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同步远程精细调整与听觉康复随访:一项随机对照试验。

Synchronous remote fine-tuning and follow-up within aural rehabilitation: a randomised controlled trial.

机构信息

Region Västra Götaland, Habilitation & Health, Hearing Organization, Gothenburg, Sweden.

Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Int J Audiol. 2024 Jun;63(6):458-466. doi: 10.1080/14992027.2023.2188437. Epub 2023 Mar 27.

Abstract

OBJECTIVE

The objective of the study was to evaluate the effect of including synchronous remote fine-tuning and follow-up as a part of the aural rehabilitation process.

DESIGN

A randomised controlled trial (RCT).

STUDY SAMPLE

Experienced hearing aid users who were due for renewed aural rehabilitation were randomised to either an intervention group ( = 46) or a control group ( = 49). Both groups underwent all stages of the conventional renewed aural rehabilitation process within our clinics, but the intervention group was also offered remote follow-up visits, including an opportunity for synchronous remote fine-tuning of hearing aids. The Hearing Handicap Inventory for the Elderly/Adults (HHIE/A), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the International Outcome Intervention for Hearing Aid Users (IOI-HA) were used as outcome measures.

RESULTS

Both groups improved in self-rated hearing difficulties and hearing aid benefits measured with HHIE/A and APHAB. No significant differences were found between the intervention and the control group.

CONCLUSION

Including synchronous remote follow-up and fine-tuning as a part of an aural rehabilitation process may effectively complement clinical visits. Additionally, the synchronous remote follow-up has the potential to further develop person-centred care by enabling hearing aid users to identify individual needs directly in an everyday environment.

摘要

目的

本研究旨在评估将同步远程微调及随访作为听觉康复过程的一部分的效果。

设计

一项随机对照试验(RCT)。

研究样本

经验丰富的助听器使用者,他们需要重新进行听觉康复,被随机分配到干预组(n=46)或对照组(n=49)。两组均在我们的诊所接受了常规的听觉康复过程的所有阶段,但干预组还提供了远程随访,包括同步远程助听器微调的机会。使用老年/成人听力障碍问卷(HHIE/A)、助听器受益简明问卷(APHAB)和助听器使用者国际结局干预(IOI-HA)作为结局测量指标。

结果

两组在自我评估的听力困难和助听器受益方面,使用 HHIE/A 和 APHAB 测量,均有改善。干预组与对照组之间未发现显著差异。

结论

将同步远程随访和微调作为听觉康复过程的一部分,可能会有效地补充临床就诊。此外,同步远程随访有可能通过使助听器使用者能够在日常环境中直接识别个人需求,进一步发展以患者为中心的护理。

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