Baltimore HEARS: Hearing Health Equity Through Accessible Research & Solutions

NCT ID: NCT03442296

Last Updated: 2022-10-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-18

Study Completion Date

2021-07-14

Brief Summary

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Age-related hearing loss is highly prevalent and hearing health care is underutilized. The primary objective of the proposed randomized controlled trial is to investigate the efficacy of a community health worker (CHW)-delivered hearing loss intervention program. A preceding pilot study demonstrated preliminary effectiveness of the intervention program in reducing self-reported hearing handicap, and highlighted its acceptability among the target demographic. The proposed trial will now expand upon lessons learned through previous pilot studies and expand to other affordable residences for low-to-moderate income older adults in Baltimore. Primary outcome measurements will investigate intervention effects on hearing handicap, with secondary measurements investigating effects on domains such as social isolation and quality of life. This trial is a first-in-kind investigation of a novel community-based intervention that addresses hearing loss in a vulnerable, urban population.

Detailed Description

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Conditions

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Age-related Hearing Impairment 1 Personal Communication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Immediate Treatment Group

Immediate treatment with Baltimore HEARS intervention

Group Type EXPERIMENTAL

Baltimore HEARS

Intervention Type BEHAVIORAL

Tailored aural rehabilitation for participant and communication partner (if applicable)

Baltimore HEARS

Intervention Type DEVICE

Tailored fitting and programming of a personal sound amplifier. This will be accompanied by a component of aural rehabilitation.

Delayed Treatment Group

3-month delayed treatment with Baltimore HEARS intervention

Group Type PLACEBO_COMPARATOR

Baltimore HEARS

Intervention Type BEHAVIORAL

Tailored aural rehabilitation for participant and communication partner (if applicable)

Baltimore HEARS

Intervention Type DEVICE

Tailored fitting and programming of a personal sound amplifier. This will be accompanied by a component of aural rehabilitation.

Interventions

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Baltimore HEARS

Tailored aural rehabilitation for participant and communication partner (if applicable)

Intervention Type BEHAVIORAL

Baltimore HEARS

Tailored fitting and programming of a personal sound amplifier. This will be accompanied by a component of aural rehabilitation.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 60 years or older
* English-speaking
* Aural-oral verbal communication as primary communication modality
* Post-lingual hearing loss (Audiometric pure tone averages \[0.5-4kHz\] in both ears \>25 dB)
* Does not currently use a hearing amplification device or hearing aid
* Signed informed consent to participate in all study related activities
* Willing to regularly use listening device once provided for the remainder of their time in the study
* Hearing handicap as measured by HHIE-S score \>8
* Able to follow study instructions

* Evidence of ear disease or pathology requiring further medical evaluation
Minimum Eligible Age

60 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Deafness and Other Communication Disorders (NIDCD)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frank R Lin, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Carrie L Nieman, MD, MPH

Role: STUDY_DIRECTOR

Johns Hopkins University

Locations

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Catholic Charities

Baltimore, Maryland, United States

Site Status

Weinberg Senior Living Communities

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Ventry IM, Weinstein BE. Identification of elderly people with hearing problems. ASHA. 1983 Jul;25(7):37-42. No abstract available.

Reference Type BACKGROUND
PMID: 6626295 (View on PubMed)

Weinstein BE. Validity of a screening protocol for identifying elderly people with hearing problems. ASHA. 1986 May;28(5):41-5. No abstract available.

Reference Type BACKGROUND
PMID: 3718608 (View on PubMed)

Tuley MR, Mulrow CD, Aguilar C, Velez R. A critical reevaluation of the Quantified Denver Scale of Communication Function. Ear Hear. 1990 Feb;11(1):56-61. doi: 10.1097/00003446-199002000-00011.

Reference Type BACKGROUND
PMID: 2307305 (View on PubMed)

Russell D, Peplau LA, Cutrona CE. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980 Sep;39(3):472-80. doi: 10.1037//0022-3514.39.3.472.

Reference Type BACKGROUND
PMID: 7431205 (View on PubMed)

Stewart AL, Hays RD, Ware JE Jr. The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724-35. doi: 10.1097/00005650-198807000-00007. No abstract available.

Reference Type BACKGROUND
PMID: 3393032 (View on PubMed)

Nieman CL, Betz J, Garcia Morales EE, Suen JJ, Trumbo J, Marrone N, Han HR, Szanton SL, Lin FR. Effect of a Community Health Worker-Delivered Personal Sound Amplification Device on Self-Perceived Communication Function in Older Adults With Hearing Loss: A Randomized Clinical Trial. JAMA. 2022 Dec 20;328(23):2324-2333. doi: 10.1001/jama.2022.21820.

Reference Type DERIVED
PMID: 36538311 (View on PubMed)

Marrone NL, Nieman CL, Coco L. Community-Based Participatory Research and Human-Centered Design Principles to Advance Hearing Health Equity. Ear Hear. 2022 Jul-Aug 01;43(Suppl 1):33S-44S. doi: 10.1097/AUD.0000000000001183. Epub 2020 Jun 13.

Reference Type DERIVED
PMID: 35724253 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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R33DC015062-03

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00144968

Identifier Type: -

Identifier Source: org_study_id

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