Supplementing Hearing Aids With Computerized Auditory Training
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hearing Loss
- Sponsor
- VA Office of Research and Development
- Enrollment
- 279
- Locations
- 1
- Primary Endpoint
- Words-in-Noise Test (WIN) Change
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The study is designed to examine the effectiveness of a computer-based auditory training program to improve the benefits received by individuals who wear hearing aids. The study will involve 3 groups - a computer-based training group, an active listening group which will involve listening to books on CD, and a placebo group that receives no additional treatment.
Detailed Description
This proposed study is a multi-site, single-masked (blinded), randomized controlled, parallel group clinical trial to assess the effectiveness of an at home PC-based auditory training as a supplement to standard-of-care hearing-aid intervention in veterans treated for hearing loss, with or without previous hearing-aid experience. The participants will be assigned randomly to one of three groups, with hearing-aid use stratified within the groups: (1) Group 1, HA+AT, in which the participants will receive standard-of-care hearing-aid intervention (HA) and complete the four-week LACE auditory training program (AT); (2) Group 2, HA, with the participants receiving only standard-of-care hearing-aid intervention (HA); and (3) Group 3, HA+DL, in which the participants will receive standard-of-care hearing-aid intervention (HA) and complete four-weeks of placebo auditory training, consisting of directed listening (DL) to books-on-tape. The participants in each group will attend four test sessions. During Session 1 the informed consent process will be completed, baseline assessments will be made to ensure that the participants meet the study inclusion criteria (page 52), testing of predictor variables (page 57-58) will be completed, and all hearing aids will be assessed for correct functionality (page 53). The participants then will be assigned randomly to a study group. Session 2 will occur four weeks after Session 1. During Session 2, baseline performance on the outcome measures will be assessed (page 54-57), as will performance on the predictor variables. Following testing, the participants in Groups 1 and 3 will receive training in the use of the AT or DL programs. Session 3 will occur at the end of the 4-week experimental training period. During Session 3 all participants will be retested on the outcome measures to assess short-term intervention outcomes. During Session 4, which will occur at seven-months post-study enrollment (i.e., six-months post training completion for Groups 1 and 3), all participants will be retested on all outcome measures to examine the long-term outcomes. In Sessions 2-4, the stability of hearing-aid function will be assessed through electroacoustic measures.
Investigators
Eligibility Criteria
Inclusion Criteria
- •adult onset hearing loss,
- •English as the first language,
- •bilateral, symmetric, sensorineural hearing loss,
- •average audiometric thresholds for 500, 1000, and 2000 Hz less than 50-dB HL in either ear,
- •aided speech recognition in quiet of 40% binaurally,
- •appropriate cognitive skills assessed using the Mini Mental State Exam (Folstein et al., 1975) with age/education norms (Crum et al., 1993),
- •adequate vision to participate in the study as determined with the Smith-Kettlewell Institute Low Luminance (SKILL) Card,
- •eligible for VA-issued hearing aids.
Exclusion Criteria
- •known neurological, psychiatric disorders, or co-morbid diseases that would prevent completion of the study as determined by chart review,
Outcomes
Primary Outcomes
Words-in-Noise Test (WIN) Change
Time Frame: Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up
Monosyllabic words (NU-6 female version) with a carrier phrase were presented auditory only in a multitalker babble.The participant is asked to repeat the last word of each phrase. The total number of correct words is input into the Spearman-Karber equation to derive a 50% point. This is the signal-to-noise ratio in dB that an individual requires to get 50% of the words correct. This test was completed at baseline and follow up visits.
Secondary Outcomes
- Hearing Handicap Inventory for the Elderly (HHI) Change(Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up)
- Abbreviated Profile of Hearing Aid Benefit (APHAB) Change(Baseline, immediate post-intervention (up to 2 to 6 weeks), 6 month follow up)