Assessment of digital literacy and user experience in patients with cochlear implants

Abstract Introduction The cochlear implant (CI) is the treatment of choice for people affected by deafness or profound hearing loss. Patients with cochlear implants (PwCIs) can enhance their hearing outcomes using digital hearing training programs (dHTPs). Current technological trends leans towards personalized, AI-driven dHTPs, aiming to optimize user experience (UX) and adherence. This study aims to investigate the digital literacy skills and UX of PwCI before and after testing a prototype of a dHTP with an AI-driven design (TraiCI). Methods Two research-specific questionnaires developed by the Hearing Center Düsseldorf (QDL and QUX) were used to assess digital literacy skills and user experience in TraiCI. Additionally, the User Experience Questionnaire (UEQ) was employed to evaluate general user experience. The UEQ assesses software quality across dimensions such as transparency and stimulation using paired opposites. Results 22 outpatient PwCIs the Hearing Center Düsseldorf with unilateral or bilateral CI (mean age 54 years; SD = 15) were included. In QDL, PmCI demonstrated high levels of digital literacy skills. The majority of PmCI (80.6%) reported prior experience with dHTP. Usage of these programs occurred daily to multiple times per week within the first six months after CI treatment, with session durations predominantly ranging from 10 to 30 minutes. QUX data indicated a smooth initiation process (70.8%) and seamless login experience (95.5%). The UEQ addressed various aspects of user experience, with ‘transparency’ receiving the highest scores (MW = 1.9; SD = 0.6), while ‘stimulation’ received the least positive ratings (MW = 0.0; SD = 2.1). Conclusions The results show a high degree of digital literacy among PwCIs. They encountered minimal challenges in operating hardware and software components. Further refinement is necessary to align with PwCI’s expectations and maximize benefits. Early and iterative involvement of PwCIs in future projects could optimize outcomes. Key messages • The study highlights the proficient digital literacy skills of cochlear implant patients (PwCIs). • Further refinement of dHTPs is needed to better align with PwCIs’ expectations and maximize benefits, emphasizing the importance of iterative involvement for optimized outcomes.