This study evaluates the benefits of short-term training via telehealth for post-lingually deafened adult cochlear implant users. Half the participants will receive aural rehabilitation and the other half cognitive training. The hypothesis is that short-term aural rehabilitation via telerehab technology will improve outcomes for post-lingually deafened cochlear implant users
Aural rehabilitation training (AR) has been demonstrated to improve outcomes for adult cochlear implant users. There are both financial and non-financial barriers to AR service delivery including accessibility (mobility, distance and transportation problems), accommodation (time off work impossible, caring for family) and availability (limited providers in rural areas, financial constraints, and lack of transportation. In this study the investigators will measure the impact of telerehab delivery on optimizing speech recognition, communication function, goals, social participation and hearing handicap. Twenty-four participants will be randomly assigned to one of two treatment groups: aural rehabilitation (AR) and cognitive training (CT). Participants will complete six 90-minute treatment sessions in their home or office via a telerehab platform. Participants will come to a center for three 90-minute assessment sessions: pre-treatment, 1 week, and 2 months post-treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
Participants will complete sessions in their home or office via the internet. Sessions will include listening activities, informational counseling and communication strategies training. Three assessment appointments are required. The goal is to evaluate the benefit of training on performance with a cochlear implant.
The Cognitive Training Group will receive six 90-minute sessions including training exercises (Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Difference) to improve speed and accuracy. Three assessment sessions are also required.
Gallaudet University
Washington D.C., District of Columbia, United States
University of South Florida
Tampa, Florida, United States
University of Maryland
College Park, Maryland, United States
Columbia University
New York, New York, United States
Change in Sentence Recognition CasperSent (Boothroyd, 2008)
Percent correct scores on CasperSent topic-related recorded sentences.
Time frame: Pre-training, One-week and Two-months post-training
Change in Client Oriented Scale of Improvement (COSI) (Dillon, James & Ginis, 1997)
Participant rates hearing ability and degree of change due to treatment for three self- selected listening situations most important to them.
Time frame: Pre-training, One-week and Two-months post-training
Change in Hearing Handicap Inventory (HHI) (Ventry & Weinstein,1982)
Participant rates 25 statements as true Always, Sometimes, or Never. Two subscales are Emotional and Social/situational.
Time frame: Pre-training, One-week and Two-months post-training
Change in Glasgow Benefit Inventory (GBI) (Robinson et al.,1996
Participant rates change statements of change post-treatment.
Time frame: One-week and Two-months post-training
Change in Nijmegen Cochlear Implant Questionnaire (NCIQ) (Hinderdink et al., 2000)
60-item questionnaire with three domains: Physical, Social and Psychological.
Time frame: Pre-training, One-week and Two-months post-training
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Cleveland Clinic
Cleveland, Ohio, United States