Connected Audiological Rehabilitation: 21st Century Innovations.
Connected Audiological Rehabilitation: 21st Century Innovations.
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DOI：
10.3766/jaaa.14062
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发表时间：
2015-10
影响因子：
1.2
通讯作者：
Chisolm TH
中科院分区：
文献类型：
--
作者：
Saunders GH;Chisolm TH
远程听力学提供了一种以成本、资源和时间有效的方式提供听力康复（AR）的手段。如果设计得当，它还具有在内容、细节深度等方面为用户个性化康复的能力，从而允许为特定个体选择最佳内容。同步/实时数据收集、存储和转发远程保健、远程监测和使用智能手机应用程序的移动的保健已分别应用于听力康复干预的组成部分（感官管理、技术使用指导和听力环境控制、感知和沟通策略培训以及咨询）。在这篇文章中，远程听力康复干预的现状进行了描述和讨论。通过远程听力学提供AR可能提供了一种具有成本效益的机制，用于解决除提供听力技术外常规提供AR的障碍。此外，如果设计得当，它能够在内容、细节深度等方面为用户提供个性化的康复服务，从而允许为特定个体选择最佳内容。然而，远程听力学的有效广泛实施将取决于患者和临床医生的良好教育，研究人员必须继续研究这些新方法的有效性，以确保临床医生为患者提供有效的循证康复。虽然目前存在的听力康复远程听力学的广泛使用的几个障碍，它的结论是，通过教育的患者和临床医生一样，随着时间的推移，它将获得更大的支持，从从业者和患者，并将成为成功和广泛实施。
Tele-audiology provides a means to offer audiologic rehabilitation (AR) in a cost-, resource-, and time-effective manner. If designed appropriately, it also has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. Synchronous/real-time data collection, store and forward telehealth, remote monitoring and mobile health using smartphone applications have each been applied to components of audiologic rehabilitation intervention (sensory management, instruction in the use of technology and control of the listening environment, perceptual and communication strategies training, and counseling). In this article, the current state of tele-audiological rehabilitation interventions are described and discussed. The provision of AR via tele-audiology potentially provides a cost-effective mechanism for addressing barriers to the routine provision of AR beyond provisions of hearing technology. Furthermore, if designed appropriately, it has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. However, effective widespread implementation of tele-audiology will be dependent on good education of patients and clinician alike, and researchers must continue to examine the effectiveness of these new approaches to AR in order to ensure clinicians provide effective evidence-based rehabilitation to their patients. While several barriers to the widespread use of tele-audiology for audiologic rehabilitation currently exist, it is concluded that through education of patients and clinicians alike, it will gain greater support from practitioners and patients over time and will become successfully and widely implemented.