Web-based auditory self-training system for adult and elderly users of hearing aids.
BACKGROUND
Adults and elderly users of hearing aids suffer psychosocial reactions as a result of hearing loss. Auditory rehabilitation is typically carried out with support from a speech therapist, usually in a clinical center. For these cases, there is a lack of computer-based self-training tools for minimizing the psychosocial impact of hearing deficiency.


OBJECTIVE
To develop and evaluate a web-based auditory self-training system for adult and elderly users of hearing aids.


METHODS
Two modules were developed for the web system: an information module based on guidelines for using hearing aids; and an auditory training module presenting a sequence of training exercises for auditory abilities along the lines of the auditory skill steps within auditory processing. We built aweb system using PHP programming language and a MySQL database .from requirements surveyed through focus groups that were conducted by healthcare information technology experts. The web system was evaluated by speech therapists and hearing aid users. An initial sample of 150 patients at DSA/HRAC/USP was defined to apply the system with the inclusion criteria that: the individuals should be over the age of 25 years, presently have hearing impairment, be a hearing aid user, have a computer and have internet experience. They were divided into two groups: a control group (G1) and an experimental group (G2). These patients were evaluated clinically using the HHIE for adults and HHIA for elderly people, before and after system implementation. A third web group was formed with users who were invited through social networks for their opinions on using the system. A questionnaire evaluating hearing complaints was given to all three groups. The study hypothesis considered that G2 would present greater auditory perception, higher satisfaction and fewer complaints than G1 after the auditory training. It was expected that G3 would have fewer complaints regarding use and acceptance of the system.


RESULTS
The web system, which was named SisTHA portal, was finalized, rated by experts and hearing aid users and approved for use. The system comprised auditory skills training along five lines: discrimination; recognition; comprehension and temporal sequencing; auditory closure; and cognitive-linguistic and communication strategies. Users needed to undergo auditory training over a minimum period of 1 month: 5 times a week for 30 minutes a day. Comparisons were made between G1 and G2 and web system use by G3.


CONCLUSIONS
The web system developed was approved for release to hearing aid users. It is expected that the self-training will help improve effective use of hearing aids, thereby decreasing their rejection.
Department of Health Informatics, Federal University of São Paulo (UNIFESP), São Paulo-SP, Brazil.
Simone Virginia
SV
Vitti
Department of Audiology, University of São Paulo (USP), Bauru-SP, Brazil.
Wanderléia Quinhoneiro
WQ
Blasca
Department of Health Informatics, Federal University of São Paulo (UNIFESP), São Paulo-SP, Brazil.
Daniel
D
Sigulem
Department of Health Informatics, Federal University of São Paulo (UNIFESP), São Paulo-SP, Brazil.
Ivan
I
Torres Pisa
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003194:Computer-Assisted Instruction / Q000379:methods*; D012048:Correction of Hearing Impairment; D005260:Female; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000534:rehabilitation*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012984:Software