Innovations in Hearing Accessibility and Technology (IHAT) Study

NCT ID: NCT06689865

Last Updated: 2024-11-19

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

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-13

Study Completion Date

2029-03-31

Brief Summary

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The research will explore outcomes of different service delivery models of over-the-counter (OTC) hearing aids by comparing them to prescription hearing aids fitted by specialists in individuals with mild to moderate hearing loss. The investigators will examine how each type affects users' experiences, behavior, thinking skills, and brain activity related to hearing. Additionally, the study will focus on what types of people prefer each hearing aid option, what helps or hinders these choices, and compare the costs of four different service options. This approach will help transition from research findings into real-world practice, providing useful information for healthcare providers and policymakers about OTC hearing aid options.

Detailed Description

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The aim of the proposed project is to evaluate the effectiveness of emerging over-the-counter (OTC) service delivery models with the gold standard traditional prescription hearing aids fit by hearing care professionals (HCP) using audiology best practices. OTC service delivery models include OTC HA fit to individual users using best practices with in person HCP support (OTC-HPC), via remote consultation (OTC-R) and self-fit OTC HAs without any clinical support (OTC-SF). The study will use a prospective four-arm randomized controlled trial design with longitudinal repeated measures.

Conditions

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Hearing Loss Hearing Aids OTC Hearing Aids

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HA-HCP

Group Type ACTIVE_COMPARATOR

HA-HCP

Intervention Type DEVICE

Prescription hearing aid fit by a hearing healthcare professional using audiology best practices.

OTC-HCP

Group Type EXPERIMENTAL

OTC-HCP

Intervention Type DEVICE

Over-the-counter hearing aids fit by a hearing care professional using audiology best practices.

OTC-R

Group Type EXPERIMENTAL

OTC-R

Intervention Type DEVICE

OTC fit to an individual using some best practices via remote consultation.

OTC-SF

Group Type ACTIVE_COMPARATOR

OTC-SF

Intervention Type DEVICE

Self-fit OTC hearing aids without any clinical support from HCPs.

Interventions

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HA-HCP

Prescription hearing aid fit by a hearing healthcare professional using audiology best practices.

Intervention Type DEVICE

OTC-HCP

Over-the-counter hearing aids fit by a hearing care professional using audiology best practices.

Intervention Type DEVICE

OTC-R

OTC fit to an individual using some best practices via remote consultation.

Intervention Type DEVICE

OTC-SF

Self-fit OTC hearing aids without any clinical support from HCPs.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult onset, bilateral, mild-to-moderate sensorineural hearing loss documented by audiological evaluation
* Aged 40 years or older
* No previous HA experience greater than 3 months
* Able to read and understand patient education materials
* Willing to be randomized to one of the four groups, and
* Owns a smartphone

Exclusion Criteria

* Hearing loss that is too severe for OTC HAs
* Middle ear disorders or conductive pathology present
* Asymmetrical hearing loss
* Diagnosed neurological condition such as dementia or Parkinson's disease or a score lower than 25 on the MOCA
* Non-English speaking as it may impact the ability to complete our test battery
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Deafness and Other Communication Disorders (NIDCD)

NIH

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vinaya Manchaiah, AuD, MBA, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Anu Sharma, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Boulder

Locations

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University of Colorado School of Medicine

Aurora, Colorado, United States

Site Status RECRUITING

University of Colorado Boulder

Boulder, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Research Service Professional

Role: CONTACT

303-724-8465

Preeti Pandey, PhD

Role: CONTACT

Facility Contacts

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Research Service Professional

Role: primary

303-724-8465

Research Service Professional

Role: primary

303-724-8465

References

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De Sousa KC, Manchaiah V, Moore DR, Graham MA, Swanepoel W. Effectiveness of an Over-the-Counter Self-fitting Hearing Aid Compared With an Audiologist-Fitted Hearing Aid: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2023 Jun 1;149(6):522-530. doi: 10.1001/jamaoto.2023.0376.

Reference Type BACKGROUND
PMID: 37052929 (View on PubMed)

De Sousa KC, Manchaiah V, Moore DR, Graham MA, Swanepoel W. Long-Term Outcomes of Self-Fit vs Audiologist-Fit Hearing Aids. JAMA Otolaryngol Head Neck Surg. 2024 Sep 1;150(9):765-771. doi: 10.1001/jamaoto.2024.1825.

Reference Type BACKGROUND
PMID: 38990557 (View on PubMed)

Knoetze M, Manchaiah V, De Sousa K, Moore DR, Swanepoel W. Comparing Self-Fitting Strategies for Over-the-Counter Hearing Aids: A Crossover Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2024 Sep 1;150(9):784-791. doi: 10.1001/jamaoto.2024.2007.

Reference Type BACKGROUND
PMID: 39052241 (View on PubMed)

Other Identifiers

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R01DC021653

Identifier Type: NIH

Identifier Source: secondary_id

View Link

23-2351

Identifier Type: -

Identifier Source: org_study_id

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