Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play...

Area of Science:

• Audiology
• Telemedicine
• Pediatric Healthcare

Background:

• Cochlear implants (CIs) require regular programming to optimize hearing outcomes.
• Behavioral threshold (T) level measurement is crucial for CI programming in children.
• Telepractice offers a potential solution for remote audiological services.

Purpose of the Study:

• To evaluate telepractice for measuring cochlear implant (CI) behavioral threshold (T) levels in children using conditioned play audiometry (CPA).
• To compare T levels, response probabilities, and time efficiency between telepractice and in-person assessments.
• To assess caregiver acceptance of telepractice for CI appointments.

Main Methods:

• An ABBA design (in-person, remote) was used across two visits with 19 children (2.6-7.1 years).
• Cochlear implant behavioral threshold (T) levels were measured using conditioned play audiometry (CPA) for three electrodes.
• Response probability (hit rate) and test duration were compared; caregiver attitudes were surveyed.

Main Results:

• No significant differences were found in T levels between telepractice and in-person conditions.
• Response hit rates were high and similar (98% vs. 97%) across both assessment methods.
• Test times were comparable, and 100% of caregivers expressed willingness to use telepractice for CI appointments.

Conclusions:

• Telepractice is a viable and effective method for routine pediatric cochlear implant programming appointments.
• Remote measurement of behavioral thresholds using CPA via telepractice is reliable.
• Caregiver satisfaction and acceptance support the integration of telepractice in CI care.