Empowering Senior Cochlear Implant Users at Home via a Tablet Computer Application

Area of Science:

• Audiology
• Digital Health
• Human-Computer Interaction

Background:

• Connectivity in hearing implants enables remote support for cochlear implant (CI) users.
• Traditional in-clinic care models can be supplemented with home-based services.
• Senior CI users can benefit from accessible digital health tools.

Purpose of the Study:

• To evaluate the feasibility, usability, and user motivation of a prototype tablet application (MyHearingApp [MHA]) for senior experienced CI users in a home setting.
• To explore the potential of MHA in facilitating remote CI care and empowering users in self-management.

Main Methods:

• A prospective study involving 16 senior experienced CI users who explored the MHA for 4 weeks.
• The MHA featured six functionalities: My Hearing Tests, My Environment, My Hearing Journey, Tip of the Day, Recipient Portal, and Program Use and Events.
• Usability and motivation were assessed using baseline and follow-up questionnaires, including the System Usability Scale and Intrinsic Motivation Inventory.

Main Results:

• The MHA demonstrated good usability with a mean System Usability Score of 75.6.
• Participants ranked the ability to perform hearing tests at home as the most relevant functionality.
• High levels of interest, enjoyment, and perceived competence were reported, with no significant pressure experienced.

Conclusions:

• The MHA prototype is feasible for remote CI care among senior users, offering novel insights into home-based support.
• User feedback indicates a willingness among CI users to take greater responsibility for their hearing care with appropriate tools.
• This technology may drive a shift towards a more patient-centered care model, empowering users in self-management.