Interactive Technology for Hearing Aid Education and Acceptance

助听器教育和验收的互动技术

• 批准号: 8645124
• 负责人: Alan Letzt
• 金额: $ 22.39万
• 依托单位: HEALTHCARE TECHNOLOGIES AND METHODS
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8645124
• 关键词: Address; Aftercare; Age; Age Factors; American; Apple; Behavioral; Boxing; Cessation of life; Client satisfaction; Communication; Computers; Data; Dementia; Development; Education; Elderly; Ensure; Family member; Feedback; Friends; Hearing; Hearing Aids; Home environment; Hour; Human; Human Resources; Incidence; Individual; Internet; Jupiter; Learning; Left; Licensing; Link; Maintenance; Manufacturer Name; Measures; Mental Depression; Names; National Institute on Deafness and Other Communication Disorders; Occupations; Outcome; Patient Education; Patient Self-Report; Patients; Phase; Process; Quality of life; Questionnaires; Randomized Controlled Trials; Reporting; Risk; Sales; Secure; Self Efficacy; Small Business Innovation Research Grant; Stuttering; Subgroup; System; Technology; Television; Testing; Time; Training; Training and Education; Transportation; Vision; Visit; Wireless Technology; base; commercialization; coping; cost; design; expectation; experience; fall risk; falls; follow-up; health literacy; hearing impairment; improved; innovation; instrument; meetings; novel; older patient; operation; patient oriented; phase 1 study; phase 2 study; public health relevance; satisfaction; success; web site

ABSTRACT More than 20 million elderly people in the US have significant hearing loss but only 20% use hearing aids. Of these, 35 - 50% are dissatisfied with them, which often results in the hearing aids being returned within the trial period or left "in-the-drawer". With untreated hearing loss resulting in a 200% - 300% increase in the risk of dementia, depression, and falls, and severe communication difficulties with family members and friends, it is imperative that older adults are not only screened for hearing loss and, when appropriate, fit with hearing aids, but that steps are taken to ensure patients' acceptance and proper use of, and continued satisfaction with the hearing aids. Alternative approaches for patient education and training have included DVDs (which are neither individualized nor interactive and have met with limited success), and the Internet, which is used by only 35% of people over age 65. This Phase I SBIR study will focus on older people with hearing loss who are not technology-savvy. We propose an innovative, interactive patient-centered product that builds on the home TV - which people age 65 and older watch an average of 49 hrs/week. By simply using a TV remote control, patients will view short educational videos on demand and avail themselves of other innovative and beneficial patient-centered features that are very easy to use. In addition, the audiologist will receive data on the patients' learning and behavioral experiences to further individualize aftercare. This interactive TV approach is consistent with vision articulated by Apple Computer founder Steve Jobs, who said shortly before his untimely death, "I'd like to create an integrated television set that is completely easy to use". Our hypothesis is that the interactive TV system and content developed in this project will appeal to the targeted subgroup of patients age 60 and older, resulting in improved use of and satisfaction with their hearing aids. We also believe it will appeal to the audiologist who will use his/her time more effectively. The Phase I study will develop the interactive TV technology and comprehensible hearing aid education and training videos, and then conduct a pilot test with 30 subjects. The aims of the pilot test are to demonstrate patients' and audiologists' ease of use and satisfaction with the new system as well as improved hearing experiences as measured by two standardized instruments: the APHAB and the COSI. In Phase II, HTM will improve the product design, develop additional content based on the lessons from Phase I, and then conduct a randomized controlled trial to quantify the benefits to patients, family members, audiologists, and manufacturers. Following Phase II, HTM's sales team plans to sell or license this interactive system to retail hearing centers nationwide.

摘要 美国有2000多万老年人听力严重受损，但只有20%的人使用助听器。的 35%-50%的人对助听器不满意，这通常会导致助听器在 试用期或留在“抽屉里”。未经治疗的听力损失会导致患耳聋的风险增加200%-300% 痴呆症、抑郁症和跌倒，以及与家人和朋友严重的沟通困难， 当务之急是，不仅要对老年人进行听力损失筛查，而且在适当的情况下，还要佩戴助听器， 但采取的步骤是确保患者接受和适当使用，并继续对 助听器。病人教育和培训的替代方法包括DVD(两者都不是 个性化或互动性不强，收效甚微)，以及互联网，使用率仅为35% 65岁以上的人。这项第一阶段的SBIR研究将重点放在没有听力损失的老年人身上 精通技术。我们提出了一种创新的、以患者为中心的互动产品，它建立在家庭的基础上 电视--65岁及以上的人平均每周看49小时。通过简单地使用电视遥控器， 患者将按需观看教育短片，并利用其他创新和有益的 以患者为中心的功能非常易于使用。此外，听觉学家将收到关于 患者的学习和行为体验，以进一步个性化的后续护理。这种互动电视方式是 与苹果电脑创始人史蒂夫·乔布斯阐述的愿景一致，乔布斯在他的演讲前不久表示 英年早逝，“我想创造一台完全好用的集成电视机”。 我们的假设是，在这个项目中开发的互动电视系统和内容将吸引 60岁及以上患者的目标亚群，从而改善其听力的使用和满意度 爱滋病。我们还相信，它将吸引听力专家，他们将更有效地利用自己的时间。第一阶段 研究将开发互动电视技术和可理解的助听器教育和培训视频， 然后对30名受试者进行试点测试。试点测试的目的是证明患者和 听觉学家对新系统的易用性和满意度以及改善的听力体验 由两个标准化工具衡量：APHAB和COSI。在第二阶段，HTM将改善 产品设计，根据第一阶段的经验教训开发额外的内容，然后进行随机 对照试验，量化给患者、家庭成员、听力专家和制造商带来的益处。跟随 第二阶段，HTM的销售团队计划将这种互动系统出售或授权给全国各地的零售听证中心。