Computer-Based AR for Adult Cochlear Implant Patients
Aural rehabilitation (AR) is of tremendous importance with regard to hearing aids, cochlear implants (CIs), and other listening programs. However, effective AR programs can be time intensive and expensive to administer. Medicare and many other insurers generally do not reimburse audiologists for AR services, and so even though the benefits of AR are well known, these same services are often under-utilized.
Stacey et al (2010) evaluated the outcome of a computer-based, self-administered auditory training program for 11 adult cochlear implant patients who had worn their CIs for at least three years. The training program required one hour per weekday, for three weeks total, yielding a total training period was 15 hours. The program was designed to be used by patients in their homes without supervision.
Eight of the 11 participants completed the program with the full 15-hour commitment. The impact of the training was variable. In general, auditory training was associated with an eight-point improvement (statistically significant) with regard to consonant discrimination, However, improvements in vowel discrimination and IEEE sentences did not reach statistical significance.
For More Information, References, and Recommendations
Stacey PC, Raine CH, Donoghue GM, Tapper L, Twomey T, Summerfield AQ. (2010) Effectiveness of Computer-Based Auditory Training for Adult Users of Cochlear Implants. International Journal of Audiology. 49(5):347-356.