Trial Outcomes & Findings for Supplementing Hearing Aids With Computerized Auditory Training (NCT NCT00727337)

NCT ID: NCT00727337

Last Updated: 2018-07-18

Results Overview

Monosyllabic words (NU-6 female version) with a carrier phrase were presented auditory only in a multitalker babble.The participant is asked to repeat the last word of each phrase. The total number of correct words is input into the Spearman-Karber equation to derive a 50% point. This is the signal-to-noise ratio in dB that an individual requires to get 50% of the words correct. This test was completed at baseline and follow up visits.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

279 participants

Primary outcome timeframe

Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up

Results posted on

2018-07-18

Participant Flow

Participant milestones

Participant milestones
Measure
LACE-DVD
DVD-based auditory training Auditory Training with DVD: DVD based Auditory Training
LACE - COMPUTER
Computer-based auditory training LACE: Computerized Auditory Training
PLACEBO-DIRECTED LISTENING
Directed listening to books on CD Directed listening: Subjects will be asked to listen to books on tape for 20 minutes a day and answer questions as they go along
CONTROL
No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids Usual care: No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids
Overall Study
STARTED
68
65
73
73
Overall Study
COMPLETED
61
55
63
64
Overall Study
NOT COMPLETED
7
10
10
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Supplementing Hearing Aids With Computerized Auditory Training

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LACE-DVD
n=68 Participants
DVD-based auditory training Auditory Training with DVD: DVD based Auditory Training
LACE-COMPUTER
n=65 Participants
Computer-based auditory training LACE: Computerized Auditory Training
PLACEBO-DIRECTED LISTENING
n=73 Participants
Directed listening to books on CD Directed listening: Subjects will be asked to listen to books on tape for 20 minutes a day and answer questions as they go along
CONTROL
n=73 Participants
No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids Usual care: No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids
Total
n=279 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=5 Participants
23 Participants
n=7 Participants
37 Participants
n=5 Participants
21 Participants
n=4 Participants
109 Participants
n=21 Participants
Age, Categorical
>=65 years
40 Participants
n=5 Participants
42 Participants
n=7 Participants
36 Participants
n=5 Participants
52 Participants
n=4 Participants
170 Participants
n=21 Participants
Age, Continuous
68.2 years
STANDARD_DEVIATION 7.7 • n=5 Participants
69 years
STANDARD_DEVIATION 7.8 • n=7 Participants
67.1 years
STANDARD_DEVIATION 7.7 • n=5 Participants
70 years
STANDARD_DEVIATION 7.3 • n=4 Participants
68.6 years
STANDARD_DEVIATION 7.7 • n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Male
68 Participants
n=5 Participants
65 Participants
n=7 Participants
73 Participants
n=5 Participants
73 Participants
n=4 Participants
279 Participants
n=21 Participants
Region of Enrollment
United States
68 Participants
n=5 Participants
65 Participants
n=7 Participants
73 Participants
n=5 Participants
73 Participants
n=4 Participants
279 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up

Population: Through the duration of the study, a total of 7 participants withdrew from LACE-DVD, 10 participants withdrew from LACE-C, 10 participants withdrew from Placebo, and 9 withdrew from the Control.

Monosyllabic words (NU-6 female version) with a carrier phrase were presented auditory only in a multitalker babble.The participant is asked to repeat the last word of each phrase. The total number of correct words is input into the Spearman-Karber equation to derive a 50% point. This is the signal-to-noise ratio in dB that an individual requires to get 50% of the words correct. This test was completed at baseline and follow up visits.

Outcome measures

Outcome measures
Measure
LACE-DVD
n=68 Participants
DVD-based auditory training Auditory Training with DVD: DVD based Auditory Training
LACE-COMPUTER
n=65 Participants
Computer-based auditory training LACE: Computerized Auditory Training
PLACEBO-DIRECTED LISTENING
n=73 Participants
Directed listening to books on CD Directed listening: Subjects will be asked to listen to books on tape for 20 minutes a day and answer questions as they go along
CONTROL
n=73 Participants
No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids Usual care: No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids
Words-in-Noise Test (WIN) Change
POST-INTERVENTION
9 dB SNR
Standard Deviation 2.3
9.2 dB SNR
Standard Deviation 2.7
9 dB SNR
Standard Deviation 2
10 dB SNR
Standard Deviation 2.3
Words-in-Noise Test (WIN) Change
BASELINE
9.8 dB SNR
Standard Deviation 2.2
9.9 dB SNR
Standard Deviation 2.7
9.7 dB SNR
Standard Deviation 2.4
10.4 dB SNR
Standard Deviation 2.3
Words-in-Noise Test (WIN) Change
6 MONTH FOLLOW UP
9.3 dB SNR
Standard Deviation 2.2
9.5 dB SNR
Standard Deviation 2.4
9.4 dB SNR
Standard Deviation 2.3
9.8 dB SNR
Standard Deviation 2.2

SECONDARY outcome

Timeframe: Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up

Population: Through the duration of the study, a total of 7 participants withdrew from LACE-DVD, 10 participants withdrew from LACE-C, 10 participants withdrew from Placebo, and 9 withdrew from the Control.

The Abbreviated Profile of Hearing Aid Performance (APHAP; Cox \& Alexander 1995) was used to assess activity limitations and the Hearing Handicap Inventory for the Elderly or Adults (HHI; Ventry \& Weinstein 1982; Newman et al. 1990) was used to assess participation restrictions. The APHAP is a 24-item questionnaire that documents hearing difficulties in specified listening situations. The items are answered on a 7-point scale from 'Always' (or 99%) to 'Never' (or 1%) with higher scores indicating greater reported hearing difficulty. The APHAP global score that ranges from 1 to 99 was used for all analyses.

Outcome measures

Outcome measures
Measure
LACE-DVD
n=68 Participants
DVD-based auditory training Auditory Training with DVD: DVD based Auditory Training
LACE-COMPUTER
n=65 Participants
Computer-based auditory training LACE: Computerized Auditory Training
PLACEBO-DIRECTED LISTENING
n=73 Participants
Directed listening to books on CD Directed listening: Subjects will be asked to listen to books on tape for 20 minutes a day and answer questions as they go along
CONTROL
n=73 Participants
No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids Usual care: No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids
Abbreviated Profile of Hearing Aid Benefit (APHAB) Change
BASELINE
32.3 units on a scale
Standard Deviation 17
32 units on a scale
Standard Deviation 18
34 units on a scale
Standard Deviation 16
37 units on a scale
Standard Deviation 18.2
Abbreviated Profile of Hearing Aid Benefit (APHAB) Change
POST-INTERVENTION
31 units on a scale
Standard Deviation 17
32 units on a scale
Standard Deviation 16.55
32 units on a scale
Standard Deviation 16
33.6 units on a scale
Standard Deviation 16.1
Abbreviated Profile of Hearing Aid Benefit (APHAB) Change
6 MONTH FOLLOW UP
30.45 units on a scale
Standard Deviation 18.1
33.65 units on a scale
Standard Deviation 17.75
33.15 units on a scale
Standard Deviation 18.7
35.25 units on a scale
Standard Deviation 16.45

SECONDARY outcome

Timeframe: Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up

Population: Through the duration of the study, a total of 7 participants withdrew from LACE-DVD, 10 participants withdrew from LACE-C, 10 participants withdrew from Placebo, and 9 withdrew from the Control.

The HHI is a 25-item questionnaire that assesses the social and emotional consequences of hearing loss. The HHI for the elderly is for individuals age 65 years and older (Ventry \& Weinstein 1982); the HHI for adults is for individuals aged 64 years and younger (Newman et al. 1990). The versions differ in the wording of three questions. The participants were asked to complete the appropriate HHI for aided listening to reflect their residual hearing handicap. HHI 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. Total HHI scores, which can range from 0 to 100, were used for all analyses.

Outcome measures

Outcome measures
Measure
LACE-DVD
n=68 Participants
DVD-based auditory training Auditory Training with DVD: DVD based Auditory Training
LACE-COMPUTER
n=65 Participants
Computer-based auditory training LACE: Computerized Auditory Training
PLACEBO-DIRECTED LISTENING
n=73 Participants
Directed listening to books on CD Directed listening: Subjects will be asked to listen to books on tape for 20 minutes a day and answer questions as they go along
CONTROL
n=73 Participants
No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids Usual care: No specialized treatment will be provided in addition to standard of care audiology treatment provided with the provision of hearing aids
Hearing Handicap Inventory for the Elderly (HHI) Change
BASELINE
29.4 units on a scale
Standard Deviation 22.6
31.3 units on a scale
Standard Deviation 21.95
29.95 units on a scale
Standard Deviation 20.15
33.8 units on a scale
Standard Deviation 20.9
Hearing Handicap Inventory for the Elderly (HHI) Change
POST-INTERVENTION
25.65 units on a scale
Standard Deviation 19.65
29.35 units on a scale
Standard Deviation 23.05
30.05 units on a scale
Standard Deviation 19.3
29.35 units on a scale
Standard Deviation 20.65
Hearing Handicap Inventory for the Elderly (HHI) Change
6 MONTH FOLLOW UP
24.1 units on a scale
Standard Deviation 19.7
27.85 units on a scale
Standard Deviation 21.05
27.8 units on a scale
Standard Deviation 19.55
32.45 units on a scale
Standard Deviation 22

Adverse Events

LACE-DVD

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

LACE-COMPUTER

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

PLACEBO-DIRECTED LISTENING

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

CONTROL

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

Rachel McArdle

Department of Veterans Affairs

Phone: 727-398-6661

Results disclosure agreements

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