Summary of the Systematic Review

Article Citation

The Role of Telemedicine in Auditory Rehabilitation: A Systematic Review

Bush, M. L., Thompson, R., et al. (2016).
Otology & Neurotology, 37(10), 1466-1474.
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Sponsoring Body

American Academy of Otolaryngology–Head and Neck Surgery Foundation; National Institute of Deafness and Other Communication Disorders, National Institutes of Health

Article Quality Ratings

Read about Our Rating Process

Indicators of Review Quality

  • Yes The review states a clearly focused question/aim.
  • Yes Criteria for inclusion of studies are provided.
  • Yes Search strategy described in sufficient detail for replication.
  • Yes Included studies are assessed for study quality.
  • Yes Quality assessments are reproducible.
  • Yes Characteristics of the included studies are provided.

Article Details

Description

This is a systematic review of studies investigating the feasibility and effectiveness of performing aural rehabilitation (cochlear implant intraoperative implantation telemetry, device activation and programming, and patient outcomes and hearing aid fitting, device testing, and counseling) via telepractice modality of service delivery.

Questions/Aims Addressed

"The purpose of this study was to assess the feasibility and effectiveness of live telemedicine applications in hearing amplification and cochlear implantation" (p. 1466).

Population

Adults and children fitted with cochlear implants or hearing aids

Intervention/Assessment

Aural rehabilitation via telepractice modality of service delivery

Number of Studies Included

12

Years Included

1985-2015


Conclusions from This Systematic Review

What are Conclusions?

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Treatment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Service Delivery

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Go to Map

Assessment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Treatment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Service Delivery

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Go to Map

Assessment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Treatment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Service Delivery

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Go to Map

Assessment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Treatment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Service Delivery

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

Go to Map

Assessment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

Treatment

The following benefits of providing hearing aid services of fitting and maintenance via telepractice were found:
  • "similar patient satisfaction outcomes with in-person delivery of care;
  • can be used for fitting, verification, and counselling;
  • similar gain measurements with in-person programming;
  • similar appointment times for counselling; and
  • similar hearing aid usage, speech testing, and subjective improvement with in-person care" (p. 1470).
The following limitation of providing hearing aid services of fitting and maintenance via telepractice was found:
  • "longer appointment times for programming and verification" (p. 1470).
The following other considerations for providing hearing aid services of fitting and maintenance via telepractice were found:
  • "important tool to educate rural audiologists; and
  • successful delivery of care to very rural areas" (p. 1470).

Keywords: Hearing Aids, Hearing Aids, Devices, Hearing Aids, Hearing Aids, Hearing Aids, Hearing Aids, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

The following benefits of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "time savings in intraoperative telemetry;
  • limits travel of patients and providers;
  • facilitates multinational programming protocols and delivery of care;
  • similar clinical implant function parameters and hearing outcomes as in-person programming;
  • no reported serious adverse events; and
  • programming can be performed without sound treated booths" (p. 1470).
The following limitations of providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "surgical staff responsible for intraoperative equipment and connection;
  • [telepractice] connectivity complications; 
  • difficulty in communication between patients and providers;
  • potential for overstimulation;
  • appointment times may be increased; and 
  • inferior speech testing results when performed outside of audio booths" (p. 1470).
The following other considerations for providing cochlear implantation telemetry, activation, and programming via telepractice were found:
  • "Speech testing results are superior when high fidelity equipment is used at the remote site (controlled by a provider over internet connection)" (p. 1470).
  • "Customized systems provide superior remote speech testing results" (p. 1470).

Keywords: Cochlear Implants, Cochlear Implants, Devices, Cochlear Implants, Cochlear Implants, Cochlear Implants, Cochlear Implants, Telepractice, Devices, Geographic differences (e.g. urban/rural/remote areas), Telepractice, Telepractice, Hearing Loss, Hearing Loss, Devices

"Comparisons between studies were difficult.... In spite of these limitations, this review indicates that telemedicine delivery of auditory rehabilitation is feasible and will likely play a meaningful role in the future of healthcare access" (p. 1473).

Keywords: Aural (Re)Habilitation, Aural Habilitation/Rehabilitation, Telepractice, Telepractice, Telepractice, Hearing Loss, Aural Rehabilitation

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