Abstract:
BACKGROUND: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. RESULTS: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. CONCLUSIONS: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.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Saunders GH,Chisolm THdoi
10.3766/jaaa.14062subject
Has Abstractpub_date
2015-10-01 00:00:00pages
768-76issue
9eissn
1050-0545issn
2157-3107journal_volume
26pub_type
杂志文章,评审abstract:BACKGROUND/PURPOSE:The acceptable noise level (ANL) test is the only test that is known to predict success with hearing aids with a high degree of accuracy. A person's ANL is the maximal amount of background noise that he or she is "willing to put up with" while listening to running speech. It is defined as the speech ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.6.10
更新日期:2014-06-01 00:00:00
abstract::Twelve children, ranging in age from 8.9 to 12.4 years, with histories of severe otitis media with effusion (OME) before age 3, were compared to age-matched cohorts in their ability to discriminate the frequency of tone pulses of 20-, 50-, and 200-msec duration. An adaptive procedure was used in combination with a two...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:PURPOSE:To present a case study in order to alert clinicians to the possibility of occurrence of intermodulation distortion during otoacoustic emissions testing that arises from the cavity formed by the external auditory meatus and tympanic membrane rather than from the inner ear, compromising the reliability and valid...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.5.3
更新日期:2009-05-01 00:00:00
abstract::Balance Function test data alone cannot capture the reaction that a patient has to balance system disease. The present investigation examined the relations among components of the balance function examination (electronystagmography, rotational testing, and platform posturography) and self-perceived dizziness handicap,...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract:BACKGROUND:The bilateral contralateral routing of signals (BICROS) system has provided limited benefit for speech recognition in noise for patients with asymmetric sensorineural hearing loss, even when an automatic adaptive multichannel directional microphone (DM) is in the receiver (Rx) and an omnidirectional micropho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.15031
更新日期:2015-11-01 00:00:00
abstract::As audiology strives for cost containment, standardization, accuracy of tests, and accountability, greater use of automated tests is likely. Highly skilled audiologists employ quality control factors that contribute to test accuracy, but they are not formally included in test protocols, resulting in a wide range of ac...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18.1.7
更新日期:2007-01-01 00:00:00
abstract::Human auditory steady-state responses (ASSRs) were recorded using stimulus rates of 78-95 Hz in normal young subjects, in elderly subjects with relatively normal hearing, and in elderly subjects with sensorineural hearing impairment. Amplitude-intensity functions calculated relative to actual sensory thresholds (sensa...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.3.3
更新日期:2005-03-01 00:00:00
abstract::Often ABR threshold testing employs clicks to assess high-frequency hearing, and low-frequency tone bursts to assess low-frequency sensitivity. While a maturation effect has been shown for click stimuli, similar data are lacking for low-frequency toneburst stimuli. Thus, 305 infants ranging in conceptional age (CA) fr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.2.6
更新日期:2005-02-01 00:00:00
abstract::The amplitude modulation-following response (AMFR), an auditory evoked potential elicited by continuous amplitude-modulated tones, can be recorded for carrier frequencies across the audiometric range. AMFR thresholds (based on the amplitude spectra of the responses) have been found to closely follow behavioral thresho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Vestibular rehabilitation exercises have been proven to reduce symptoms and diminish the risk of falls in those with dizziness and balance impairments. The first purpose of this study is to investigate a new method of measuring head movements during habituation vestibular rehabilitation exercises. The second is...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16026
更新日期:2018-01-01 00:00:00
abstract::A 34-year-old female presented to our clinic with complaints of hearing loss, tinnitus, and severe rotational vertigo. A test battery including complete audiometric testing, auditory brainstem response (ABR) audiometry, electronystagmography (ENG), electrocochleography (ECoG), and dehydration testing was performed. Mo...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract::The acoustic otoscope, originally called the acoustic reflectometer, was developed and produced by John and David Teele in the early 1980s. Since initial production, two different instrument versions have been developed by two separate companies. During the period of time in which the acoustic otoscope has been in pro...
journal_title:Journal of the American Academy of Audiology
pub_type: 历史文章,杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:Cochlear implants (CIs) successfully restore hearing in postlingually deaf adults, but in doing so impose a frequency-position function in the cochlea that may differ from the physiological one. PURPOSE:The CI-imposed frequency-position function is determined by the frequency allocation table programmed int...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15063
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Current fitting guidelines from the American Academy of Audiology (Academy) support the use of objective electroacoustic measures and behavioral testing when fitting frequency modulation (FM) systems to hearing aids. However, only behavioral testing is recommended when fitting FM systems to individuals with ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.24.10.6
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:For children with developmental delays (DDs) of any kind (e.g., global DDs, autism spectrum disorder, and Down syndrome), it is essential to understand if a hearing loss may be contributing to these delays. However, toddlers with DDs may have difficulty understanding directions, may be uncomfortable with a n...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18070
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Complex working memory (WM) span tasks have been shown to predict speech-in-noise (SIN) recognition. Studies of complex WM span tasks suggest that, rather than indexing a single cognitive process, performance on such tasks may be governed by separate cognitive subprocesses embedded within WM. Previous resear...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.10.6
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Significant growth in the U.S. population over the next 30 yr will likely increase the demand for hearing-care services. In addition, increased accessibility to hearing-care services may be realized due to increased insurance coverage associated with health-care reform efforts. In order to meet this demand, ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.24.5.7
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:In Sweden, there is a lack of evidence-based rehabilitation programs for hearing loss. The Active Communication Education program (ACE) has successfully been used in Australia and was translated and evaluated in a Swedish pilot study. The pilot study included 23 participants (age 87 yr). No statistically sig...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.9.7
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons' quality of life (QoL). A large body of research explored the comorbidity between the two domains. PURPOSE:The aim of the curre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.16044
更新日期:2017-06-01 00:00:00
abstract::Closed-set tests of spoken word recognition are frequently used in clinical settings to assess the speech discrimination skills of hearing-impaired listeners, particularly children. Speech scientists have reported robust effects of lexical competition and talker variability in open-set tasks but not closed-set tasks, ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.17.5.4
更新日期:2006-05-01 00:00:00
abstract::In recent years, we have observed causes of congenital or early onset hearing disorders that had not been recognized or known to exist before. These include drugs passed to an as-yet unborn child. Principal among them is alcohol, but others, such as cocaine, are now also occupying our attention. This article reviews t...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Patients with cochlear malformations were long considered poor candidates for cochlear implantation (CI), and surgical approaches different than the standard facial recess approach were used to access the inner ear. There is no previous long-term follow-up of a patient with significantly malformed inner ear ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15107
更新日期:2016-11-01 00:00:00
abstract::This paper discusses trends and issues in selecting amplification for new, mainly nonlinear, types of hearing aids. Some-concerns are that nonvalidated prescription formulae may proliferate; that, through concentration on loudness normalization, alternative rationales are not being evaluated; and that most new fitting...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:Passive electrophysiological protocols, such as the middle latency response and speech auditory brainstem response, are often advocated in the objective assessment of central auditory processing disorder (CAPD). However, few established electrophysiological protocols exist for CAPD assessment that have patie...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.17047
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Multiple auditory steady-state responses (ASSRs) to stimuli modulated at approximately 80 Hz are a promising technique for threshold estimation in infants, but additional data are required. RESEARCH DESIGN:We obtained multiple ASSRs to air-conducted (AC) stimuli. STUDY SAMPLE:There were 54 chil...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.3.6
更新日期:2009-03-01 00:00:00
abstract::In a clinical experiment, it was found that there is a high correlation between the compliance measured by tympanometry and the minimum size of the earmold vent, which just solves the client's occlusion problem related to his/her own voice when using a hearing aid. For ears with sensorineural hearing losses, complianc...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Although audiologists have been using support personnel for over 45 yr, controversy and variability continue with respect to the entry-level education, training methods, and scope of practice. PURPOSE:As part of a larger clinical practices survey, this report focuses on use of audiology assistants (AAs) for...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,多中心研究
doi:10.3766/jaaa.17004
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Wideband acoustic immittance (WAI) measures provide information about middle-ear function across the traditional audiometric frequency range from 0.25 to 8.0 kHz. Recent studies have found that WAI is effective in predicting the presence of conductive hearing loss (CHL). It is not known whether WAI can accur...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.5.5
更新日期:2014-05-01 00:00:00
abstract::This study describes audiologic methodology and results for evaluating potential ototoxicity in a phase I clinical trial of a new glycopeptide. This study was conducted under good clinical practices, which are regulated by the US Food and Drug Administration (FDA) (21 Code of Federal Regulations), and input from the F...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-04-01 00:00:00
abstract::This paper describes the listening habits and musical enjoyment of postlingually deafened adults who use cochlear implants. Sixty-five implant recipients (35 females, 30 males) participated in a survey containing questions about musical background, prior involvement in music, and audiologic success with the implant in...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00