一种独立于设备的人工耳蜗远程医疗方法
A device-independent approach to cochlear-implant telehealth.
文献信息
| PMID | 42850951 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Joshua G W Bernstein |
| 作者单位 | National Military Audiology & Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, Maryland, USA. |
| 期刊 | International journal of audiology |
| SCI 分区 | Q2 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 商业人工耳蜗（CI）远程医疗是制造商特定的，通常不能复制标准的声场测试。本研究开发并测试了一种独立于制造商的CI远程医疗系统，旨在替代标准的门诊就诊。
设计： 该系统包括笔记本电脑、声卡、耳机（放置在CI声音处理器上）、制造商的编程软件和电缆，以及用于助听言语识别和颤音检测阈值评估的定制软件。第1阶段将远程医疗系统的助听评估与标准声场测试进行比较。在第2阶段，参与者完成了居家远程听力学随访。
研究样本： N=15（第1阶段）和N=13（第2阶段）成年CI使用者。
结果： 远程医疗系统与声场颤音检测阈值之间的平均绝对差异为5 dB，96%的0.5-4 kHz远程医疗系统阈值在声场95%置信区间（95ci）内。辅音-核心-辅音词和AzBio安静句子识别在两种模式之间没有显著差异，具有高组内相关系数（ICC=0.94-0.97），80-93%的远程医疗系统得分在声场95ci内。Bamford-Kowal-Bench噪声中句子得分显示出较大的偏差。远程医疗调查反应表明患者满意度高，便利性和护理可及性改善，仅有轻微挑战。
结论： 将基于耳机的独立于制造商的声场测试替代方案与制造商的编程软件结合在远程控制的笔记本电脑系统中，可以复制声场结果得分并产生高患者满意度。
英文摘要
OBJECTIVE: Commercial cochlear-implant (CI) telehealth is manufacturer-specific and generally does not replicate standard sound-field tests. This study developed and tested a manufacturer-independent CI telehealth system designed to replace a standard clinic visit.
DESIGN: The system comprised a laptop, a sound card, headphones (placed over the CI sound processor), manufacturer's programming software and cables, and custom software for aided speech-recognition and warble-tone detection-threshold assessment. Phase 1 compared telehealth-system aided assessment to standard sound-field testing. In Phase 2, participants completed at-home remote audiological follow-up visits.
STUDY SAMPLE: N = 15 (Phase 1) and N = 13 (Phase 2) adult CI users.
RESULTS: Mean absolute differences between telehealth-system and sound-field warble-tone detection thresholds were 5 dB, with 96% of 0.5-4 kHz telehealth-system thresholds within the sound-field 95% confidence interval (95ci). Consonant-nucleus-consonant word and AzBio sentence identification in quiet showed no significant differences between modes, with high intraclass correlations (ICC = 0.94-0.97) and 80-93% of telehealth-system scores within the sound-field 95ci. Bamford-Kowal-Bench sentence-in-noise scores showed larger deviations. Telehealth-survey responses indicated high patient satisfaction, improved convenience and access to care, and only minor challenges.
CONCLUSIONS: Combining a manufacturer-independent headphones-based alternative to sound-field testing with manufacturer's programming software in a remotely controlled laptop system replicates sound-field outcome scores and produces high patient satisfaction.