Remote programming of cochlear implants: a mixed-methods study of audiologist experiences and patient satisfaction

OBJECTIVE: This mixed-methods study explores audiologists' perspectives on remote programming (RP) for cochlear implants (CIs) and compares patient satisfaction between initial activation and follow-up sessions. DESIGN: A mixed-methods approach combined qualitative interviews with audiologists and a survey of CI users. Thematic analysis was applied to interview data, and survey responses were analysed descriptively and comparatively. STUDY SAMPLE: Six experienced audiologists participated in semi-structured interviews, while 136 CI users (44 initial activation, 92 follow-up) completed satisfaction surveys. RESULTS: Audiologist interviews revealed four key themes: RP advantages, implementation challenges, technical requirements, and professional satisfaction. Survey data showed significantly higher satisfaction among follow-up users across seven of eight items. Both groups rated technical quality and communication highly, but follow-up users reported greater ease, confidence, and willingness to use RP again. CONCLUSION: RP is a viable alternative for CI programming, particularly for follow-ups, while initial activations pose unique challenges best managed through hybrid care models. Incorporating both patient and clinician perspectives, this study underscores the need for robust infrastructure, enhanced communication strategies, and standardised professional training to ensure consistent, high-quality remote audiological care.