Benefits of Choir for Older Adults With Unaddressed Hearing Loss (WP2)

NCT ID: NCT06580847

Last Updated: 2025-09-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-15

Study Completion Date

2026-09-30

Brief Summary

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Unaddressed age-related hearing loss is highly prevalent among older adults, typified by negative consequences for speech-in-noise perception and psychosocial wellbeing. There is promising evidence that group singing may enhance speech-in-noise perception and psychosocial wellbeing. However, there is a lack of robust evidence, primarily due to the literature being based on small sample sizes, single site studies, and a lack of randomized controlled trials. Hence, to address these concerns, this SingWell Project study utilizes an appropriate sample size, multisite, randomized controlled trial approach, with a robust preplanned statistical analysis.

The objective of the study is to explore if group singing may improve speech-in-noise perception and psychosocial wellbeing for older adults with unaddressed hearing loss.

The investigators designed an international, multisite, randomized controlled trial to explore the benefits of group singing for adults aged 60 years and older with unaddressed hearing loss. After undergoing an eligibility screening process and completing an information and consent form, the investigators intend to recruit 210 participants that will be randomly assigned to either group singing or an audiobook club (control group) intervention for a training period of 12-weeks. The study has multiple timepoints for testing, that are broadly categorized as macro (i.e., pre- and post-measures across the 12-weeks), or micro timepoints (i.e., pre- and post-measures across a weekly training session). Macro measures include behavioural measures of speech and music perception, and psychosocial questionnaires. Micro measures include psychosocial questionnaires and heart-rate variability.

The investigators hypothesize that group singing may be effective at improving speech perception and psychosocial outcomes for older adults with unaddressed hearing loss-more so than participants in the control group.

Detailed Description

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Conditions

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Hearing Loss, Age-Related Speech Intelligibility Psychosocial Functioning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

12 week RCT exploring the benefits of group singing and an audiobook club (1.5 hours per week)
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Group Singing

12 week group singing program consisting of 1.5 hours of in-person choir instruction per week.

Group Type EXPERIMENTAL

Audiobook Club

Intervention Type BEHAVIORAL

12 week audiobook club program consisting of 1.5 hours of in-person discussion per week.

Audiobook Club

12 week group program consisting of 1.5 hours of in-person audiobook club discussion per week.

Group Type ACTIVE_COMPARATOR

Group Singing

Intervention Type BEHAVIORAL

12 week choir program consisting of 1.5 hours of in-person instruction per week.

Interventions

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Group Singing

12 week choir program consisting of 1.5 hours of in-person instruction per week.

Intervention Type BEHAVIORAL

Audiobook Club

12 week audiobook club program consisting of 1.5 hours of in-person discussion per week.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Adults aged 60 years and older;
2. Bilateral mild-to-moderate hearing loss (20-49 dB hearing level), measured using four-frequency pure-tone average across both ears (4FPTA) measured at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz;
3. Unaddressed hearing loss (i.e., participants must not currently use a hearing aid, cochlear implant, or assistive listening device);
4. No significant cognitive impairment, to be assessed with the Montreal Cognitive Assessment for people with hearing impairment (MoCA-H), with participants requiring a score ≥ 24;
5. Not use a pacemaker or anti-arrhythmic agents/medications;
6. Not currently participating in regular active music learning (e.g., choir, formal music training) or audiobook clubs within the last year; and
7. Sufficient language capacity to understand and complete the test materials. Note: all materials will be presented written and/or aurally in English at the sites located in Canada, United States of America, and Australia; Dutch at the Netherlands site; and German at the Germany site.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Memorial University of Newfoundland

OTHER

Sponsor Role collaborator

University of Groningen

OTHER

Sponsor Role collaborator

Flinders University

OTHER

Sponsor Role collaborator

Concordia University, Montreal

OTHER

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role collaborator

University of Oldenburg

OTHER

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role collaborator

The Bionics Institute of Australia

OTHER

Sponsor Role collaborator

Toronto Metropolitan University

OTHER

Sponsor Role lead

Responsible Party

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Frank Russo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Frank Russo, PhD

Role: STUDY_DIRECTOR

Toronto Metropolitan University

Locations

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Brain and Creativity Institute, University of Southern California

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

Flinders University

Adelaide, South Australia, Australia

Site Status NOT_YET_RECRUITING

Memorial University of Newfoundland

St. John's, Newfoundland and Labrador, Canada

Site Status NOT_YET_RECRUITING

Toronto Metropolitan University

Toronto, Ontario, Canada

Site Status RECRUITING

Concordia University

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

Carl von Ossietzky Universitat Oldenburg

Oldenburg, , Germany

Site Status NOT_YET_RECRUITING

University of Groningen

Groningen, , Netherlands

Site Status RECRUITING

Countries

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United States Australia Canada Germany Netherlands

Central Contacts

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Chi Yhun Lo, PhD

Role: CONTACT

4169795000 ext. 554989

Kay F Wright-Whyte, MSc

Role: CONTACT

4169795000 ext. 554989

Facility Contacts

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Assal Habibi

Role: primary

Mridula Sharma

Role: primary

Christian Boyle

Role: backup

Benjamin R Zendel, PhD

Role: primary

Chi Yhun Lo, PhD

Role: primary

4169795000 ext. 554989

Kay F Wright-Whyte, MSc

Role: backup

4169795000 ext. 554989

Emily Coffey

Role: primary

Nathan Gagne

Role: backup

Gunter Kreutz

Role: primary

Eva Schurig

Role: backup

Deniz Baskent

Role: primary

Ellie Harding

Role: backup

References

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Lo CY, Zendel BR, Baskent D, Boyle C, Coffey E, Gagne N, Habibi A, Harding E, Keijzer M, Kreutz G, Maat B, Schurig E, Sharma M, Dang C, Gilmore S, Henshaw H, McKay CM, Good A, Russo FA. Speech-in-noise, psychosocial, and heart rate variability outcomes of group singing or audiobook club interventions for older adults with unaddressed hearing loss: A SingWell Project multisite, randomized controlled trial, registered report protocol. PLoS One. 2024 Dec 4;19(12):e0314473. doi: 10.1371/journal.pone.0314473. eCollection 2024.

Reference Type DERIVED
PMID: 39630812 (View on PubMed)

Other Identifiers

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Multisite HL 2024-103

Identifier Type: -

Identifier Source: org_study_id

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