Telehealth rehabilitation for adults with cochlear implants in response to the Covid-19 pandemic: platform selection and case studies

Abstract

Background

Effective information giving and goal setting before cochlear implantation and individualised rehabilitation following implantation are both crucial for shaping patients’ expectations and optimising outcomes. The Covid-19 pandemic led to temporary cessation of face to face clinic appointments. This created a need for telehealth rehabilitation for adults whose hearing loss presents unique communication challenges.

Aims

We describe the piloting and implementation of telehealth rehabilitation within an adult cochlear implant service.

Method

Video conferencing and telehealth tools were assessed in terms of security, accessibility and functionality. Written support materials were developed. Telehealth sessions were piloted with lay volunteers. During service implementation, feedback was collected from patients and staff.

Outcomes & results

A video call platform was identified that was supported by the host Trust and also met the rehabilitation service’s needs. A telehealth service was successfully implemented, ensuring continuity of care during lockdown. We share the platform selection framework used, practical lessons learned and patient support materials.

Conclusion

.Telehealth rehabilitation facilitated a well-received, effective service for adult cochlear implant patients. It is predicted that the benefits of telehealth rehabilitation will last beyond the lockdown restrictions posed by Covid-19.

Keywords:

• Cochlear implant
• Adults
• Rehabilitation
• Covid-19
• Telehealth
• Telemedicine
• Speech and language therapy

Additional information

Notes on contributors

Julie M. Carter

Julie M. Carter is a Principal Speech & Language Therapist at the Yorkshire Auditory Implant Service. She has a background in acquired communication and swallowing disorders and now specialises in hearing impairment and cochlear implant rehabilitation.

Catherine F. Killan

Catherine F. Killan is a Research Associate at the University of Nottingham, UK, and a Clinical Scientist in Audiology with a background in cochlear implants.

Jillian J. Ridgwell

Jillian J. Ridgwell is a Principal Speech & Language Therapist at the Yorkshire Auditory Implant Service. She specialises in hearing impairment and cochlear implant rehabilitation.