Internet-based audiological interventions: An update for clinicians

Purpose: Advancements in digital and computing technologies have created opportunities for innovations in the provision of healthcare remotely. The aim of this paper is to provide audiological professionals with a summary of literature regarding existing audiological Internet-based interventions (IBI’s). The specific objectives are to (1) provide an overview of the range of audiological IBI’s for adults with hearing loss, balance disorders, and tinnitus; (2) identify the features included in these IBI’s and possible benefits; and (3) identify difficulties and challenges regarding the implementation and use of audiological IBI’s. Method: Relevant articles were identified through literature review conducted in the PubMed database and grey literature. The relevant information from these sources, such as the type of intervention and main outcomes, were summarized. Results: A range of IBI’s were identified, with the majority addressing tinnitus distress. Those for hearing loss have been applied at different stages of the patient journey. Unguided IBI’s for vestibular difficulties included self-help for Ménières Disease and vestibular rehabilitation. Most tinnitus IBI’s provided cognitive behavioural therapy. Overall IBI’s showed benefits in terms of outcome and accessibility. Barriers include uncertainties surrounding the cost effectiveness, optimal level of support and improving intervention compliance. Conclusions: Telehealth applications are expanding in audiology and IBI’s have been developed to provide auditory rehabilitation, vestibular rehabilitation, and tinnitus interventions. IBI’s have the potential to offer accessible and affordable services. Further work is required to further develop these interventions and optimize outcomes.