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Techniques for Remotely Programming Children With Cochlear Implants Using Pediatric Audiological Methods via

Michelle L Hughes1, Joshua D Sevier1, Sangsook Choi1

  • 1Boys Town National Research Hospital, Omaha, NE.

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Summary

Telepractice enables reliable behavioral threshold testing in young children with cochlear implants (CIs), overcoming challenges for timely programming and reducing family travel burdens.

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Area of Science:

  • Audiology
  • Pediatric Medicine
  • Telehealth

Background:

  • Pediatric cochlear implant (CI) programming requires accurate behavioral threshold testing.
  • Telepractice offers a potential solution to overcome geographical and logistical barriers in healthcare access.

Purpose of the Study:

  • To detail equipment setup and techniques for telepractice-based behavioral threshold testing in young children with CIs.
  • To identify and address challenges unique to pediatric CI programming via distance technology.
  • To present findings from studies evaluating telepractice for pediatric CI behavioral threshold testing.

Main Methods:

  • Utilized conditioned play audiometry and visual reinforcement audiometry to assess behavioral thresholds (T levels).
  • Tested 35 young children with CIs in both in-person and remote (telepractice) conditions using an AB-BA study design.
  • Employed a crossover design across two separate visits for comparative analysis.

Main Results:

  • No significant differences were found in T levels between in-person and remote testing conditions.
  • Telepractice is a feasible method for testing young children with CIs using standard pediatric procedures.
  • Key challenges involved optimal camera/monitor placement and inter-professional communication timing.

Conclusions:

  • Distance technology, specifically telepractice, can be successfully employed for programming cochlear implant sound processors in young children.
  • Telepractice significantly reduces time and travel burdens for families.
  • This approach facilitates more timely creation of appropriate CI maps for pediatric users.