基于聊天的移动听觉训练程序在有经验的助听器使用者中的听力康复：前瞻性随机对照研究。
Hearing Rehabilitation With a Chat-Based Mobile Auditory Training Program in Experienced Hearing Aid Users: Prospective Randomized Controlled Study.
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Pediatric Otolaryngology, Cincinnati Children's Hospital, Cincinnati, OH, United States.
出版信息
JMIR Mhealth Uhealth. 2024 Feb 9;12:e50292. doi: 10.2196/50292.
BACKGROUND
Hearing rehabilitation with auditory training (AT) is necessary to improve speech perception ability in patients with hearing loss. However, face-to-face AT has not been widely implemented due to its high cost and personnel requirements. Therefore, there is a need for the development of a patient-friendly, mobile-based AT program.
OBJECTIVE
In this study, we evaluated the effectiveness of hearing rehabilitation with our chat-based mobile AT (CMAT) program for speech perception performance among experienced hearing aid (HA) users.
METHODS
A total of 42 adult patients with hearing loss who had worn bilateral HAs for more than 3 months were enrolled and randomly allocated to the AT or control group. In the AT group, CMAT was performed for 30 minutes a day for 2 months, while no intervention was provided in the control group. During the study, 2 patients from the AT group and 1 patient from the control group dropped out. At 0-, 1- and 2-month visits, results of hearing tests and speech perception tests, compliance, and questionnaires were prospectively collected and compared in the 2 groups.
RESULTS
The AT group (n=19) showed better improvement in word and sentence perception tests compared to the control group (n=20; P=.04 and P=.03, respectively), while no significant difference was observed in phoneme and consonant perception tests (both P>.05). All participants were able to use CMAT without any difficulties, and 85% (17/20) of the AT group completed required training sessions. There were no changes in time or completion rate between the first and the second month of AT. No significant difference was observed between the 2 groups in questionnaire surveys.
CONCLUSIONS
After using the CMAT program, word and sentence perception performance was significantly improved in experienced HA users. In addition, CMAT showed high compliance and adherence over the 2-month study period. Further investigations are needed to validate long-term efficacy in a larger population.
TRIAL REGISTRATION
Clinical Research Information Service (CRiS) KCT0006509; https://cris.nih.go.kr/cris/search/detailSearch.do?seq=22110&search_page=L.
背景
听觉训练（AT）的听力康复对于改善听力损失患者的言语感知能力是必要的。然而，由于其成本高和人员需求高，面对面的 AT 尚未得到广泛实施。因此，需要开发一种患者友好、基于移动的 AT 程序。
目的
在这项研究中，我们评估了我们的基于聊天的移动 AT（CMAT）程序对有经验的助听器（HA）使用者的言语感知表现进行听力康复的效果。
方法
共纳入 42 名听力损失成年患者，他们均佩戴双侧 HA 超过 3 个月，并随机分配到 AT 组或对照组。在 AT 组中，每天进行 30 分钟的 CMAT，持续 2 个月，而对照组则不进行干预。在研究过程中，AT 组有 2 名患者和对照组有 1 名患者退出。在 0、1 和 2 个月的就诊时，前瞻性收集并比较了两组的听力测试和言语感知测试结果、依从性和问卷。
结果
与对照组（n=20）相比，AT 组（n=19）在单词和句子感知测试中的改善更明显（分别为 P=.04 和 P=.03），而在音素和辅音感知测试中差异无统计学意义（均 P>.05）。所有参与者均能够无困难地使用 CMAT，85%（17/20）的 AT 组完成了所需的培训课程。AT 第 1 个月和第 2 个月的时间或完成率之间没有差异。两组间问卷调查无显著差异。
结论
在使用 CMAT 程序后，有经验的 HA 用户的单词和句子感知性能显著提高。此外，CMAT 在为期 2 个月的研究期间显示出较高的依从性和坚持度。需要进一步的研究来验证更大人群中的长期疗效。
试验注册
临床研究信息服务（CRiS）KCT0006509；https://cris.nih.go.kr/cris/search/detailSearch.do?seq=22110&search_page=L.
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