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Updated: Mar 14, 2026

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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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Perspectives on Aural Rehabilitation From Adult Cochlear Implant Recipients
Blair C Richlin1,2, Janel L Cosby3, Aaron C Moberly4
1Department of Otolaryngology-Head and Neck Surgery, Audiology Division, Massachusetts Eye & Ear Infirmary, Boston.
American Journal of Audiology
|March 12, 2026
Summary
Adult cochlear implant (CI) recipients desire more information on aural rehabilitation (AR) services, particularly for music training and troubleshooting. Both clinician-guided and independent AR methods are found effective for improving hearing outcomes.
Area of Science:
- Audiology
- Speech-Language Pathology
- Hearing Health
Background:
- A multidisciplinary Adult Cochlear Implant Aural Rehabilitation Special Interest Group was established in 2023.
- Understanding adult cochlear implant (CI) recipients' perspectives on aural rehabilitation (AR) is crucial but understudied.
Purpose of the Study:
- To survey adult CI recipients to ascertain their views on the aural rehabilitation process.
- Identify current gaps and needs in AR services for adult CI users.
Main Methods:
- A web-based national survey was distributed to adult CI recipients.
- Survey data collected included demographics, hearing loss history, device details, AR experiences, perceived value, barriers, and satisfaction.
Main Results:
- 115 CI recipients responded, indicating a frequent lack of comprehensive information about AR services.
- Many recipients desired more resources for music training and equipment troubleshooting.
- Both one-on-one clinician-guided AR and independent listening practice were identified as effective AR methods.
Conclusions:
- Study findings highlight critical gaps in current AR service delivery for adult CI recipients.
- Addressing these gaps is essential for optimizing hearing healthcare and outcomes.
- Further research should engage a wider range of CI users to better understand AR needs and limitations.
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