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Optimizing Performance in Adult Cochlear Implant Users through Clinician Directed Auditory Training
Geoff Plant1, Claire Marcus Bernstein2, Harry Levitt3
1Hearing Rehabilitation Foundation, Somerville, Massachusetts.
Clinician-directed auditory training (AT) with the KTH Speech Tracking Procedure significantly improves speech tracking and sentence recognition for adult cochlear implant (CI) users. Long-term training further enhances these gains and user confidence.
Area of Science:
- Audiology and Hearing Rehabilitation
- Cochlear Implant Technology
- Speech Processing and Perception
Background:
- Adult cochlear implant (CI) users often require auditory training (AT) to maximize device benefits.
- The KTH Speech Tracking Procedure is a clinician-directed method for auditory rehabilitation.
- Previous research indicates short-term AT yields significant improvements in speech tracking and recognition.
Purpose of the Study:
- To review findings from an 8-week clinician-directed auditory training program using the KTH Speech Tracking Procedure.
- To illustrate the benefits of intensive, long-term, face-to-face AT with adult CI users.
- To demonstrate progressive gains in auditory performance and self-perceived confidence.
Main Methods:
- Review of prior research on an 8-week clinician-directed auditory training (AT) program.
- Presentation of a detailed case study on intensive, long-term AT using the KTH Speech Tracking Procedure.
- Assessment of speech tracking rate, sentence recognition, and self-perceived competence.
Main Results:
- An 8-week AT program resulted in significant gains in speech tracking rate and sentence recognition.
- A case study showed major, ongoing improvements in tracking rate and sentence recognition with long-term training.
- Intensive AT led to enhanced self-perceived competence and confidence in adult CI users.
Conclusions:
- Clinician-directed auditory training using the KTH Speech Tracking Procedure is effective for adult CI users.
- Both short-term and intensive long-term AT can significantly improve auditory performance and confidence.
- Widespread clinical adoption of KTH speech tracking is recommended for CI rehabilitation.
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