{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:57:38Z","timestamp":1781009858259,"version":"3.54.1"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Adults with cochlear implants (CIs) need periodic programming of their speech processors to take advantage of alternative adjustments. However, this requires patients to attend the CI center in person.<\/jats:p><jats:p>\n          Objectives\u2003To evaluate the feasibility of speech processor (SP) self-programming with remote assistance in CI users. To establish the characteristics of those who could benefit from self-programming.<\/jats:p><jats:p>\n          Methods\u2003Adults with at least 1 year of experience with their CI, and whose SP was compatible with the use of the remote assistant fitting (RAF) were selected. Maps were created by the RAF from the neural response telemetry (NRT) results, evaluated in the same session with the audiologist. Patients were given 15-days to adjust to either the routine map or the NRT-based one. In the next session, the minimum and maximum stimulation levels (T- and C-levels) of all the maps were compared.<\/jats:p><jats:p>\n          Results\u2003No statistical difference was found when comparing the T- and C-levels of the map in use, the map adjusted by RAF, and the NRT-based map created by the RAF and adjusted by the patient.<\/jats:p><jats:p>\n          Conclusion\u2003Self-programming of the SP was safe and feasible in the studied sample of adults, since T- and C-levels were similar between the behavioral and RAF-adjusted maps. We consider it advisable to use the RAF for patients who have insertion of electrodes and at least one functioning; as well as those who do not have changes in anatomy, nor motor and cognitive conditions that prevent RAF usage.<\/jats:p>","DOI":"10.1055\/s-0044-1789194","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:09:17Z","timestamp":1738022957000},"page":"001-010","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility of Self-Programming of the Speech Processor Via Remote Assistant Fitting in Experienced Cochlear Implant Users"],"prefix":"10.1055","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4512-611X","authenticated-orcid":false,"given":"Paola Angelica","family":"Samuel-Sierra","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Cl\u00ednicas, Faculty of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4440-7692","authenticated-orcid":false,"given":"Maria Val\u00e9ria Schimidt","family":"Goffi-Gomez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Cl\u00ednicas, Faculty of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3859-5316","authenticated-orcid":false,"given":"Ana Tereza de Matos","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Cl\u00ednicas, Faculty of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3749-4684","authenticated-orcid":false,"given":"Ricardo Ferreira","family":"Bento","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Cl\u00ednicas, Faculty of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5164-0786","authenticated-orcid":false,"given":"Robinson Koji","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Cl\u00ednicas, Faculty of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1179\/cim.2005.6.4.178","article-title":"How we do it: tuning up a young child","volume":"6","author":"J B Firszt","year":"2005","journal-title":"Cochlear Implants Int"},{"key":"ref2","volume-title":"Basic Principles of Programming","author":"J Wolfe","year":"2010"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.otc.2011.08.020","article-title":"Cochlear implant programming","volume":"45","author":"W H Shapiro","year":"2012","journal-title":"Otolaryngol Clin North Am"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/00003446-199902000-00005","article-title":"Summary of results using the nucleus CI24M implant to record the electrically evoked compound action potential","volume":"20","author":"P J Abbas","year":"1999","journal-title":"Ear Hear"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/00003446-200108000-00004","article-title":"Estimation of psychophysical levels using the electrically evoked compound action potential measured with the neural response telemetry capabilities of Cochlear Corporation's CI24M device","volume":"22","author":"K H Franck","year":"2001","journal-title":"Ear Hear"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1159\/000066154","article-title":"Speech perception in nucleus CI24M cochlear implant users with processor settings based on electrically evoked compound action potential thresholds","volume":"7","author":"G F Smoorenburg","year":"2002","journal-title":"Audiol Neurotol"},{"key":"ref7","volume-title":"Development of speech perception in adults over time; comparison of performance measures. Cochlear Implant Ear Marks","author":"G F Smoorenburg","year":"2007"},{"issue":"06","key":"ref8","first-page":"789","article-title":"Comparing cochlear implant users' speech performance with processor fittings based on conventionally determined T and C levels or on compound action potential thresholds and live-voice speech in a prospective balanced crossover study","volume":"27","author":"C Willeboer","year":"2006","journal-title":"Ear Hear"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1080\/14670100.2019.1708553","article-title":"Audiologists' preferences in programming cochlear implants: A preliminary report","volume":"21","author":"L M Browning","year":"2020","journal-title":"Cochlear Implants Int"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/00003446-200112000-00004","article-title":"A longitudinal study of electrode impedance, the electrically evoked compound action potential, and behavioral measures in nucleus 24 cochlear implant users","volume":"22","author":"M L Hughes","year":"2001","journal-title":"Ear Hear"},{"key":"ref11","first-page":"177","article-title":"Changes in electrical thresholds over time in young children implanted with the Nucleus cochlear prosthesis","volume":"166","author":"W Shapiro","year":"1995","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1080\/00016489850183386","article-title":"Intracochlear factors contributing to psychophysical percepts following cochlear implantation","volume":"118","author":"A Kawano","year":"1998","journal-title":"Acta Otolaryngol"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"93","DOI":"10.3109\/14992020209090399","article-title":"Relationship of intraoperative electrically evoked stapedius reflex thresholds to maximum comfortable loudness levels of children with cochlear implants","volume":"41","author":"J H Allum","year":"2002","journal-title":"Int J Audiol"},{"issue":"02","key":"ref14","first-page":"111","article-title":"Longitudinal variations in fitting parameters for adult cochlear implant recipients","volume":"34","author":"F Mosca","year":"2014","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1097\/AUD.0000000000000466","article-title":"Investigation of electrical stimulation levels over 8 to 10 years postimplantation for a large cohort of adults using cochlear implants","volume":"38","author":"E A Gajadeera","year":"2017","journal-title":"Ear Hear"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1590\/S1516-80342009000400019","article-title":"Programa\u00e7\u00e3o remota dos sistemas de implante coclear","volume":"14","author":"C E Zumpano","year":"2009","journal-title":"Rev Soc Bras Fonoaudiol"},{"issue":"05","key":"ref17","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1080\/00016480802294369","article-title":"Use of telemedicine in the remote programming of cochlear implants","volume":"129","author":"A Ramos","year":"2009","journal-title":"Acta Otolaryngol"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1097\/MAO.0b013e3181d35d87","article-title":"Remote programming of cochlear implants: a telecommunications model","volume":"31","author":"J TJ McElveen Jr","year":"2010","journal-title":"Otol Neurotol"},{"issue":"S 01","key":"ref19","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1179\/146701010X12671177204624","article-title":"Use of telemedicine in the remote programming of cochlear implants","volume":"11","author":"C Rodr\u00edguez","year":"2010","journal-title":"Cochlear Implants 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implants","volume":"20","author":"R H Eikelboom","year":"2014","journal-title":"J Telemed Telecare"},{"issue":"07","key":"ref24","doi-asserted-by":"crossref","first-page":"709","DOI":"10.3109\/00016489.2014.892212","article-title":"Remote programming of MED-EL cochlear implants: users' and professionals' evaluation of the remote programming experience","volume":"134","author":"V Kuzovkov","year":"2014","journal-title":"Acta Otolaryngol"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1590\/2317-1782\/20142014007","article-title":"Remote programming of cochlear implants","volume":"26","author":"P A Samuel","year":"2014","journal-title":"CoDAS"},{"key":"ref26","doi-asserted-by":"publisher","volume-title":"Teleprograma\u00e7\u00e3o dos sistemas de implante coclear [master thesis]","author":"P A 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