Scaling up telemedicine for adults with cochlear implants - are you ready?: British Cochlear Implant Group Annual Meeting

作者：H.E. Cullington, Pádraig T. Kitterick, Magdalena Margol-Gromada, Carol Riggs, Tracy Finch, Mark Weal · 年份：2018 · 研究领域：Telemedicine and Telehealth Implementation、Delphi Technique in Research

AIM 1. Roll out telemedicine tools to adults using any cochlear implant device in the UK 2. Commission a formal evaluation to establish whether the new care model improves: • patient empowerment • equity of access • patient and staff experience • clinic efficiency METHOD We will introduce a remote care pathway choice to adults using cochlear implants in participating centres in the UK. Benefits will be available to users of any device. This is a complex intervention comprising four components successfully trialled together previously. The elements are: • personalised responsive web app (hearing rehabilitation, music, advice, troubleshooting, training, ordering spares, goal setting, questionnaires, reminders, monitoring of implant site photos) • home hearing test • self device adjustment at home (with appropriate devices) • upgrading of sound processors at home rather than requiring a clinic visit Remote care tools will be used in the patients’ homes, with visits to the clinic only to solve problems or access specialist resources. Clinicians will access an online dashboard to monitor their patients, and will receive alerts if patients are not interacting with the tools or other indicators are achieved. Wessex Academic Health Science Network will undertake an independent formative evaluation. RESULTS We previously completed an RCT of remote care tools at University of Southampton Auditory Implant Service (Cullington et al, 2016). We examined patient preference using conjoint an...