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Abstract
Objective
To document and analyze the cochlear implant (CI) decision-making process of hearing-impaired older adults. The aim of this study is to assess what support could be helpful during this process in order to improve care delivery.
Methods
32 older adult CI recipients (≥ 60 years) with severe to profound sensorineural hearing loss were interviewed about their CI decision-making process 3–12 months after obtaining their first CI.
Results
Minimal information was provided to CI candidates by hearing aid acousticians or patient associations. High to very high expectations were reported by patients concerning issues beyond hearing improvement per se. Even though not all expectations were fulfilled by the CI, nearly all recipients who used an implant for at least six months would recommend a CI to others.
Discussion
We identified an opportunity for those professionals to play a greater role in supporting older CI candidates during the decision-making process. It is desirable to establish a comprehensive network of hearing care professionals to collaborate with CI clinics.
Conclusion
In order to support older patients adequately in deciding about CI, intensive training should be offered to hearing care professionals in order to provide realistic expectations and reduce fear and uncertainty about the implantation process. These topics need to be communicated in a professional manner and adapted to the candidate’s age and personality.
Additional information
Notes on contributors
Angelika Illg
Angelika Illg (PhD) is head of the educational-therapeutic CI team at the German Hearing Center Hannover.
Timo Bräcker
Timo Bräcker (MSc) is working as a Research Engineer in the MED-EL Research Team in Hannover, Germany.
Cornelia Batsoulis²
Cornelia Batsoulis (PhD) is head of the MED-EL Research Team in Hannover, Germany.
Jane M. Opie
Jane M. Opie (PhD) is working as Senior Research Audiologist at MED-EL Headquarters in Innsbruck, Austria.
Anke Lesinski-Schiedat
Anke Lesinski-Schiedat (PhD) is medical director of the CI team at the German Hearing Center Hanover.