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Audiology Telemedicine Evaluations: Potential Expanded Applications
Kyle T Fletcher1, Frank W Dicken2, Margaret M Adkins1
11 Department of Otolaryngology-Head and Neck Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Summary
Telemedicine shows promise for cochlear implant evaluations, offering similar results to in-person tests. This approach could improve access for patients in remote areas, reducing delays in cochlear implant care.
Area of Science:
- Audiology
- Telehealth
- Medical Technology
Background:
- Cochlear implant (CI) utilization is suboptimal, with delays often caused by geographical distance to specialized centers.
- Telemedicine offers a potential solution to bridge the gap between CI specialists and patients in rural or underserved locations.
Purpose of the Study:
- To pilot and evaluate the feasibility of conducting cochlear implant evaluations using telemedicine technology.
- To compare the outcomes of CI testing performed remotely versus traditional in-person evaluations.
Main Methods:
- A pilot study involving 13 subjects (8 normal-hearing, 5 with hearing loss) who underwent both in-person and telemedicine CI evaluations.
- Standard audiological tests including pure tone average (PTA), speech reception threshold (SRT), word recognition, Arizona Biological Test (AzBio), and consonant-nucleus-consonant (CNC) tests were administered.
Main Results:
- Remote and in-person testing demonstrated comparable results for AzBio (mean difference 1.7%), PTA, SRT, and word recognition.
- CNC testing showed a slightly larger mean difference (6.8%) between the two methods.
- Both subjects and audiologists found the telemedicine testing conditions acceptable.
Conclusions:
- Telemedicine is a viable method for conducting cochlear implant evaluations, yielding results comparable to in-person assessments.
- Further research with a larger cohort of actual CI candidates is recommended to validate these findings.
- This teleaudiology approach has the potential to enhance access to CI services, particularly for individuals in remote areas.
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