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. 2025 Apr 1;46(4):372-380.
doi: 10.1097/MAO.0000000000004432. Epub 2025 Feb 4.

Remote Care: The Future of Cochlear Implants

Meredith A Holcomb  1 , Jennifer Coto, Tina Stern, Christina M Sarangoulis, Ivette Cejas, Chrisanda M Sanchez
Affiliations

Remote Care: The Future of Cochlear Implants

Meredith A Holcomb et al. Otol Neurotol. .

Abstract

Objective: The aims of this study were to 1) evaluate whether remote cochlear implant (CI) programming has comparable outcomes to traditional in-person CI management, 1) determine the effects of remote programming on family burden and associated costs, and 1) demonstrate feasibility and satisfaction of remote programming by patients and families for both the adult and pediatric CI populations.

Study design: Prospective study of one CI program.

Patients and intervention: Adult and pediatric patients with at least one CI underwent CI programming via in-person and remote visits.

Main outcome measures: CI programming parameters (impedances, neural response telemetry, upper and lower stimulation levels, datalogging), technology comfort self-report, visit burden and satisfaction, mental health and quality of life.

Results: Fifteen pediatric participants (mean age: 4.17 yr; SD = 3.24) and 15 adult participants (mean age: 56.73 yr; SD = 21.11) were enrolled. In-person and remote programming sessions yielded comparable results for measuring CI programming parameters. Adult and parent participants were highly satisfied with remote programming and reported receiving excellent care. Listening effort was significantly less for the remote visit as compared to the in-person visit for adults. Burden of care to attend the in-person visit was greater for the pediatric population in terms of expenses incurred, unpaid time off work, and coordination of care for other children.

Conclusions: Remote programming is a feasible and effective service delivery model for the adult and pediatric CI population. Inclusion of remote services into postoperative CI protocols should be considered as a means of reducing barriers to hearing healthcare.

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Conflict of interest statement

Sources of support and disclosure of funding: A grant from Cochlear Americas. M.A.H.: consultant for Advanced Bionics, Cochlear Corporation, Med El Corporation, ASHA, Hemideina, Institute for Cochlear Implant Training; research grant with Cochlear and Med El. J.C.: research grant with Cochlear and Med El. IC: research grant with Cochlear. C.M. Sanchez: consultant for Cochlear, research grant with Cochlear. T.S. and C.M. Sarangoulis disclose no conflicts of interest.

References

    1. Remote care. Available at: https://www.virtusa.com/digital-themes/remote-care . Accessed November 12, 2023.
    1. Evans T, Nejman T, Stewart E, Windmill I. Increasing pediatric audiology services via telehealth. Seminar Hear 2021;42:136–51.
    1. Meibos A. A review of current pediatric tele-audiology eHealth platforms. J Early Hear Detect Interv 2022;7:33–40.
    1. Katella K. Telehealth improves access to cochlear implants—A boon for those with severe hearing. 2022. Available at: https://medicine.yale.edu/news-article/telehealth-improves-access-to-coc... . Accessed November 12, 2023.
    1. Hughes ML, Goehring JL, Baudhuin J, et al. Use of telehealth for research and clinical measures in cochlear implant recipients: A validation study. J Speech Lang Hear Res 2012;55:1112–27.