Computer-Based Auditory Rehabilitation

NCT ID: NCT02147847

Last Updated: 2016-10-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-08-31

Brief Summary

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Hearing in noisy environments is a perceptual problem that is ubiquitous in modern industrialized societies. This particular listening context offers a particular challenge to individuals living with hearing impairment (30 million in US alone) even after treatment with hearing aids or cochlear implants. The ability of the brain to extract regularities from the environment and suppress distracting information can be improved with intensive cognitive training. The investigators will test whether the hearing in noise abilities of adults living with hearing impairment can be improved with a cognitive training paradigm.

Detailed Description

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Hearing impairment (HI) represents the most common cause of moderate to severe disability in the world, with an estimated prevalence of 636 million individuals (30 million in the US alone). Amplification devices (i.e., hearing aids) are commonly used to compensate for HI stemming from acoustic trauma, ototoxic insult, normal aging or other sources of cochlear degeneration. The chief complaint of individuals with HI is hearing in the types of noisy environments that characterize most work, educational, and social situations. Unfortunately, hearing aids do not completely address the perceptual impairments in these situations. That is because the difficulties that individuals with HI have hearing in noise result from the reduced salience of cues that are used to sort out auditory scenes. Making sounds louder improves audibility, but does not afford adaptation of the brain to the abnormal coding of sensory information by the damaged cochlea. The investigators will test whether the hearing in noise abilities of adults living with hearing impairment can be improved with a cognitive training paradigm.

Conditions

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Presbycusis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Video game based training 1

Video Game play with training strategy 1

Group Type EXPERIMENTAL

Video game based training 1

Intervention Type BEHAVIORAL

32 one-hour, home-based training sessions over 8 weeks

Video game based training 2

Video Game play with training strategy 2

Group Type EXPERIMENTAL

Video game based training 2

Intervention Type BEHAVIORAL

32 one-hour, home-based training sessions over 8 weeks

Interventions

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Video game based training 1

32 one-hour, home-based training sessions over 8 weeks

Intervention Type BEHAVIORAL

Video game based training 2

32 one-hour, home-based training sessions over 8 weeks

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Binaural sensorineural hearing impairment
* Use of binaural hearing aids
* Native English Speaker

Exclusion Criteria

* Significant cognitive impairment
* Significant motor impairment
* History of neurological disease/head trauma
* Use of psychotropic and thyroid medications
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Massachusetts Eye and Ear Infirmary

OTHER

Sponsor Role lead

Responsible Party

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Daniel Polley

Assistant Professor in Department of Otology and Laryngology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daniel Polley, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Massachusetts Eye and Ear Infirmary, Harvard Medical School

Locations

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Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, United States

Site Status

Saint Elizabeth's Medical Center

Brighton, Massachusetts, United States

Site Status

Hudson Valley Audiology Center

New City, New York, United States

Site Status

Countries

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United States

References

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Anderson S, White-Schwoch T, Parbery-Clark A, Kraus N. Reversal of age-related neural timing delays with training. Proc Natl Acad Sci U S A. 2013 Mar 12;110(11):4357-62. doi: 10.1073/pnas.1213555110. Epub 2013 Feb 11.

Reference Type BACKGROUND
PMID: 23401541 (View on PubMed)

Keeling MD, Calhoun BM, Kruger K, Polley DB, Schreiner CE. Spectral integration plasticity in cat auditory cortex induced by perceptual training. Exp Brain Res. 2008 Feb;184(4):493-509. doi: 10.1007/s00221-007-1115-9. Epub 2007 Sep 21.

Reference Type BACKGROUND
PMID: 17896103 (View on PubMed)

Polley DB, Heiser MA, Blake DT, Schreiner CE, Merzenich MM. Associative learning shapes the neural code for stimulus magnitude in primary auditory cortex. Proc Natl Acad Sci U S A. 2004 Nov 16;101(46):16351-6. doi: 10.1073/pnas.0407586101. Epub 2004 Nov 8.

Reference Type BACKGROUND
PMID: 15534214 (View on PubMed)

Polley DB, Steinberg EE, Merzenich MM. Perceptual learning directs auditory cortical map reorganization through top-down influences. J Neurosci. 2006 May 3;26(18):4970-82. doi: 10.1523/JNEUROSCI.3771-05.2006.

Reference Type BACKGROUND
PMID: 16672673 (View on PubMed)

Li RW, Ngo C, Nguyen J, Levi DM. Video-game play induces plasticity in the visual system of adults with amblyopia. PLoS Biol. 2011 Aug;9(8):e1001135. doi: 10.1371/journal.pbio.1001135. Epub 2011 Aug 30.

Reference Type BACKGROUND
PMID: 21912514 (View on PubMed)

Sweetow RW, Sabes JH. The need for and development of an adaptive Listening and Communication Enhancement (LACE) Program. J Am Acad Audiol. 2006 Sep;17(8):538-58. doi: 10.3766/jaaa.17.8.2.

Reference Type BACKGROUND
PMID: 16999250 (View on PubMed)

Bao S, Chang EF, Woods J, Merzenich MM. Temporal plasticity in the primary auditory cortex induced by operant perceptual learning. Nat Neurosci. 2004 Sep;7(9):974-81. doi: 10.1038/nn1293. Epub 2004 Aug 1.

Reference Type BACKGROUND
PMID: 15286790 (View on PubMed)

Green CS, Bavelier D. Action video game modifies visual selective attention. Nature. 2003 May 29;423(6939):534-7. doi: 10.1038/nature01647.

Reference Type BACKGROUND
PMID: 12774121 (View on PubMed)

Green CS, Pouget A, Bavelier D. Improved probabilistic inference as a general learning mechanism with action video games. Curr Biol. 2010 Sep 14;20(17):1573-9. doi: 10.1016/j.cub.2010.07.040.

Reference Type BACKGROUND
PMID: 20833324 (View on PubMed)

Deveau J, Ozer DJ, Seitz AR. Improved vision and on-field performance in baseball through perceptual learning. Curr Biol. 2014 Feb 17;24(4):R146-7. doi: 10.1016/j.cub.2014.01.004. No abstract available.

Reference Type BACKGROUND
PMID: 24556432 (View on PubMed)

Li J, Thompson B, Deng D, Chan LY, Yu M, Hess RF. Dichoptic training enables the adult amblyopic brain to learn. Curr Biol. 2013 Apr 22;23(8):R308-9. doi: 10.1016/j.cub.2013.01.059.

Reference Type BACKGROUND
PMID: 23618662 (View on PubMed)

Lim SJ, Holt LL. Learning foreign sounds in an alien world: videogame training improves non-native speech categorization. Cogn Sci. 2011 Sep-Oct;35(7):1390-405. doi: 10.1111/j.1551-6709.2011.01192.x. Epub 2011 Aug 9.

Reference Type BACKGROUND
PMID: 21827533 (View on PubMed)

Merzenich MM, Jenkins WM, Johnston P, Schreiner C, Miller SL, Tallal P. Temporal processing deficits of language-learning impaired children ameliorated by training. Science. 1996 Jan 5;271(5245):77-81. doi: 10.1126/science.271.5245.77.

Reference Type BACKGROUND
PMID: 8539603 (View on PubMed)

Related Links

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http://scholar.harvard.edu/polleylab

Laboratory website of Principal Investigator

Other Identifiers

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11-006H-AUD

Identifier Type: -

Identifier Source: org_study_id

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