Remote programming of cochlear implants: a mixed-methods study of audiologist experiences and patient satisfaction

Area of Science:

• Audiology
• Medical Technology
• Telehealth

Background:

• Remote programming (RP) is increasingly used for cochlear implant (CI) management.
• Understanding audiologist perspectives and patient satisfaction is crucial for optimizing RP.
• Current literature lacks comprehensive insights into both clinician and patient experiences with CI RP.

Purpose of the Study:

• To explore audiologists' views on remote programming for cochlear implants.
• To compare patient satisfaction with remote programming during initial CI activation versus follow-up sessions.
• To identify key themes influencing the implementation and success of CI remote programming.

Main Methods:

• A mixed-methods approach combining qualitative interviews with audiologists and quantitative surveys of CI users.
• Thematic analysis of semi-structured interviews with six experienced audiologists.
• Descriptive and comparative analysis of satisfaction surveys from 136 CI users (44 initial activation, 92 follow-up).

Main Results:

• Audiologists identified advantages, challenges, technical needs, and professional satisfaction related to RP.
• CI users reported significantly higher satisfaction with RP during follow-up sessions compared to initial activation across most items.
• Both groups highly rated technical quality and communication, with follow-up users showing greater ease and confidence with RP.

Conclusions:

• Remote programming is a viable option for cochlear implant management, particularly for follow-up appointments.
• Initial CI activations require tailored approaches, potentially involving hybrid care models, to address unique challenges.
• Successful remote audiological care necessitates robust infrastructure, effective communication, and standardized professional training.