人工耳蜗康复中的个性化数字听觉训练：探索用户特征、参与度与远程听力学潜力
Personalised digital hearing training in cochlear implant rehabilitation: exploring user profiles, engagement, and teleaudiology potential.
文献信息
| PMID | 42869642 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Maika Werminghaus |
| 作者单位 | Department of Otorhinolaryngology/Cochlea Implant Centre, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University Duesseldorf, Duesseldorf, Berlin, Germany. |
| 期刊 | Cochlear implants international |
| SCI 分区 | Q3 |
| IF | 1.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 这项探索性混合方法研究考察了人工耳蜗植入者（PwCI）的数字素养、技术使用情况以及对数字听觉训练的动机。研究评估了自适应原型应用程序“人工耳蜗训练”（TraiCI）的可用性、用户体验和参与度，重点关注其在远程听力学支持康复中的可行性。
方法： 22名人工耳蜗植入者（平均年龄=54岁，SD=16）完成了为期四周的家庭训练阶段。采用标准化问卷和研究专用问卷收集定量数据，评估数字素养、可用性、用户体验和生活质量。对应用程序生成的使用指标（训练时间、任务准确性）以及开放式回答中的定性反馈进行了描述性和归纳性分析。
结果： 参与者表现出较高的数字准备度和对数字设备的规律使用，尤其是智能手机。绝大多数人工耳蜗植入者（86%）此前有数字听觉训练项目（dHTP）经验，但早期工具常被描述为重复性高或适应性不足。TraiCI被评为直观且用户友好，在用户体验问卷中具有高清晰度和低刺激评分。参与者重视家庭训练的灵活性，但强调需要自适应反馈和更多任务多样性以维持动机。
讨论： 人工耳蜗植入者较高的数字能力支持自主、基于应用程序的康复可行性。然而，持续参与需要自适应且情境相关的内容，凸显了以用户为中心的设计和临床医生支持监测的重要性。
结论： TraiCI的可行性支持将自适应、个性化数字工具整合到人工耳蜗术后护理中。未来的数字康复策略应优先考虑适应性、有意义的反馈和远程听力学兼容性，以促进长期参与和临床可持续性。
英文摘要
OBJECTIVES: This exploratory mixed-methods study examined digital literacy, technology use, and motivation for digital hearing training among patients with cochlear implants (PwCI). The adaptive prototype application Training with Cochlear Implants (TraiCI) was evaluated with respect to usability, user experience, and engagement, focusing on its feasibility for teleaudiology-supported rehabilitation.
METHODS: Twenty-two PwCI (mean age = 54 years, SD = 16) completed a four-week home-based training phase. Quantitative data were collected using standardised and study-specific questionnaires assessing digital literacy, usability, user experience, and quality of life. App-generated usage metrics (training time, task accuracy) and qualitative feedback from open-ended responses were analysed descriptively and inductively.
RESULTS: Participants demonstrated high digital readiness and regular use of digital devices, particularly smartphones. A large majority of PwCI (86%) had prior experience with digital hearing training programmes (dHTP), but earlier tools were often described as repetitive or insufficiently adaptive. TraiCI was rated as intuitive and user-friendly, with high perspicuity and low stimulation scores in the User Experience Questionnaire. Participants valued the flexibility of home-based training but emphasised the need for adaptive feedback and greater task variety to sustain motivation.
DISCUSSION: The high digital competence of PwCI supports the feasibility of autonomous, app-based rehabilitation. However, sustained engagement requires adaptive and contextually relevant content, highlighting the importance of user-centred design and clinician-supported monitoring.
CONCLUSION: The feasibility of TraiCI supports the integration of adaptive, personalised digital tools into CI aftercare. Future digital rehabilitation strategies should prioritise adaptability, meaningful feedback, and teleaudiology compatibility to promote long-term engagement and clinical sustainability.