Speech Perception Training: Advanced Scoring and Feedback Methods

NCT ID: NCT05012774

Last Updated: 2023-02-15

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-14

Study Completion Date

2023-08-31

Brief Summary

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The purpose of the study is to assess training of visual speech (lipreading) and audiovisual (lipreading plus auditory) speech as a rehabilitation strategy for hearing loss in adults.

Detailed Description

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It is hypothesized that training that improves lipreading in older adults can carry over to untrained lipreading materials and to audiovisual speech recognition in noise. Participants receive pre- and post-training tests of speech recognition with visual-only, auditory-only, and audiovisual spoken sentences and isolated words. During pre- and post-training tests, they carry out forced choice identification of lipread consonants. Participants who are assigned to a training arm train on lipreading isolated sentences (Aim 1) or on learning via lipreading sets of isolated nonsense words (Aim 2). Depending on the outcomes of Aims 1 and 2, in Aim 3, new participants receive audiovisual training with conditions from Aims 1 and 2.

Conditions

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Hearing Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading. The three types are consonant-level, word-level, or sentence-level feedback. A no-training wait-list control is included.

In Aim 2, novel word training, the intervention has one arm in which novel word learning via lipreading the words is supported by allowing the participants to read the consonants in the novel words before lipreading them.

In Aim 3, the most effective feedback with sentence training will be compared with novel word training using training stimuli that are audiovisual speech in speech-shaped noise.

The interventions are all delivered individually via the web. Finally, all pre- and post-training results will be compared across groups including the wait-list controls.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aim 1, Sentence Training: Sentence Feedback

In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading.

This arm gives printed whole sentence feedback following an attempt to lipread each sentence.

Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Aim 1, Sentence Training: Word Feedback

In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading.

This arm gives printed whole word feedback following an attempt to lipread each sentence. Word feedback is for correct words and words that are perceptually similar but incorrect responses.

Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Aim 1, Sentence Training: Consonant Feedback

In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading.

This arm gives printed consonant word feedback following an attempt to lipread each sentence. Word feedback is for correct words, but only the consonants are given as feedback for words that are perceptually similar but incorrect responses.

Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Aim 1, Sentence Training: No Training Control

Participants receive only the pre- and post-training tests.

Group Type NO_INTERVENTION

No interventions assigned to this group

Aim 2, Nonsense Word Training

Participants train to lipread nonsense words that name nonsense pictures. Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Aim 3, Audiovisual Nonsense Word Training

Participants train to recognize audiovisual spoken nonsense words that name nonsense pictures and are presented in speech-shaped noise. The paradigm is the same as in Aim 2.

Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Aim 3, Audiovisual Sentence Training

Participants receive the same training paradigm from Aim 1 with the most effective feedback type from Aim 1. But the sentences are audiovisual and in speech-shaped noise.

Participants receive pre- and post-training tests.

Group Type EXPERIMENTAL

Speech Recognition Training

Intervention Type BEHAVIORAL

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Interventions

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Speech Recognition Training

Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Must have Mild to severe hearing loss
* Native speaker of American English
* Access to computer and the ability to use it for the testing, training, and teleconferencing
* computer display \>= 10 inches diagonal

Exclusion Criteria

* Internet too slow for streaming
* History of brain trauma or learning disability
* Poor (corrected) vision
Minimum Eligible Age

55 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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George Washington University

OTHER

Sponsor Role collaborator

SeeHear LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lynne E Bernstein, Ph.D.

Role: STUDY_DIRECTOR

George Washington University

Locations

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George Washington University

Washington, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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DC015418

Identifier Type: -

Identifier Source: org_study_id

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