Abstract:
BACKGROUND:Digitalization has become a part of everyday life and digital applications offer an opportunity to promote health. In Germany, hearing rehabilitation after cochlear implantation (CI) typically takes place in specialized audiology centers. However, a variety of new auditory training programs have been developed and although most are for hearing aid users, some are suitable for CI patients. The purpose of this study is to give an overview of CBAT schedules and their effectiveness. MATERIALS AND METHODS:Currently available English and German CBAT programs for adult CI users identified in searches of Google, Google App Store, and Google Play Store were analyzed. A systematic literature search on studies dealing with CBAT in adult CI recipients from 2000 to 2019 was performed in PubMed, LIVIVO, and Google Scholar. RESULTS:German and English CBAT for adult hearing aid and CI users are generally intended to complement face-to-face therapies. The content of the programs differs primarily in terms of complexity and quantity of tasks, graphic design, allowed time and the device used. In contrast to the nine available German programs, some of the English CBAT include advanced concepts of adaptivity and feedback. Studies on the effectiveness of CBAT have mainly been conducted for the English versions and generally analyze only individual therapeutic subfunctions. All investigations show a short-term improvement of the auditory subfunction shortly after training. Unfortunately, the quality of the studies is low and follow-up results are only available in two cases. CONCLUSION:CBAT programs might be an effective option for auditory rehabilitation in CI patients. However, suitable German-language programs conceived as an alternative to face-to-face training and studies on longterm effects of CBAT are still lacking. ZUSAMMENFASSUNG:HINTERGRUND: Die Digitalisierung ist mittlerweile im Alltag, auch der Älteren, angekommen. Die Hörrehabilitation nach Cochleaimplantation (CI) findet in Deutschland jedoch meist noch vor Ort in spezialisierten Zentren statt. In den vergangenen Jahren erschienen zahlreiche computerbasierte Hörtrainingsprogramme (CBAT) v. a. für Hörgeräte-, aber auch einzelne für CI-Träger. Die vorliegende Arbeit soll einen Überblick über derzeit verfügbare CBAT sowie ihre Wirksamkeit geben. MATERIAL UND METHODEN:Englisch- und deutschsprachige CBAT für erwachsene CI-Träger wurden in einer auf Google basierten Suche und in Programmen im App Store und Play Store recherchiert und im Hinblick auf Therapieinhalte und die Programmgestaltung analysiert. Anschließend erfolgte eine systematische Literaturrecherche von 2000 bis 2019 zu Studien über CBAT für erwachsene CI-Träger in den Datenbanken PubMed, LIVIVO und Google Scholar. ERGEBNISSE:Meist sind die vorliegenden CBAT als zusätzliches Therapieangebot zur bestehenden face-to-face Therapie konzipiert. Die Programminhalte unterscheiden sich vor allem hinsichtlich der Aufgabenkomplexität und -quantität, der grafischen Gestaltung, der zeitlichen Vorgabe und des Endgerätes. Im Gegensatz zu den deutschsprachigen weisen die englischen Programme zum Teil bereits gute Adaptivitäts- und Feedbackkonzepte auf. Wissenschaftliche Untersuchungen zur Effektivität liegen überwiegend zu den englischsprachigen und meist nur zu einzelnen Therapiemodulen vor. Allen Untersuchungen gemeinsam ist eine kurzzeitige Verbesserung auditiver Teilfunktionen nach dem Training. Die Studienqualität ist jedoch bislang als gering einzustufen, Follow-up-Untersuchungen finden sich nur in zwei Fällen. SCHLUSSFOLGERUNGEN:CBAT könnten eine Möglichkeit der Hörrehabilitation von CI-Patienten sein. Derzeit fehlt es im deutschsprachigen Raum jedoch noch an Trainingsplattformen, die als Alternative zur Therapie vor Ort konzipiert sind. Auch liegen keine größeren Wirksamkeitsstudien zu Kurz-, Langzeit- sowie Transfereffekten vor.
journal_name
HNOjournal_title
HNOauthors
Völter C,Schirmer C,Stöckmann C,Dazert Sdoi
10.1007/s00106-020-00898-xsubject
Has Abstractpub_date
2020-11-01 00:00:00pages
817-827issue
11eissn
0017-6192issn
1433-0458pii
10.1007/s00106-020-00898-xjournal_volume
68pub_type
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