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Published on: March 24, 2023
Adult Aural Rehabilitation: Patient Feedback Regarding a Collaborative Approach for Speech-Language Pathologists and
Michelle Havlik1, Ethan Oliver2, Nihar Rama3
1Speech and Swallowing Section, Department of Surgery, University of Chicago Medicine, Chicago.
Objective:
Evaluate patient feedback regarding a single institution's adult cochlear implant program experience with clinician-directed aural rehabilitation services.
Study Design:
Retrospective survey examining the experiences and perceptions of adult cochlear implant recipients regarding aural rehabilitation.
Setting:
Single institution, academic medical center.
Patients:
One hundred thirty-seven adult (≥18 yrs) implant patients treated at a hospital-based cochlear implant center from 2021 to 2024. Inclusion criteria included 6 months or more of device usage time from their first surgery.
Interventions:
Clinician-directed aural rehabilitation.
Main Outcome Measures:
Patient-reported experiences and satisfaction with aural rehabilitation following cochlear implantation.
Results:
Of 52 survey respondents, 39 (75%) received aural rehabilitation. Most participants agreed or strongly agreed that aural rehabilitation improved their overall quality of life (27, 69.2%), device satisfaction (29, 74.4%), day-to-day independence (26, 66.7%), day-to-day communication (27, 69.2%), and ability to communicate more effectively in noise (26, 66.7%). Overall quality of life and device satisfaction were higher for participants considered consistent users ( p = 0.030 and p = 0.036, respectively). The number of aural rehabilitation sessions attended was unrelated to quality of life or device satisfaction.
Conclusions:
Participation in aural rehabilitation was associated with improved patient cochlear implant satisfaction. A significant barrier to participation was a lack of awareness and understanding of aural rehabilitation and its goals. Further research is indicated to identify effective ways to improve patient awareness and best practices for aural rehabilitation, improving the quality of life for implant recipients.
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