Implementing Internet-Based Aural Rehabilitation in a General Clinical Practice Purpose The purpose of this paper is to share the lessons that were learned about the process of implementing an Internet-based, randomized controlled trial (RCT) in general clinical practice (GCP) and to address some of the advantages of using the Internet as a tool to implement a RCT in GCP. ... Research Forum
Research Forum  |   September 01, 2015
Implementing Internet-Based Aural Rehabilitation in a General Clinical Practice
 
Author Affiliations & Notes
  • Milijana Malmberg
    Hearing Clinic, Hearing Organization, Borås Hospital, Sweden
    Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden
  • Thomas Lunner
    Swedish Institute for Disability Research, Linköping University, Sweden
    Oticon A/S, Research Centre Eriksholm, Snekkersten, Denmark
  • Kim Kähäri
    Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden
  • Gunilla Jansson
    Hearing Clinic, Hearing Organization, Borås Hospital, Sweden
  • Gerhard Andersson
    Swedish Institute for Disability Research, Linköping University, Sweden
    Karolinska Institutet, Stockholm, Sweden
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Milijana Malmberg: milijana.lundberg.malmberg@vgregion.se
  • Editor and Associate Editor: Larry Humes
    Editor and Associate Editor: Larry Humes×
Article Information
Audiologic / Aural Rehabilitation / Telepractice & Computer-Based Approaches / Research Forum: Internet and Audiology
Research Forum   |   September 01, 2015
Implementing Internet-Based Aural Rehabilitation in a General Clinical Practice
American Journal of Audiology, September 2015, Vol. 24, 325-328. doi:10.1044/2015_AJA-15-0017
History: Received February 6, 2015 , Revised June 25, 2015 , Accepted June 28, 2015
 
American Journal of Audiology, September 2015, Vol. 24, 325-328. doi:10.1044/2015_AJA-15-0017
History: Received February 6, 2015; Revised June 25, 2015; Accepted June 28, 2015
Web of Science® Times Cited: 1

Purpose The purpose of this paper is to share the lessons that were learned about the process of implementing an Internet-based, randomized controlled trial (RCT) in general clinical practice (GCP) and to address some of the advantages of using the Internet as a tool to implement a RCT in GCP. The RCT implemented focused on investigating Internet-based aural rehabilitation (AR) in addition to hearing aid (HA)-fitting supplemented with telephone support, and it was applied in a clinical setting. The results of this RCT and the questionnaires chosen will be presented in an article elsewhere.

Procedure Here, the procedure of the implemented trial is presented, and the implementation challenges are presented and discussed. Specifically, we describe the trial research question, recruitment strategy, patient eligibility criteria, the questionnaires, clinician participation, funding and time (for the clinicians), and risks and benefits (for the participants).

Discussion The trial implementation showed that AR in addition to HA-fitting can be carried out in GCP using the Internet. Using an Internet-based RCT overcomes some of the challenges of implementing a trial in GCP.

Acknowledgments
The authors would like to thank the clinicians and operation managers within the Hearing Organization at Södra Älvsborg, Sweden, for their financial and administrative support. This trial was sponsored by the Stinger Foundation; Oticon Foundation; Research, Innovation and Technology Development, Rehabilitation & Health in Västra Götaland, awarded to Milijana Malmberg; and, partly, by a program grant from the Swedish Council for Wealth, Working Life and Welfare (FORTE, 2009-0055) awarded to Gerhard Andersson. A report of the trial was presented at the First International Meeting on Internet and Audiology, October 3–4, 2014, Linköping, Sweden.
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