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Articles linked to this work by shared authors, journal, and citation graph.

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Performance Results and Timing of Cochlear Implantation in Patients With DFNA9 (p.Pro51Ser).

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026
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From Sound to Stability: Lessons Learned From the CRUSH Study on Hearing Loss Progression and Vestibular Phenotype in Usher Syndrome Type 2A.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026
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Data standards in audiology: a mixed-methods exploration of community perspectives and implementation considerations.

International journal of audiology·2026
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Individualized home-based phoneme training for adult cochlear implant users reduces phoneme confusion errors.

Cochlear implants international·2025
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Clinical Time Savings and Experiences Using a Business-to-Customer Model for Cochlear Implant Sound Processor Upgrades.

Inquiry : a journal of medical care organization, provision and financing·2025
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Beyond hearing: the impact of Cochlear implantation on the quality of life of users and their communication partners after 1 year.

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Updated: Jul 17, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Remote Cochlear Implant Assessments: Validity and Stability in Self-Administered Smartphone-Based Testing.

Jan-Willem A Wasmann1, Wendy J Huinck1,2, Cris P Lanting1,2

  • 1Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center Nijmegen, The Netherlands.

Ear and Hearing
|August 29, 2023
PubMed
Summary

Remote testing for cochlear implant (CI) recipients is stable and reliable. At-home aided threshold tests and digit triplets tests can be performed at any time, unaffected by fatigue or motivation.

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Area of Science:

  • Audiology
  • Hearing Science
  • Biomedical Engineering

Background:

  • Remote testing offers a convenient alternative for cochlear implant (CI) care.
  • Assessing the stability and influencing factors of remote auditory assessments is crucial for their clinical adoption.

Purpose of the Study:

  • To evaluate the stability of remote aided threshold tests (ATT) and digit triplets tests (DTT) in CI recipients.
  • To investigate the influence of time-of-day, listener fatigue, and motivation on remote auditory test outcomes.

Main Methods:

  • A single-center cohort study involved 50 adult CI recipients performing remote ATT and DTT ten times over eight days using a smartphone or tablet.
  • Linear mixed models were used to analyze the impact of time-of-day, motivation, task-related fatigue, and chronotype on test results.
  • Aided monosyllabic word recognition in quiet, daily-life fatigue, age, and CI experience were also considered.

Main Results:

  • Remote aided threshold tests (ATT) and impedances remained stable across testing sessions.
  • The digit triplets test (DTT) model explained 75% of the variance, with individual performance accounting for 49%.
  • No significant time-of-day effect was observed; word recognition in quiet predicted DTT performance.

Conclusions:

  • Remote self-testing via smartphone or tablet is a valid and stable method for monitoring cochlear implant recipient performance.
  • Factors like motivation, task-related fatigue, and chronotype did not significantly impact ATT or DTT outcomes in this cohort.
  • At-home auditory testing provides a reliable option for virtual hearing clinic settings, enhancing CI care accessibility.