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Incorporating an Intelligent Tutoring System Into a Game-Based Auditory Rehabilitation Training for Adult Cochlear

Florian Gnadlinger1,2, Maika Werminghaus3, André Selmanagić2

  • 1Faculty of Informatics, Masaryk University, Brno, Czech Republic.

JMIR Serious Games
|December 3, 2024
PubMed
Summary
This summary is machine-generated.

This study shows that combining an intelligent tutoring system with a serious game improves cochlear implant rehabilitation. This approach enhances patient motivation and training effectiveness for better auditory comprehension.

Keywords:
adaptive learningcochlear implanteHealthevidence-centered designgame-based learninghearing rehabilitationintelligent tutoring system

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Area of Science:

  • Audiology and Hearing Science
  • Human-Computer Interaction
  • Rehabilitation Engineering

Background:

  • Cochlear implants bypass damaged parts of the ear to directly stimulate the auditory nerve.
  • Post-implantation auditory training is crucial for language comprehension and adapting to new sound sensations.
  • Current auditory training relies on therapist-led sessions, self-directed practice, and computer-based programs.

Purpose of the Study:

  • To enhance learner motivation in cochlear implant (CI) rehabilitation.
  • To explore the combination of adaptive learning (intelligent tutoring system) and game-based learning (serious game).
  • To improve compliance in self-directed auditory training for CI recipients.

Main Methods:

  • Developed a probabilistic competence model (Bayesian network) for hearing therapy.
  • Created an algorithm to estimate patient competence and recommend training tasks.
  • Embedded an adaptive task system into a mobile serious game with 7 language comprehension task types.
  • Conducted a 4-week feasibility study with German-speaking CI recipients.

Main Results:

  • 23 participants completed 2259 tasks with 90.5% accuracy.
  • The system adapted to estimated competency levels more rapidly at the beginning of the study.
  • The system personalized task recommendations, differing significantly from a uniform distribution (χ²(6)=86.713; P<.001).

Conclusions:

  • Demonstrates the feasibility of integrating intelligent tutoring systems with serious games for CI rehabilitation.
  • Suggests potential for advancing cochlear implant care and aural rehabilitation.
  • Highlights the effectiveness of adaptive and game-based learning in improving auditory training outcomes.