Use of Auditory Training and Its Influence on Early Cochlear Implant Outcomes in Adults.
Use of Auditory Training and Its Influence on Early Cochlear Implant Outcomes in Adults.
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DOI：
10.1097/mao.0000000000003417
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发表时间：
2022-02-01
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影响因子：
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通讯作者：
McRackan TR
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作者：
Dornhoffer JR;Reddy P;Ma C;Schvartz-Leyzac KC;Dubno JR;McRackan TR
评估人工耳蜗植入（CI）后听觉训练与语音识别和CI生活质量（CIQOL）相关的早期结果之间的关联。纵向、前瞻性队列三级学术中心72名接受人工耳蜗植入治疗双侧重度至极重度听力损失的成年人自我报告使用CI激活后的三种听觉训练：（1）面对面训练（例如，言语病理学家），（2）被动的基于家庭的训练（例如，听有声读物），和（3）基于计算机的训练（例如，交互式软件）。从CI前到CI后3个月，辅音-核-辅音音素（CNCp）、CNC单词（CNCw）、安静时AzBio句子和CIQOL-35 Profile全局和领域评分的变化。72例患者中，52例（72.2%）使用听觉训练资源。在所有患者中，18.4%使用面对面培训，58.3%被动家庭培训，33.3%基于计算机的培训。在CI后3个月，使用任何训练都与语音识别（d范围=0.57-0.85）以及整体和特定领域CIQOL评分的更大改善相关，娱乐除外（d范围=-0.33-0.77）。使用基于计算机的培训证明效果最大，语音识别（CNCp：d=0.69[0.03，1.35]; CNCw：d=0.80[0.14，1.46]; AzBio：d=1.11[0.44，1.77]）以及全球和所有领域特定CIQOL评分（d范围=0.05-1.35）均有较大改善。在控制了年龄、性别、家庭收入和多种培训资源的使用后，基于计算机的培训仍然是语音识别和CIQOL改善的最强积极预测因素，与CNCp显著相关。（ß=33.07[1，43，64.719]）、AzBio（ß=33.03[5.71，60.35]）和CIQOL-全球（ß=10.92[1.15，20.70]）评分改善。我们的研究结果提供了初步的证据为基础的建议，使用特定的听觉训练资源，为新的成年CI收件人。听觉训练，特别是自我导向的计算机软件，在3个月后改善了语音识别和CIQOL结果，并广泛适用于CI用户。
Assess associations between post–cochlear implant (CI) auditory training and early outcomes related to speech recognition and CI quality of life (CIQOL). Longitudinal, prospective cohort Tertiary academic center 72 adults undergoing cochlear implantation for bilateral severe-to-profound hearing loss Self-reported use of three categories of auditory training post-CI activation: (1) face-to-face training (e.g., speech pathologist), (2) passive home-based training (e.g., listening to audiobooks), and (3) computer-based training (e.g., interactive software). Change in Consonant-Nucleus-Consonant phoneme (CNCp), CNC word (CNCw), AzBio sentences in quiet, and CIQOL-35 Profile global and domain scores from pre-CI to 3-month post-CI. Of 72 patients, 52 (72.2%) used an auditory training resource. Of all patients, 18.4% used face-to-face training, 58.3% passive home-based training, and 33.3% computer-based training. At 3 months post-CI, use of any training was associated with greater improvement in speech recognition (d-range=0.57–0.85) and global and domain-specific CIQOL scores, except entertainment (d-range=−0.33–0.77). Use of computer-based training demonstrated the greatest effect, with larger improvements in speech recognition (CNCp:d=0.69[0.03,1.35]; CNCw:d=0.80[0.14,1.46]; AzBio:d=1.11[0.44,1.77]) and global and all domain-specific CIQOL scores (d-range=0.05–1.35). Controlling for age, sex, household income, and use of multiple training resources, computer-based training remained the strongest positive predictor of speech recognition and CIQOL improvement, with significant associations with CNCp (ß=33.07[1,43,64.719]), AzBio (ß=33.03[5.71,60.35]) and CIQOL-global (ß=10.92[1.15,20.70]) score improvement. Our findings provide preliminary evidence-based recommendations for use of specific auditory training resources for new adult CI recipients. Auditory training, especially self-directed computer software, resulted in improved speech recognition and CIQOL outcomes after 3 months and are widely available for CI users.