Aural Rehabilitation

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Gerhard Andersson - One of the best experts on this subject based on the ideXlab platform.

  • experiences of an internet based Aural Rehabilitation iar program for hearing aid users a qualitative study
    International Journal of Audiology, 2018
    Co-Authors: Milijana Malmberg, Thomas Lunner, Gerhard Andersson, Elisabet Sundewall Thoren, Marie Oberg, Kim Kahari
    Abstract:

    AbstractObjective: Internet interventions for hearing aid (HA) users have been shown to be effective in helping persons with hearing problems. As earlier research refers to objective data on these effects, little is known about how participants experience the Internet interventions subjectively. The aim of the present study was to explore participants’ experiences of an Internet-based Aural Rehabilitation (IAR) program for HA-users, and to explore the possible subjective benefits of such a program.Design: A qualitative exploratory design was implemented involving semi-structured telephone interviews. The interviews were transcribed and analysed using content analysis.Study sample: Interviews were conducted with 20 participants (9 men and 11 women) who had completed an IAR program for HA-users. The participants were 57–81 years old and had used HAs for 2–25 years.Results: The results are organised in three main categories: general experiences associated with participating in the program, knowledge obtained...

  • evaluating the short term and long term effects of an internet based Aural Rehabilitation programme for hearing aid users in general clinical practice a randomised controlled trial
    BMJ Open, 2017
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gerhard Andersson
    Abstract:

    Objective Guided internet-based intervention beyond hearing aid (HA) fitting has been shown to be efficacious in randomised controlled trials (RCTs). However, internet interventions have rarely been applied clinically as a part of regular Aural Rehabilitation (AR). Our aim was to evaluate the effectiveness of internet-based AR for HA users from a clinical population. Outcome measures The Hearing Handicap Inventory for the Elderly (HHIE) was used as the primary outcome measure, and the Communication Strategies Scale (CSS) and the Hospital Anxiety and Depression Scale were used as secondary outcome measures. All questionnaires were administered before and directly after the intervention and at 6 months postintervention. Methods We used a parallel group design (RCT). The data were collected in 2013–2014 at three different clinics. Seventy-four HA users were randomly assigned to receive either full internet-based AR (intervention group, n=37) or one element of the internet-based AR (control group, n=37). Results Data were analysed following the intention-to-treat principle. Each group showed improved HHIE scores over time and did not differ significantly from each other. The intervention group showed significantly greater improvement compared with the control group for the CSS total and the non-verbal subscale scores. The intervention group and control group were also subdivided into two age groups: 20–59 years and 60–80 years. Significantly better improvement on the CSS total and non-verbal subscale scores was found in the older group compared with the younger participants. Conclusions This study indicates that participants in an internet-based intervention applied in general clinical practice showed improved self-reported communication skills compared with a control group. Receiving a full intervention was not more effective in improving self-reported hearing problems than receiving just one element of the internet-based intervention. Trial registration number This trial is registered at ClinicalTrals.gov, NCT01837550; results.

  • implementing internet based Aural Rehabilitation in a general clinical practice
    American Journal of Audiology, 2015
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gunilla Jansson, Gerhard Andersson
    Abstract:

    Purpose The purpose of this paper is to share the lessons that were learned about the process of implementing an Internet-based, randomized controlled trial (RCT) in general clinical practice (GCP) and to address some of the advantages of using the Internet as a tool to implement a RCT in GCP. The RCT implemented focused on investigating Internet-based Aural Rehabilitation (AR) in addition to hearing aid (HA)-fitting supplemented with telephone support, and it was applied in a clinical setting. The results of this RCT and the questionnaires chosen will be presented in an article elsewhere. Procedure Here, the procedure of the implemented trial is presented, and the implementation challenges are presented and discussed. Specifically, we describe the trial research question, recruitment strategy, patient eligibility criteria, the questionnaires, clinician participation, funding and time (for the clinicians), and risks and benefits (for the participants). Discussion The trial implementation showed that AR in...

Samantha Mcneilly - One of the best experts on this subject based on the ideXlab platform.

Milijana Malmberg - One of the best experts on this subject based on the ideXlab platform.

  • experiences of an internet based Aural Rehabilitation iar program for hearing aid users a qualitative study
    International Journal of Audiology, 2018
    Co-Authors: Milijana Malmberg, Thomas Lunner, Gerhard Andersson, Elisabet Sundewall Thoren, Marie Oberg, Kim Kahari
    Abstract:

    AbstractObjective: Internet interventions for hearing aid (HA) users have been shown to be effective in helping persons with hearing problems. As earlier research refers to objective data on these effects, little is known about how participants experience the Internet interventions subjectively. The aim of the present study was to explore participants’ experiences of an Internet-based Aural Rehabilitation (IAR) program for HA-users, and to explore the possible subjective benefits of such a program.Design: A qualitative exploratory design was implemented involving semi-structured telephone interviews. The interviews were transcribed and analysed using content analysis.Study sample: Interviews were conducted with 20 participants (9 men and 11 women) who had completed an IAR program for HA-users. The participants were 57–81 years old and had used HAs for 2–25 years.Results: The results are organised in three main categories: general experiences associated with participating in the program, knowledge obtained...

  • evaluating the short term and long term effects of an internet based Aural Rehabilitation programme for hearing aid users in general clinical practice a randomised controlled trial
    BMJ Open, 2017
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gerhard Andersson
    Abstract:

    Objective Guided internet-based intervention beyond hearing aid (HA) fitting has been shown to be efficacious in randomised controlled trials (RCTs). However, internet interventions have rarely been applied clinically as a part of regular Aural Rehabilitation (AR). Our aim was to evaluate the effectiveness of internet-based AR for HA users from a clinical population. Outcome measures The Hearing Handicap Inventory for the Elderly (HHIE) was used as the primary outcome measure, and the Communication Strategies Scale (CSS) and the Hospital Anxiety and Depression Scale were used as secondary outcome measures. All questionnaires were administered before and directly after the intervention and at 6 months postintervention. Methods We used a parallel group design (RCT). The data were collected in 2013–2014 at three different clinics. Seventy-four HA users were randomly assigned to receive either full internet-based AR (intervention group, n=37) or one element of the internet-based AR (control group, n=37). Results Data were analysed following the intention-to-treat principle. Each group showed improved HHIE scores over time and did not differ significantly from each other. The intervention group showed significantly greater improvement compared with the control group for the CSS total and the non-verbal subscale scores. The intervention group and control group were also subdivided into two age groups: 20–59 years and 60–80 years. Significantly better improvement on the CSS total and non-verbal subscale scores was found in the older group compared with the younger participants. Conclusions This study indicates that participants in an internet-based intervention applied in general clinical practice showed improved self-reported communication skills compared with a control group. Receiving a full intervention was not more effective in improving self-reported hearing problems than receiving just one element of the internet-based intervention. Trial registration number This trial is registered at ClinicalTrals.gov, NCT01837550; results.

  • implementing internet based Aural Rehabilitation in a general clinical practice
    American Journal of Audiology, 2015
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gunilla Jansson, Gerhard Andersson
    Abstract:

    Purpose The purpose of this paper is to share the lessons that were learned about the process of implementing an Internet-based, randomized controlled trial (RCT) in general clinical practice (GCP) and to address some of the advantages of using the Internet as a tool to implement a RCT in GCP. The RCT implemented focused on investigating Internet-based Aural Rehabilitation (AR) in addition to hearing aid (HA)-fitting supplemented with telephone support, and it was applied in a clinical setting. The results of this RCT and the questionnaires chosen will be presented in an article elsewhere. Procedure Here, the procedure of the implemented trial is presented, and the implementation challenges are presented and discussed. Specifically, we describe the trial research question, recruitment strategy, patient eligibility criteria, the questionnaires, clinician participation, funding and time (for the clinicians), and risks and benefits (for the participants). Discussion The trial implementation showed that AR in...

Mary L Grasmeder - One of the best experts on this subject based on the ideXlab platform.

  • Participatory design of a music Aural Rehabilitation programme.
    Cochlear implants international, 2020
    Co-Authors: Rachel M Van Besouw, Benjamin R Oliver, Sarah M Hodkinson, Richard Polfreman, Mary L Grasmeder
    Abstract:

    Many cochlear implant (CI) users wish to enjoy music but are dissatisfied by its quality as perceived through their implant. Although there is evidence to suggest that training can improve CI users' perception and appraisal of music, availability of interactive music-based Aural Rehabilitation for adults is limited. In response to this need, an 'Interactive Music Awareness Programme' (IMAP) was developed with and for adult CI users. An iterative design and evaluation approach was used. The process began with identification of user needs through consultations, followed by use of mock-up applications in workshops. Feedback from these were used to develop the prototype IMAP; a programme of 24 interactive sessions, enabling users to create and manipulate music. The prototype IMAP was subsequently evaluated in a home trial with 16 adult CI users over a period of 12 weeks. Overall ratings for the prototype IMAP were positive and indicated that it met users' needs. Quantitative and qualitative feedback on the sessions and software in the prototype IMAP were used to identify aspects of the programme that worked well and aspects that required improvement. The IMAP was further developed in response to users' feedback and is freely available online. The participatory design approach used in developing the IMAP was fundamental in ensuring its relevance, and regular feedback from end users in each phase of development proved valuable for early identification of issues. Observations and feedback from end users supported a holistic approach to music Aural Rehabilitation.

  • participatory design of a music Aural Rehabilitation programme
    Cochlear Implants International, 2015
    Co-Authors: Rachel M Van Besouw, Sarah M Hodkinson, Richard Polfreman, Benjamin Oliver, Mary L Grasmeder
    Abstract:

    AbstractObjectivesMany cochlear implant (CI) users wish to enjoy music but are dissatisfied by its quality as perceived through their implant. Although there is evidence to suggest that training can improve CI users’ perception and appraisal of music, availability of interactive music-based Aural Rehabilitation for adults is limited. In response to this need, an ‘Interactive Music Awareness Programme’ (IMAP) was developed with and for adult CI users.MethodsAn iterative design and evaluation approach was used. The process began with identification of user needs through consultations, followed by use of mock-up applications in workshops. Feedback from these were used to develop the prototype IMAP; a programme of 24 interactive sessions, enabling users to create and manipulate music. The prototype IMAP was subsequently evaluated in a home trial with 16 adult CI users over a period of 12 weeks.ResultsOverall ratings for the prototype IMAP were positive and indicated that it met users’ needs. Quantitative and ...

  • Aural Rehabilitation through music workshops for cochlear implant users
    Journal of The American Academy of Audiology, 2014
    Co-Authors: Rachel M Van Besouw, Sarah M Hodkinson, Benjamin Oliver, David Nicholls, Mary L Grasmeder
    Abstract:

    Background: It has been reported that after speech perception, music appreciation is the second most commonly expressed requirement among cochlear implant (CI) recipients. Certain features of music are known to be more readily accessible; however, provision of music Rehabilitation for adult CI users is limited. Purpose: A series of music workshops were organized to (1) enable attendees to explore which aspects of music they are able to perceive and appreciate; (2) raise awareness of listening strategies, technology, and Rehabilitation resources for music; and (3) develop ideas, and prototype software, for inclusion in a music Rehabilitation program. The therapeutic value of music workshops was concurrently investigated. Research Design: A qualitative, longitudinal study was used. Two consultation meetings were held before a series of nine music workshops that occurred over a period of 5 mo. Study Sample: Five adult CI users participated in consultations before the workshops. Twenty-eight adult CI users from the South of England Cochlear Implant Centre attended at least one of the workshops. Intervention: Participants could attend as many workshops as they wished. Each workshop lasted between 2 to 2.5 hr and included individual computer-based and group activities. Data Collection and Analysis: Responses to open-ended questions were transcribed in the consultation meetings and used to develop workshop activities. A preworkshop survey was used to determine attendees’ aspirations and expectations. Postworkshop surveys were used to qualitatively and quantitatively evaluate attendees’ immediate reactions to the workshop content, software, and perceived benefits. A 2-month, postworkshop survey evaluated the longer-term impact of the workshops. Results: Overall reaction to the workshops and prototype software was positive. All attendees indicated that they anticipated changing how they engaged with music as a result of the workshops, and data from the preworkshop and postworkshop surveys suggest a positive change in listening habits. Conclusions: The workshops proved to be an effective means of simultaneously encouraging music exploration in a social and safe environment and obtaining feedback on prototype Rehabilitation materials. Survey data suggested that through group listening and practical activities, certain aspects of music can be accessible and rewarding through a CI, leading to positive changes in attitude and behavior toward music.

Kim Kahari - One of the best experts on this subject based on the ideXlab platform.

  • experiences of an internet based Aural Rehabilitation iar program for hearing aid users a qualitative study
    International Journal of Audiology, 2018
    Co-Authors: Milijana Malmberg, Thomas Lunner, Gerhard Andersson, Elisabet Sundewall Thoren, Marie Oberg, Kim Kahari
    Abstract:

    AbstractObjective: Internet interventions for hearing aid (HA) users have been shown to be effective in helping persons with hearing problems. As earlier research refers to objective data on these effects, little is known about how participants experience the Internet interventions subjectively. The aim of the present study was to explore participants’ experiences of an Internet-based Aural Rehabilitation (IAR) program for HA-users, and to explore the possible subjective benefits of such a program.Design: A qualitative exploratory design was implemented involving semi-structured telephone interviews. The interviews were transcribed and analysed using content analysis.Study sample: Interviews were conducted with 20 participants (9 men and 11 women) who had completed an IAR program for HA-users. The participants were 57–81 years old and had used HAs for 2–25 years.Results: The results are organised in three main categories: general experiences associated with participating in the program, knowledge obtained...

  • evaluating the short term and long term effects of an internet based Aural Rehabilitation programme for hearing aid users in general clinical practice a randomised controlled trial
    BMJ Open, 2017
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gerhard Andersson
    Abstract:

    Objective Guided internet-based intervention beyond hearing aid (HA) fitting has been shown to be efficacious in randomised controlled trials (RCTs). However, internet interventions have rarely been applied clinically as a part of regular Aural Rehabilitation (AR). Our aim was to evaluate the effectiveness of internet-based AR for HA users from a clinical population. Outcome measures The Hearing Handicap Inventory for the Elderly (HHIE) was used as the primary outcome measure, and the Communication Strategies Scale (CSS) and the Hospital Anxiety and Depression Scale were used as secondary outcome measures. All questionnaires were administered before and directly after the intervention and at 6 months postintervention. Methods We used a parallel group design (RCT). The data were collected in 2013–2014 at three different clinics. Seventy-four HA users were randomly assigned to receive either full internet-based AR (intervention group, n=37) or one element of the internet-based AR (control group, n=37). Results Data were analysed following the intention-to-treat principle. Each group showed improved HHIE scores over time and did not differ significantly from each other. The intervention group showed significantly greater improvement compared with the control group for the CSS total and the non-verbal subscale scores. The intervention group and control group were also subdivided into two age groups: 20–59 years and 60–80 years. Significantly better improvement on the CSS total and non-verbal subscale scores was found in the older group compared with the younger participants. Conclusions This study indicates that participants in an internet-based intervention applied in general clinical practice showed improved self-reported communication skills compared with a control group. Receiving a full intervention was not more effective in improving self-reported hearing problems than receiving just one element of the internet-based intervention. Trial registration number This trial is registered at ClinicalTrals.gov, NCT01837550; results.

  • implementing internet based Aural Rehabilitation in a general clinical practice
    American Journal of Audiology, 2015
    Co-Authors: Milijana Malmberg, Thomas Lunner, Kim Kahari, Gunilla Jansson, Gerhard Andersson
    Abstract:

    Purpose The purpose of this paper is to share the lessons that were learned about the process of implementing an Internet-based, randomized controlled trial (RCT) in general clinical practice (GCP) and to address some of the advantages of using the Internet as a tool to implement a RCT in GCP. The RCT implemented focused on investigating Internet-based Aural Rehabilitation (AR) in addition to hearing aid (HA)-fitting supplemented with telephone support, and it was applied in a clinical setting. The results of this RCT and the questionnaires chosen will be presented in an article elsewhere. Procedure Here, the procedure of the implemented trial is presented, and the implementation challenges are presented and discussed. Specifically, we describe the trial research question, recruitment strategy, patient eligibility criteria, the questionnaires, clinician participation, funding and time (for the clinicians), and risks and benefits (for the participants). Discussion The trial implementation showed that AR in...