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Therapist-Guided Telerehabilitation for Adult Cochlear Implant Users: Developmental and Feasibility Study
Christiane Völter1, Christiane Schirmer1,2, Dorothee Hinsen3
1Department of Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth Hospital, Ruhr University Bochum, Bochum, Germany.
JMIR Rehabilitation and Assistive Technologies
|April 8, 2020
Summary
A new internet-based auditory training system, Train2hear, shows high usability and acceptance among cochlear implant users and therapists. This teletherapeutic approach offers personalized rehabilitation for improved hearing outcomes.
Area of Science:
- Audiology
- Rehabilitation Medicine
- Human-Computer Interaction
Background:
- Cochlear implants (CIs) offer hearing to individuals with severe hearing loss.
- Postoperative auditory training is crucial for optimal speech perception with CIs.
- The aging population necessitates scalable rehabilitation solutions beyond traditional face-to-face therapy.
Purpose of the Study:
- To evaluate the Train2hear system, an internet-based teletherapeutic multimodal platform for CI users.
- To assess the usability and feasibility of Train2hear for self-guided, therapist-supported auditory training.
Main Methods:
- Systematic literature review of auditory training programs (2005-2018).
- Development of the Train2hear prototype based on speech and language theories.
- Usability and feasibility assessment by 18 CI users and 10 therapists using SUS and KIM questionnaires.
Main Results:
- Train2hear features hierarchical exercises with dynamic adaptation and motivational feedback.
- Cochlear implant users reported high enjoyment (KIM: mean 19/21) and usability (SUS: mean 88/100).
- Therapists reported excellent usability (SUS: mean 93/100), slightly higher than users (mean 85/100).
Conclusions:
- Train2hear demonstrates strong acceptance among both CI users and therapists.
- Computer-based auditory training offers a potentially cost-effective, personalized rehabilitation solution.
- The system's adaptability caters to individual CI user needs and progress.
