Development of a core outcome set to evaluate remote technologies for cochlear implant users

Sucher, Cathy, Laird, Emma, Allen, David, Cullington, Helen, Boisvert, Isabelle, Gifford, Rene and Ferguson, Melanie (2023) Development of a core outcome set to evaluate remote technologies for cochlear implant users. 14th Asia Pacific Symposium on Cochlear Implant and Related Sciences, Coex, Seoul, Korea, Republic of. 08 - 11 Nov 2023.

Abstract

Background: the use of telehealth for CI service provision has the potential
to significantly improve the ability for CI services to provide efficient,
effective, equitable services, and personalized care to CI users. It is essential to
demonstrate that remote service provision provides at least equivalent care to
face-to-face clinical care for regulatory purposes, as well as ensuring the trust
and confidence of all stakeholders in the outcomes of the telehealth service.
Using relevant and sensitive outcome measures to evaluate remote CI services
is vital to facilitate evidence-based health care services.
We aimed to develop a Core Outcome Set to evaluate remote CI services
to maximise the potential benefits of remote care, and ensure optimal and
personalised care.

Methods: a systematic review of literature and online scoping workshops
with key stakeholders (CI users, their partners, and CI professionals) were
conducted to identify core elements and outcome domains to measure
markers of service quality. These informed two parallel three-round Delphi
reviews (CI users and CI professionals surveyed separately), to determine an
≥80% consensus of core outcome domains. Participants were recruited from
Australia, the US and UK and included adult CI users (≥18 years old), and CI
professionals. Round one is complete, with 119 participants (76 CI users, 43 CI
professionals). The final round of surveys will be completed in August 2023.

Results: the systematic review specified eight core elements (Physiological and
Clinical; Physical Functioning; Cognitive Functioning; Emotional Functioning
and Wellbeing; Delivery of care – device; Delivery of Care – service; Resource
Use; Adverse Events). A total of 57 outcome domains were identified. The most
relevant domains will be surveyed in Rounds 2 and 3 to obtain consensus.

Conclusion: this ongoing study will identify a minimum core set of outcomes to be used
to assess benefits of remote technologies for CI users.

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Contributors

Author: Helen Cullington

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