The role of perceived competence in remote cochlear implant aftercare: a mixed-methods study
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By
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Maika Werminghaus
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Susann Thyson
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Nora Sieverding
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Emily Breitenbach
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Jutta G. Richter
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Thomas Klenzner
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June 3, 2026
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Clinical Scorecard: Investigating the Impact of Perceived Competence on Remote Aftercare for Cochlear Implants: A Mixed-Methods Approach
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Perceived competence, digital health literacy, motivational factors, Self-Determination Theory |
| Target Population | |
| Care Setting | |
Key Highlights
- Remote care enhances accessibility and patient engagement in CI aftercare.
- Perceived competence is strongly associated with self-determined motivation.
- Technology affinity is the strongest predictor of perceived competence.
- Qualitative findings highlight autonomy-related benefits and competence-related concerns, including technical uncertainty.
- Digital hearing-training programs require sustained engagement and basic digital skills.
Guideline-Based Recommendations
Diagnosis
Management
- Address digital health literacy and motivational factors in CI rehabilitation.
Monitoring & Follow-up
- Incorporate assessments of digital competence in monitoring protocols.
Risks
Patient & Prescribing Data
Patients with cochlear implants (PwCI)
Engagement with remote CI aftercare depends on perceived competence and motivational factors.
Clinical Best Practices
- Implement competence-supportive design in digital aftercare.
- Utilize hybrid care models to enhance patient engagement.
- Focus on motivational readiness and digital competence in CI rehabilitation.
- Develop training programs to enhance digital skills among patients.
Related Resources & Content
