Aural Rehabilitation for Cochlear Implant Users Via Telerehab Technology

NCT ID: NCT03157492

Last Updated: 2021-10-14

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-02

Study Completion Date

2021-10-13

Brief Summary

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This study evaluates the benefits of short-term training via telehealth for post-lingually deafened adult cochlear implant users. Half the participants will receive aural rehabilitation and the other half cognitive training. The hypothesis is that short-term aural rehabilitation via telerehab technology will improve outcomes for post-lingually deafened cochlear implant users

Detailed Description

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Aural rehabilitation training (AR) has been demonstrated to improve outcomes for adult cochlear implant users. There are both financial and non-financial barriers to AR service delivery including accessibility (mobility, distance and transportation problems), accommodation (time off work impossible, caring for family) and availability (limited providers in rural areas, financial constraints, and lack of transportation. In this study the investigators will measure the impact of telerehab delivery on optimizing speech recognition, communication function, goals, social participation and hearing handicap.

Twenty-four participants will be randomly assigned to one of two treatment groups: aural rehabilitation (AR) and cognitive training (CT). Participants will complete six 90-minute treatment sessions in their home or office via a telerehab platform. Participants will come to a center for three 90-minute assessment sessions: pre-treatment, 1 week, and 2 months post-treatment.

Conditions

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Hearing Loss Deafness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are randomly assigned to either AR Treatment or Active (Cognitive Training) Control Group. Participants are not told they are in the control group. After the final assessment (two-month post-treatment), control group participants are offered the AR treatment.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Aural Rehabilitation Group

The AR Group will receive six 90-minute sessions including auditory training, informational counseling, and communication strategies.

Group Type EXPERIMENTAL

Aural Rehabilitation Group

Intervention Type BEHAVIORAL

Participants will complete sessions in their home or office via the internet. Sessions will include listening activities, informational counseling and communication strategies training. Three assessment appointments are required. The goal is to evaluate the benefit of training on performance with a cochlear implant.

Cognitive Training Group

The Cognitive Training Group will receive six 90-minute sessions including training exercises (Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Difference) to improve speed and accuracy.

Group Type SHAM_COMPARATOR

Cognitive Training Group

Intervention Type BEHAVIORAL

The Cognitive Training Group will receive six 90-minute sessions including training exercises (Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Difference) to improve speed and accuracy. Three assessment sessions are also required.

Interventions

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Aural Rehabilitation Group

Participants will complete sessions in their home or office via the internet. Sessions will include listening activities, informational counseling and communication strategies training. Three assessment appointments are required. The goal is to evaluate the benefit of training on performance with a cochlear implant.

Intervention Type BEHAVIORAL

Cognitive Training Group

The Cognitive Training Group will receive six 90-minute sessions including training exercises (Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Difference) to improve speed and accuracy. Three assessment sessions are also required.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Speech Tracking rate of at least 20 words per minute
* Sentence recognition scores (CasperSent) between 10% and 85%
* Passing score on cognitive screener (Callahan et al., 2002)

Exclusion Criteria

* Less than 18 years of age
* Pre-lingually deafened
* Prior Aural Rehabilitation with cochlear implant
* Greater than three years post-activation of CI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Columbia University

OTHER

Sponsor Role collaborator

The Cleveland Clinic

OTHER

Sponsor Role collaborator

Gallaudet University

OTHER

Sponsor Role lead

Responsible Party

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Diane Brewer

Co-Principal Investigator Research Audiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Diane M Brewer, MA

Role: PRINCIPAL_INVESTIGATOR

Gallaudet University

Claire M Bernstein, PhD

Role: PRINCIPAL_INVESTIGATOR

Gallaudet University

Locations

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Gallaudet University

Washington D.C., District of Columbia, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

University of Maryland

College Park, Maryland, United States

Site Status

Columbia University

New York, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Boothroyd, A. CasperSent: A program for computer-assisted speech perception testing and training at the sentence level. J Am Acad Rehab Audiol. 2008;41:30-50.

Reference Type BACKGROUND

Callahan CM, Unverzagt FW, Hui SL, Perkins AJ, Hendrie HC. Six-item screener to identify cognitive impairment among potential subjects for clinical research. Med Care. 2002 Sep;40(9):771-81. doi: 10.1097/00005650-200209000-00007.

Reference Type BACKGROUND
PMID: 12218768 (View on PubMed)

Dillon H, James A, Ginis J. Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. J Am Acad Audiol. 1997 Feb;8(1):27-43.

Reference Type BACKGROUND
PMID: 9046067 (View on PubMed)

Hinderink JB, Krabbe PF, Van Den Broek P. Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg. 2000 Dec;123(6):756-65. doi: 10.1067/mhn.2000.108203.

Reference Type BACKGROUND
PMID: 11112975 (View on PubMed)

Robinson K, Gatehouse S, Browning GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol. 1996 Jun;105(6):415-22. doi: 10.1177/000348949610500601.

Reference Type BACKGROUND
PMID: 8638891 (View on PubMed)

Ventry IM, Weinstein BE. The hearing handicap inventory for the elderly: a new tool. Ear Hear. 1982 May-Jun;3(3):128-34. doi: 10.1097/00003446-198205000-00006.

Reference Type BACKGROUND
PMID: 7095321 (View on PubMed)

Other Identifiers

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90RE5020

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2508

Identifier Type: -

Identifier Source: org_study_id