Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice 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 ... Research Article
Research Article  |   March 01, 2017
Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice
 
Author Affiliations & Notes
  • Jenny L. Goehring
    Boys Town National Research Hospital, Omaha, NE
  • Michelle L. Hughes
    Boys Town National Research Hospital, Omaha, NE
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Michelle L. Hughes: michelle.hughes@boystown.org
  • Editor: Nancy Tye-Murray
    Editor: Nancy Tye-Murray×
  • Associate Editor: Todd Ricketts
    Associate Editor: Todd Ricketts×
Article Information
Hearing Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Telepractice & Computer-Based Approaches / Hearing / Research Articles
Research Article   |   March 01, 2017
Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice
Journal of Speech, Language, and Hearing Research, March 2017, Vol. 60, 732-740. doi:10.1044/2016_JSLHR-H-16-0184
History: Received May 5, 2016 , Revised August 11, 2016 , Accepted August 22, 2016
 
Journal of Speech, Language, and Hearing Research, March 2017, Vol. 60, 732-740. doi:10.1044/2016_JSLHR-H-16-0184
History: Received May 5, 2016; Revised August 11, 2016; Accepted August 22, 2016

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.

Acknowledgments
The authors thank Sara Robinson, Jacquelyn Baudhuin, Rachel Scheperle, and Margaret Miller for assistance with data collection; and Roger Harpster, Todd Sanford, and Dave Jenkins for technical assistance. This study was supported by the National Institute on Deafness and Other Communication Disorders (NIDCD) Grants R01 DC013281 and P30DC04662. The content of this project is solely the authors' responsibility and does not necessarily represent the official views of the NIDCD or the National Institutes of Health.
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