Trial Outcomes & Findings for The Performance-Perceptual Test as a Counseling Tool (NCT NCT00126113)

NCT ID: NCT00126113

Last Updated: 2014-10-16

Results Overview

PIADS: The PIADS measures the psychosocial impact of any assistive device(s). Here that is a hearing aid. The PIADS is a 26-item self-rating scale. The user rates each item on a seven-point scale that ranges from negative 3 (maximum negative impact) to positive 3 (maximum positive impact). The midpoint, zero, indicates no impact or no perceived change resulting from device use. It measures three quality-of-life domains: (1) Adaptability that reflects the inclination or motivation to participate socially and take risks; (2) Competence that reflects perceived functional capability, independence, and performance; and (3) Self-esteem that reflects self-confidence, self esteem, and emotional well-being.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

74 participants

Primary outcome timeframe

Day 70 (end of study) only

Results posted on

2014-10-16

Participant Flow

Dissatisfied hearing aid users recruited from Portland VA Medical Center Audiology Clinic. Recruitment dates: 1/1/06 to 9/1/07

Exclusion criteria were: Hearing aid dissatisfaction associated with physical fit of the hearing aids, conductive hearing loss, had not worn hearing aids for at least 3 months prior to participating, had mini mental status examination score below age and educationally-appropriate norms.

Participant milestones

Participant milestones
Measure
PPT-based Counseling
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
Standard educational counseling consisting of explanation of hearing tests
Overall Study
STARTED
37
37
Overall Study
COMPLETED
34
35
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Performance-Perceptual Test as a Counseling Tool

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PPT-based Counseling
n=37 Participants
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
n=37 Participants
Standard educational counseling consisting of explanation of hearing tests
Total
n=74 Participants
Total of all reporting groups
Age, Continuous
65.4 years
STANDARD_DEVIATION 8.6 • n=5 Participants
66.1 years
STANDARD_DEVIATION 7.8 • n=7 Participants
65.8 years
STANDARD_DEVIATION 8.2 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
32 Participants
n=7 Participants
66 Participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants
37 participants
n=7 Participants
74 participants
n=5 Participants
Hearing sensitivity (pure tone thresholds)
45.0 decibels
STANDARD_DEVIATION 11.6 • n=5 Participants
46.4 decibels
STANDARD_DEVIATION 11.0 • n=7 Participants
45.7 decibels
STANDARD_DEVIATION 113 • n=5 Participants
Education level
15.4 years
STANDARD_DEVIATION 3.1 • n=5 Participants
15.1 years
STANDARD_DEVIATION 2.4 • n=7 Participants
15.3 years
STANDARD_DEVIATION 2.8 • n=5 Participants
Past hearing aid use
8.8 years
STANDARD_DEVIATION 10.3 • n=5 Participants
9.8 years
STANDARD_DEVIATION 10.6 • n=7 Participants
9.3 years
STANDARD_DEVIATION 10.5 • n=5 Participants

PRIMARY outcome

Timeframe: Day 70 (end of study) only

PIADS: The PIADS measures the psychosocial impact of any assistive device(s). Here that is a hearing aid. The PIADS is a 26-item self-rating scale. The user rates each item on a seven-point scale that ranges from negative 3 (maximum negative impact) to positive 3 (maximum positive impact). The midpoint, zero, indicates no impact or no perceived change resulting from device use. It measures three quality-of-life domains: (1) Adaptability that reflects the inclination or motivation to participate socially and take risks; (2) Competence that reflects perceived functional capability, independence, and performance; and (3) Self-esteem that reflects self-confidence, self esteem, and emotional well-being.

Outcome measures

Outcome measures
Measure
PPT-based Counseling
n=34 Participants
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
n=35 Participants
Standard educational counseling consisting of explanation of hearing tests
Psychosocial Impact of Assistive Devices Scale (PIADS)
1.06 units on a scale
Standard Deviation 0.79
0.85 units on a scale
Standard Deviation 0.70

SECONDARY outcome

Timeframe: Day 70 (end of study)

HHI: The HHI for the elderly is for individuals over age 65 years; the HHI for adults is for individuals aged 65 years and younger. Both are 25-item questionnaires that assess the social and emotional consequences of hearing loss. The versions differ in the wording of three questions. Items are answered on a scale of Yes (4 points), Sometimes (2 points), and No (0 points) with higher scores indicating greater reported hearing handicap. Scores can range from 0 (no handicap) to 100 (maximum handicap).

Outcome measures

Outcome measures
Measure
PPT-based Counseling
n=34 Participants
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
n=35 Participants
Standard educational counseling consisting of explanation of hearing tests
Hearing Handicap Inventory (HHI)
38.0 units on a scale
Standard Deviation 19.4
34.7 units on a scale
Standard Deviation 17.6

SECONDARY outcome

Timeframe: Day 70 (end of study)

APHAB: The APHAB is a 24-item questionnaire that documents hearing difficulties in specified listening situations. Items are answered on a seven-point scale from ' Always ' to ' Never ' with higher scores indicating greater reported hearing disability. The questionnaire has four subscales: Ease of communication, Reverberation, Background noise, and Aversiveness, from which a global score is computed by averaging the Ease of communication, Reverberation, and Background noise scale scores. Questions are answered for unaided and aided listening. By subtracting aided scores from unaided scores a measure of reported aided benefit is obtained. Scores can range from 0 (no disability) to 99 (maximum disability).

Outcome measures

Outcome measures
Measure
PPT-based Counseling
n=34 Participants
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
n=35 Participants
Standard educational counseling consisting of explanation of hearing tests
Abbreviated Profile of Hearing Aid Benefit (APHAB)
26.3 units on a scale
Standard Deviation 15.2
21.9 units on a scale
Standard Deviation 14.8

SECONDARY outcome

Timeframe: Day 70 (end of study)

The IOI-HA is a seven-item questionnaire for which hearing-aid use, hearing-aid benefit, residual activity limitation, hearing-aid satisfaction, residual participation restriction, impact on others, and quality of life are rated on a five-point scale. An overall IOI-HA score is generated by averaging responses to all seven items. Higher scores reflect better self-reported outcome. Scores can range from 7 (poorest outcome) to 35 (best outcome).

Outcome measures

Outcome measures
Measure
PPT-based Counseling
n=34 Participants
Counseling based on Performance-Perceptual Discrepancy (PPDIS) consisting of explanation of hearing tests plus recommendations based on PPDIS
Standard Educational Counseling
n=35 Participants
Standard educational counseling consisting of explanation of hearing tests
International Outcome Inventory for Hearing Aids (IOI-HA)
26.6 units on a scale
Standard Deviation 4.2
25.5 units on a scale
Standard Deviation 4.8

Adverse Events

PPT-based Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Educational Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gabrielle Saunder Ph.D.

National Center for Rehabilitative Auditory Research

Phone: 503-220-8262

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place