An interventional study of Self-adjustment tests in Cochlear Diseases, sponsored by Assistance Publique - Hôpitaux de Paris. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-14.
Sponsored by Assistance Publique - Hôpitaux de Paris · Not applicable, Interventional, and Health services research
The cochlear implant (CI) is a device to compensate severe or profound deafness. The CI has a lifetime implanted part and an external processor. Regular monitoring is necessary because the device can generate complications and when the device is dysfunctional, the patient becomes deaf again. Our center, the CRIC, is a center for monitoring and fitting CI. Follow-up requires face-to-face procedures and some patients have difficulty accessing the center.
Our cohort of patients is growing steadily and now exceeds 750 patients. Provision should be made for sustained steady growth and enabling means. Telemedicine may be a response for the follow-up of some patients.
Currently, cochlear implanted patients benefit once a year from: an ENT (Ear Nose and Throat) medical consultation, a speech-language assessment, physical verification of the external processor, an audiometric test, a fitting of the external processor. This makes it possible to check the absence of medical complication, the use and the correct functioning of the external and internal parts.
Provision should be made for sustained steady growth and enabling means. With the development of new hearing tests, technical possibilities of some speech processors and software for their fitting, telemedicine may be a response for the follow-up of some patients.
TELESURVIC will study the feasibility for patients implanted with an implant Cochlear™ to carry out a complete test of their equipment by themselves.
For this project we will use a tablet device, without simultaneous contact with CRIC professionals. On this tablet are installed calibrated hearing tests, tutorials of good maintenance of the processor and a software of adjustment allowing the realization of the operations desired for an inspection of the implant.
Patients selected to participate, (on a voluntary basis), in this protocol will follow the following steps:
The selection of the patients is made on study of the files of the cochlear implanted patients with leading implant COCHLEARTM, compatible external processor with the research and being able to potentially realize only the studied acts.
The unit proposes then during a consultation or by explanatory e-mail, to the patient to participate in a training workshop. The information note will be presented to the patient during the consultation, or sent by e-mail.
After checking the selection criteria and signing the consent by the patient, the patient joins a training workshop.
During the workshop, bringing together 3 to 5 patients supervised by an ENT doctor of the +/- adjuster team, a speech therapist and +/- a COCHLEARTM engineer, patients will be trained in the handling of the tablet and software. Then, in a second step, each patient will have to carry out the hearing and self-adjustment tests by themselves in a quiet room in the unit. He will be able to reach a unit professional who can help him.
The patient will benefit from auditory evaluation by a consonants discrimination test and a 3-digit noise test and then an evaluation of the implant and processor parameters using COCHLEARTM NFS tuning software.
It is at the end of this workshop that the unit professionals will judge whether the patient is pursuing the research or not. If the patient continues the research, he will have an appointment to return to the service 8 to 30 days later.
Patients pursuing the research will be invited to complete the end-of-workshop questionnaire.
The patient will return to the follow-up center and will repeat exactly the same acts, alone in a room, 8 to 30 days after the first tests. He will also have the opportunity to be assisted by someone of his choice.
At the end of this visit, the patient will be invited to complete the end-of-research questionnaire.
This follow-up visit will mark the end of the patient's participation in this research, unless there is a need to adjust the device.
Once the tests are completed, health professionals will analyze the data retrieved from the tablet and if needed, will see the patient in adjustment within 8 days maximum if there is a difference between the tests performed at the unit during the inclusion visit and those performed by the patient alone in a distant evaluation.
Self-test data from the patient at the follow-up visit should be identical to the training workshop. If this is not the case, it is therefore essential to know if the difference is due to a poor control of the tests or rather to an anomaly appeared secondarily.
Patients will be reviewed as part of the care in case of need for new settings.
The professionals involved in the research (training workshop and self-test verification) will be invited to complete an evaluation questionnaire
Our approach aims to make the patient aware of how the cochlear implant works, to empower him and to make him responsible for his equipment.
By providing him with training not only in passing evaluation self-tests but also in certain parameters of the setting, we want him to understand the interest of an annual follow-up.
And we want to show that a well-trained patient can participate actively in the follow-up of his cochlear implant thanks to adapted tools and telemedicine.
Total number of subjects selected to participate in the workshop: 40. Inclusion period: 6 months, for 30 selected patients at the end of the workshop.
Duration of participation of each patient: 38 days maximum Total search time: 7 months and 8 days
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Exclusion Criteria:
For patients with an implant Cochlear™, we will be trained during workshop, to use a tablet how to do some tests; They will do alone, by themselves the tests, just after the workshop and 8 to 30 days later. Self audiometric test : digit triplet test, consonants discrimination test, Self-fitting of cochlear implant
Device: Self-adjustment tests
For patients with an implant Cochlear™, we will be trained during workshop, to use a tablet how to do some tests ; They will do alone, by themselves the tests, just after the workshop and 8 to 30 days later. Self audiometric test : digit triplet test, consonants discrimination test, Self-fitting of cochlear implant
The degree of auditory rehabilitation achieved with the cochlear implant.
Comparison of the data collected (The hearing tests 3 digits test and VCV) during the usual evaluations in the department, then in auditory self-test and of the parameters of reaction just after an apprenticeship and at a distance, between 8 to 30 days, of this learning
Time frame: Between day +8 to +30 after the training session
The degree of auditory rehabilitation achieved with the cochlear implant.
Comparison of the data collected (the electrophysiological measures) during the usual evaluations in the department, then in auditory self-test and of the parameters of reaction just after an apprenticeship and at a distance, between 8 to 30 days, of this learning
Time frame: Between day +8 to +30 after the training session
Estimate the degree of patients satisfaction, on the use of new tools that will be used for remote monitoring
For the patients: The results of Qualitative Self questionnaire, EVA scale, and free comments, according to the scoring manual, will be aggregated to estimate the degree of satisfaction.
Time frame: Between day +8 to +30 after the training session
Estimate the degree of satisfaction professionals, on the use of new tools that will be used for remote monitoring
For the professionals: The results of Qualitative Self questionnaire, EVA scale, and free comments, according to the scoring manual, will be aggregated to estimate the degree of satisfaction.
Time frame: Between day +8 to +30 after the training session
Estimate the necessary adaptations of the medical team and patients
When the patients come back (between Day +8 to Day+30), they do the same tests alone, by themselves. The staff checks if the results are the same as those of the tests at day 0, (without any medical or technical intercurrent event). We note the time spent for each test by the patient. Each professional involved in the process of teaching, coaching and assessing the patient through the study will fill a chart detailing his/her actions and keep a record of his/her dedicated time. By this approach, we hope building a team adapted to the remote monitoring applied to cochlear implant patient follow-up.
Time frame: Between day +8 to +30 after the training session
Estimate time savings for professionals
Comparison of the time spent for acts realized in a traditional way and the way according to the protocol, for professionals.
Time frame: Between day +8 to +30 after the training session
Estimate time savings for patients
Comparison of the time spent for acts realized in a traditional way and the way according to the protocol, for patients.
Time frame: Between day +8 to +30 after the training session
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
This study is status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.
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Cochlear Diseases
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