Purpose: This study evaluated the use of telepractice for measuring cochlear implant (CI) behavioral threshold (T) levels in children using conditioned play audiometry (CPA). The goals were to determine whether (a) T levels measured via telepractice were not significantly different from those obtained in person, (b) response probability differed between remote and in-person conditions, and (c) the remote visit required more time than the in-person condition. Method: An ABBA design (A, in-person; B, remote) was split across 2 visits. Nineteen children aged 2.6-7.1 years participated. T levels were measured using CPA for 3 electrodes per session. A "hit" rate was calculated to determine whether the likelihood of obtaining responses differed between conditions. Test time was compared across conditions. A questionnaire was administered to assess parent/caregiver attitudes about telepractice. Results: Results indicated no significant difference in T levels between conditions. Hit rates were not significantly different between in-person and remote conditions (98% vs. 97%, respectively). Test time was similar between conditions. Questionnaire results revealed that 100% of caregivers would use telepractice for CI appointments either some or all of the time. Conclusion: Telepractice is a viable option for routine pediatric programming appointments for children using CPA to set behavioral thresholds.
Purpose: This study evaluated the use of telepractice for measuring cochlear implant (CI) behavioral threshold (T) levels in children using conditioned play audiometry (CPA). The goals were to determine whether (a) T levels measured via telepractice were not significantly different from those obtained in person, (b) response probability differed between remote and in-person conditions, and (c) the remote visit required more time than the in-person condition. Method: An ABBA design (A, in-person; B, remote) was split across 2 visits. Nineteen children aged 2.6-7.1 years participated. T levels were measured using CPA for 3 electrodes per session. A "hit" rate was calculated to determine whether the likelihood of obtaining responses differed between conditions. Test time was compared across conditions. A questionnaire was administered to assess parent/caregiver attitudes about telepractice. Results: Results indicated no significant difference in T levels between conditions. Hit rates were not significantly different between in-person and remote conditions (98% vs. 97%, respectively). Test time was similar between conditions. Questionnaire results revealed that 100% of caregivers would use telepractice for CI appointments either some or all of the time. Conclusion: Telepractice is a viable option for routine pediatric programming appointments for children using CPA to set behavioral thresholds.
Authors: Thomas Wesarg; Arkadiusz Wasowski; Henryk Skarzynski; Angel Ramos; Juan Carlos Falcon Gonzalez; George Kyriafinis; Friederike Junge; Allan Novakovich; Herbert Mauch; Roland Laszig Journal: Acta Otolaryngol Date: 2010-06-30 Impact factor: 1.494
Authors: Michelle L Hughes; Jenny L Goehring; Jacquelyn L Baudhuin; Gina R Diaz; Todd Sanford; Roger Harpster; Daniel L Valente Journal: J Speech Lang Hear Res Date: 2012-01-09 Impact factor: 2.297