The role of perceived competence in remote cochlear implant aftercare: a mixed-methods study - Summary - MDSpire

The role of perceived competence in remote cochlear implant aftercare: a mixed-methods study

  • By

  • Maika Werminghaus

  • Susann Thyson

  • Nora Sieverding

  • Emily Breitenbach

  • Jutta G. Richter

  • Thomas Klenzner

  • June 3, 2026

  • 0 min

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Objective:

To explore motivational mechanisms and digital readiness among patients with cochlear implants (PwCI) in the context of remote aftercare.

Key Findings:
  • Qualitative findings indicated benefits related to autonomy, such as flexibility and time savings, alongside concerns about technical uncertainty and the need for professional reassurance.
  • Quantitative results showed moderate to high levels of digital health literacy and technology affinity among participants.
  • Perceived competence was strongly associated with self-determined motivation and engagement intentions.
  • Technology affinity was identified as the strongest predictor of perceived competence.
Interpretation:

Engagement with remote CI aftercare is influenced more by perceived competence and motivational factors than by mere technical availability.

Limitations:
  • The study's sample size was limited to 62 participants for quantitative analysis.
  • Qualitative insights were derived from a small group of nine participants.
Conclusion:

The findings highlight the importance of competence-supportive design and hybrid care models in the implementation of digital aftercare.

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