perception, higher satisfaction and fewer complaints than G1 after the auditory training. It was expected that G3 would have fewer complaints regarding use and acceptance of the system. RESULTS: The web system, which was named SisTHA portal, was finalized, rated by experts and hearing aid users and approved for use. The system comprised auditory skills training along five lines: discrimination; recognition; comprehension and temporal sequencing; auditory closure; and cognitive-linguistic and communication strategies. Users needed to undergo auditory training over a minimum period of 1 month: 5 times a week for 30 minutes a day. Comparisons were made between G1 and G2 and web system use by G3. CONCLUSION: The web system developed was approved for release to hearing aid users. It is expected that the self-training will help improve effective use of hearing aids, thereby decreasing their rejection.