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Related Experiment Videos

Changes in Outcomes Expectations During the Cochlear Implant Evaluation Process.

Joshua E Fabie1,2, Christian M Shannon1,2, Shreya Chidarala1

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Ear and Hearing
|October 3, 2024
PubMed
Summary

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Role of Communication Partners in Pre-Cochlear Implant Decision-Making: A Scoping Review.

Ear and hearing·2026

Patient expectations for cochlear implants (CI) can be modified during the evaluation process. Personalized counseling and discussions with current users help set realistic outcomes for better shared decision-making.

Area of Science:

  • Audiology
  • Otolaryngology
  • Medical Psychology

Background:

  • Patient expectations significantly influence cochlear implant (CI) candidacy and outcomes.
  • Limited data exist on how these expectations form and if they can be modified by healthcare providers.
  • Understanding patient information sources and outcome preferences is crucial for managing expectations.

Purpose of the Study:

  • To assess the impact of the CI evaluation (CIE) process on patient expectations.
  • To determine the modifiability of pre-CI outcome expectations.
  • To identify information resources used by patients and their preferences for discussing CI outcomes.

Main Methods:

  • Prospective mixed methods study involving 32 adult CI candidates.
  • Utilized Cochlear Implant Quality of Life-35 Profile (CIQOL-35) and Decisional Conflict Scale (DCS) questionnaires.

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  • Conducted thematic analysis of interviews with 19 potential CI recipients.

    • Main Results:

    • CIQOL-Expectation scores showed minimal change on average, but individual expectations varied.
    • Higher pre-CIE expectations decreased post-evaluation, while lower expectations increased in some domains.
    • Patients valued discussions with current CI users and preferred functional outcome descriptions over scores.

    Conclusions:

    • Individual pre-CI expectations can be modified, highlighting the value of the CIQOL-Expectations tool for realistic goal setting.
    • Personalized counseling and patient-to-patient discussions are vital for managing expectations.
    • Communicating outcomes via functional stages and clinical vignettes may enhance shared decision-making.