Bernstein/Brwer Aural Rehabilitation Lab (B/Bar Lab)

Overview.  The research in the B/BAR lab focuses on two long-term projects.

Intervention using Short-Term Aural Rehabilitation to Maximize Outcomes for Adult Cochlear Implant Users. The study was designed to provide evidence of benefits resulting from short-term aural rehabilitation (AR) for post-lingually deafened adult cochlear implant (CI) users in a randomized controlled trial. Key components of the AR intervention include auditory training, informational counseling on cochlear implant use and assistive technology, and communication management strategies training. The Rehabilitation Engineering Center (RERC) on Hearing Enhancement received funding for this study from the National Institute on Disability and Rehabilitation Research (NIDRR) under the auspices of the U.S. Department of Education (Grant # H133E030006). Clinical trial was completed in November 2015. Data analysis and manuscript preparation to follow in 2016.

Project Brochure
  
Clinician directed auditory training software: Contact Dr. Claire Bernstein for more information.

Enhanced Aural Rehabilitation for Adult Cochlear Implant Users via Telerehab. This project aims to evaluate performance of cochlear implant (CI) users with enhanced aural rehabilitation(AR) strategies via telehealth technology in a randomized controlled clinical trial, maximizing both access to auditory information and improving functional communication outcomes for individuals with hearing loss. Building on the successful AR protocol developed for adult CI users and tested with prior grant support from NIDRR, this multisite clinical trial will allow us to determine whether a short-term rehabilitation program for adult CI users will be as effective when rehabilitation training is provided over the internet as when it is provided face-to-face with a clinician. Training will be presented using a state-of-the-art telerehabilitation platform developed at the RERC on Telerehabilitation at the University of Pittsburgh, enabling aural rehabilitation training to be provided to participants in their home environment. Focus of development work is on creating an interface with telerehab platform, adapting materials and approaches, followed by piloting of the adapted AR protocol. Randomized clinical trial of AR intervention via telerehab platform will be conducted at Gallaudet and at collaborating sites.

This project is part of the research consortium under the RERC on Technology for the Deaf and Hard of Hearing, under the direction of Dr. Christian Vogler and Linda Kozma-Spytek at Gallaudet University, with funding from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) under the Department of Health and Human Services (HHS)(Grant # 90RE5020). 

People. Claire Marcus Bernstein (Gallaudet University) and Diane Brewer (Professor Emeritus at George Washington University) are Co-PIs on the project. Collaborating sites and Investigators include Matthew Bakke (Gallaudet University), Paula Schauer (University of Maryland at College Park), Anne Olson (University of Kentucky Health Sciences Center), Jaclyn Spitzer and Elizabeth Machmer (Columbia University Medical Center), Sarah Sydlowski (The Cleveland Clinic).

Facilities. The facilities include a large acoustically treated observation/analysis room in the Hearing and Speech Center at Gallaudet for the provision of rehabilitative training as part of the research study; and, a double-walled sound treated audiometric test booth for evaluations of speech recognition abilities. The rehabilitative training equipment equipment includes two laptops with two sets of controllable cameras, speakers and echo cancelling microphones, and one external monitor at participant site.

Selected publications and presentations:

Plant, G., Bernstein, C., & Levitt, H. (2015). Optimizing Performance in Adult Cochlear Implant Users through Clinician Directed Auditory Training. Seminars in Hearing, 36, 296-309.

Brewer D., Bernstein, C., Olson, A., Schauer, P., Spitzer, J., & Sydlowski, S. (2014). Short Term AR for Adult CI Users- Enhancing Outcomes. Paper presented at the Academy of Rehabilitative Audiology Conference. Philadelphia, PA, Sept 9-11.

Brewer, D., Bernstein, C., Bakke, M., Olson, a., Schauer, P., Spitzer, J., Machmer, E., & Sydlowski, S. (2013). Intervention Using Short-Term Aural Rehabilitation to Maximize Outcomes for Cochlear Implant Users. Poster presented at the American Cochlear Implant Alliance Conference, Washington, DC, Oct 24-26.

Bernstein, C., Brewer, D., Bakke, M., Machmer, E., Spitzer, J., & Schauer, P. (2013). Maximizing the Benefits of Cochlear Implants through Short-Term Aural Rehabilitation Intervention. Paper presented at the Seventh International Adult AR Conference. St. Pete Beach, Florida, May 20-22.

Bernstein, C., Bakke, M., Mazevski, A., Blake-Rahter, P., Presley, R., Hume, K., Plant, G., & Levitt, H. (2012). Benefits of Speech Tracking Training on Sentence Recognition, Tracking Rate, and Self-Assessed Communication Function in Adult Cochlear Implant Users. Journal of the Academy of Rehabilitative Audiology, 45, 11-39.

Brewer. D., Bernstein, C., & Bakke, M. (2012). Does Short-term Aural Rehabilitation Improve Outcomes for Adult Cochlear Implant Users? Poster presented at the 12th International Conference on Cochlear Implants & Other Implantable Auditory Technologies. Baltimore, Maryland, May 2-5.              

Blake-Rahter,P., Bernstein,C., Bakke,M., Mazevski,A., Hnath-Chisolm,T., Levitt,H., & Plant,G.  (2009) Clinical Evaluation of Computer-Guided Speech Tracking with Adult Cochlear Implant Recipients. Presented at the Fifth International Adult Aural Rehabilitation Conference. Tampa, Florida, March 13-15. 

Bakke, M., Bernstein, C., Bally, S., & Pray, J. (2008). Managing Hearing Loss in Older Adults: Assessment, intervention, and technologies for independence and well being. In R. Felder & M.Alwan (Eds.), Aging Medicine, Eldercare Technology for Clinical Practitioners (p. to appear). Totowa, NJ: Humana Press Inc. Bernstein, C. (Ed.) (2007). Dual Sensory Loss. Trends in Amplification, 11(4), 217-300.    

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