Saunders Gabrielle H, Chisolm Theresa H
National Center for Rehabilitative Auditory Research (NCRAR), Portland VA Medical Center, Portland, OR.
Department of Otolaryngology, Oregon Health and Science University, Portland, OR.
J Am Acad Audiol. 2015 Oct;26(9):768-76. doi: 10.3766/jaaa.14062.
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.
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.
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.
远程听力学提供了一种以具有成本效益、资源效益和时间效益的方式提供听力康复(AR)的手段。如果设计得当,它还能够在内容、细节深度等方面为用户量身定制康复方案,从而为特定个体选择最佳内容。同步/实时数据收集、存储转发远程医疗、使用智能手机应用程序的远程监测和移动健康,均已应用于听力康复干预的各个组成部分(感官管理、技术使用指导和听力环境控制、感知和沟通策略训练以及咨询)。在本文中,将对远程听力学康复干预的现状进行描述和讨论。
通过远程听力学提供听力康复,有可能为解决常规听力康复(不包括听力技术提供)的障碍提供一种具有成本效益的机制。此外,如果设计得当,它有能力在内容、细节深度等方面为用户量身定制康复方案,从而为特定个体选择最佳内容。然而,远程听力学的有效广泛实施将取决于对患者和临床医生的良好教育,研究人员必须继续研究这些听力康复新方法的有效性,以确保临床医生为患者提供有效的循证康复服务。
虽然目前远程听力学在听力康复广泛应用方面存在一些障碍,但得出的结论是,通过对患者和临床医生的教育,随着时间的推移,它将获得从业者和患者更多的支持,并将成功广泛实施。