title: Measuring Sound-Processor Threshold Levels for Pediatric Cochlear Implant Recipients Using Conditioned Play Audiometry via Telepractice.
abstract: This study evaluated the use of telepractice for measuring cochlear implant (CI) behavioral threshold (T) levels in children using conditioned play audiometry (CPA). The goals were to determine whether (a) T levels measured via telepractice were not significantly different from those obtained in person, (b) response probability differed between remote and in-person conditions, and (c) the remote visit required more time than the in-person condition.
  
  
  
  An ABBA design (A, in-person; B, remote) was split across 2 visits. Nineteen children aged 2.6-7.1 years participated. T levels were measured using CPA for 3 electrodes per session. A "hit" rate was calculated to determine whether the likelihood of obtaining responses differed between conditions. Test time was compared across conditions. A questionnaire was administered to assess parent/caregiver attitudes about telepractice.
  
  
  
  Results indicated no significant difference in T levels between conditions. Hit rates were not significantly different between in-person and remote conditions (98% vs. 97%, respectively). Test time was similar between conditions. Questionnaire results revealed that 100% of caregivers would use telepractice for CI appointments either some or all of the time.
  
  
  
  Telepractice is a viable option for routine pediatric programming appointments for children using CPA to set behavioral thresholds.
authors.affiliation: Boys Town National Research Hospital, Omaha, NE.
authors.forename: Jenny L
authors.initials: JL
authors.lastname: Goehring
authors.affiliation: Boys Town National Research Hospital, Omaha, NE.
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Hughes
mesh_terms: D001299:Audiometry / Q000295:instrumentation; D017028:Caregivers / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003054:Cochlear Implants; D003638:Deafness / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D010988:Play and Playthings; D011795:Surveys and Questionnaires; D000069350:Telerehabilitation; D013997:Time Factors