The HEARing Cooperative Research Centre, Victoria, Australia.
Department of Linguistics, Macquarie University, New South Wales, Australia.
Ear Hear. 2019 Nov/Dec;40(6):1445-1456. doi: 10.1097/AUD.0000000000000724.
The aims of this study were as follows: (a) to describe audiologists' practices toward auditory training (AT) for adult cochlear implant (CI) users with a postlingual hearing loss; and (b) to assess the cost of different AT methods for clients and service providers in comparison with no AT delivery.
A survey was distributed to approximately 230 Australian CI audiologists to investigate the range, magnitude, and rationale of AT practices adopted as part of rehabilitation services with adult CI users. The cost of these different AT practices was then estimated from the perspectives of both clients and service providers, and compared against no AT delivery.
Seventy-eight audiologists responded to at least one section of the survey (16% to 33% response rate), of which 85.5% reported that they viewed AT as a necessary component of rehabilitation. Home-based and face-to-face were the methods most frequently adopted to deliver AT. Methods used during training, such as stimuli type, feedback, and encouragement for training adherence, varied across respondents. The cost analysis indicated that home-based training resulted in the lowest program costs, whereas face-to-face AT (when delivered independently from routine appointments) was the method with highest cost for clients and service providers.
The type of AT, recommended frequency of sessions, and overall duration of programs varied widely across respondents. Costs incurred by clients depended mainly on whether the AT was home-based or clinician-led (i.e., face-to-face, group-based), program fees, and travel arrangements made by clients, as well as clinicians' wages and the method chosen to deliver AT.
本研究的目的如下：(a)描述听力学家对成年后天性耳聋人工耳蜗植入（CI）使用者进行听觉训练（AT）的实践；(b)评估与不进行 AT 相比，不同 AT 方法对客户和服务提供者的成本。
本研究向大约 230 名澳大利亚人工耳蜗听力学家分发了一份调查问卷，以调查成人人工耳蜗使用者康复服务中采用的 AT 实践的范围、程度和原理。然后，从客户和服务提供者的角度估算这些不同 AT 实践的成本，并与不进行 AT 相比。
78 名听力学家对调查的至少一个部分做出了回应（回应率为 16%至 33%），其中 85.5%的人认为 AT 是康复的必要组成部分。家庭和面对面是最常采用的 AT 方法。受访者在培训中使用的方法（如刺激类型、反馈和鼓励进行培训）各不相同。成本分析表明，家庭培训导致的项目成本最低，而面授 AT（与常规预约分开进行时）是客户和服务提供者成本最高的方法。
AT 的类型、推荐的课程频率和整体课程持续时间在受访者中差异很大。客户的成本主要取决于 AT 是家庭式还是临床医生主导（即面对面、小组）、课程费用以及客户和临床医生的差旅安排，以及选择的 AT 交付方法。
