News

Cochlear Implant Skills Review (CISR) tool

Cochlear Implant Skills Review (CISR) is a new assessment measure developed by Project R1 investigators Bernstein and Brewer, in collaboration with Hume, and Presley, to be used clinically to evaluate a patient’s demonstrated skill and knowledge with their cochlear implant. The CISR was modeled on the Practical Hearing Aid Skills Test-Revised (PHAST-R) developed by Desjardins & Doherty (2012). The CISR can be used as a key assessment tool to help clinicians better evaluate the CI user’s understanding and demonstrated skills in using their technology. This, in turn, can serve as a guide for training, counseling, and rehabilitation with the CI user so that they can achieve maximum benefit from their CI.

Benefits of the CISR for CI Users and for Professionals:

For the CI user, the CISR can aid in the development and mastery of these skills which is central to confidence and success with technology. Training in areas where skills or knowledge are needed improve self-confidence and skills to manage the use of their implant and facilitate self-efficacy. In all, it can serve to help optimize the benefits from the CI.

For professionals, the CISR will be an excellent pre and post assessment measure and guide not only for CI Audiologists, but also Speech Language Pathologists who work with CI users, as well as doctoral students to guide their counseling and rehabilitation work with patients, and Audiologists who do not work with CIs regularly. It can be used in its entirety or in modular format since it is comprised of 6 sub categories which address basic skills.

Future Research Needs for the CISR. While the CISR is available for immediate clinical use, we are still refining the measure and it will require a full validation study before it receives widespread clinical use. The test-retest reliability of the CISR needs to be assessed with a large n of at least 50 adults with cochlear implants for publication of this assessment measure. It is currently in use, however, as part of our assessment protocol in our telerehabilitation study at the following clinical sites: Columbia University Medical Center, University of Maryland College Park, University of Kentucky College of Health Sciences, Gallaudet University, and the Cleveland Clinic.

Voice Telecommunications Access Survey Results

The Rehabilitation Engineering Research Center on Telecommunications Access at Gallaudet University conducted a survey to learn about the experiences of adults who are hard of hearing, deaf or have hearing loss, in their use of voice telecommunications technology. Our goal was to better understand how such adults use current voice telecommunications technology, what barriers they face using it and what needs they have for improved accessibility.

This survey has been analyzed with support from the current Deaf/Hard of Hearing Technology RERC, and selected results have been made available to the Institute of Medicine’s Committee on Accessible and Affordable Hearing Health Care for Adults in December 2015. These results are now available for download on this site.

A flowchart: Navigating the labyrinth of the FCC’s IP captioning rules

Captioning rules for TV are fairly straightforward. Unfortunately, the same cannot be said for Internet captioning, due to a plethora of special cases and exemptions that have been carved out. Prerecorded programming, live programming, and clips are all treated differently; it also matters when a video was first posted on the Internet, and when it last was shown on TV.

The Federal Communications Commission (FCC) is the agency responsible for enforcing the rules for Internet captioning. This process is primarily driven by consumer complaints. If you see a captioning problem, the first step is to figure out whether it is actually covered under the law and/or rules. The RERC has developed a flowchart to assist you in determining the legal situation. This flowchart was initially distributed as part of the train-the-trainer program im April 2016, under Project D1, and is now available in an updated and cleaned-up version. The DHH-RERC wishes to thank Dr. Gregg Vanderheiden for his assistance in the cleanup and producing an accessible version.

IPCaptioningFlowchart-V2 (PPT, May 2016)

IPCaptioningFlowChart – Interactive (Interactive accessible PPT, May 2016)

Achieving Hearing Aid Compatibility for 100% of Cell Phones: A work in progress

Ever since the Federal Communications Commission (FCC) partially modified the original exemption for wireless (cell) phones from hearing aid compatibility (HAC) requirements, consumer organizations for individuals with hearing loss have worked, through advocacy, toward the goal that all cell phones would become accessible to and usable by hearing device users. Over the last eight months, there has been both policy activity at the FCC and consensus building work between consumer organizations and the wireless industry that may achieve this goal. Continue reading “Achieving Hearing Aid Compatibility for 100% of Cell Phones: A work in progress”