Hearing Loss and Communication Needs in a Group Care Setting for Older Adults

Not Applicable

• Conditions: Age-related Hearing Loss
• Interventions: Behavioral: Virtual Training

• Registration Number: NCT04659967
• Lead Sponsor: University of Massachusetts, Amherst

Brief Summary

The purpose of this study is to develop and test a multicomponent hearing care intervention for the PACE staff members in order to learn more about communication and engagement.

Detailed Description

The long-term objective of this proposal is to increase the accessibility and affordability of hearing loss treatment for older adults with hearing loss, with a particular interest in adults that have mild cognitive impairment (MCI) or dementia. Age-related hearing loss (ARHL) in persons with MCI or dementia may exacerbate dementia-related symptoms such as depression, apathy, agitation/aggression. Moreover, engagement and activity participation are recognized as critical aspects of dementia care management, but those individuals who also experience ARHL are at a disadvantage. A pilot testing of behavioral communication intervention will be completed at multiple Program for All-inclusive Care for the Elderly (PACE) sites in New England. A multicomponent hearing care intervention will be tested that includes staff training and non-custom personal amplification use with older adults in a group care setting. This feasibility study will lead to the refinement of the intervention protocols to be used in a future grant application that will test the real-world efficacy of the intervention.

Study Timeline

• Study Start: 2020-12-02
• Study First Submitted: 2020-12-02
• Study First Submitted QC: 2020-12-02
• Study First Posted: 2020-12-09
• Primary Completion: 2021-11-22
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-05
• Last Update Posted: 2022-05-06
• Study Completion: 2023-06-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• PACE staff who work in the Day Health Center and are available to attend the training on-site at PACE are eligible for inclusion. All staff are invited to join the training (via Zoom, if necessary), but to complete the research activities, they have to complete the training in-person due to the hands-on component of learning to use the hearing device.

Exclusion Criteria

• Staff members who cannot attend the (virtual) in-person training.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Pre/Post Training (Within subject)	Virtual Training	Participants will complete a baseline questionnaire followed by immediate virtual training, and complete a post-training questionnaire. Participants will also be asked to complete a questionnaire 1-month, 3-months, and 6-months post-training.

Primary Outcome Measures

Name	Time	Method
Change From Baseline on a Hearing communication Knowledge Assessment at 1 Month.	1 month follow-up	Participants will complete a questionnaire to monitor retention of communication strategies and behaviors.
Change From Baseline on a Hearing communication Knowledge Assessment at 3 Months.	3 month follow-up	Participants will complete a questionnaire to monitor retention of communication strategies and behaviors.
Change From Baseline on a Hearing communication Knowledge Assessment at 6 Months.	6 month follow-up	Participants will complete a questionnaire to monitor retention of communication strategies and behaviors.

Secondary Outcome Measures

Name	Time	Method
Qualitative Interviews	6-12 months post training	We will purposefully sample staff members whose quantitative results indicate that they were either successful or unsuccessful in learning and using new communication behaviors.

Trial Locations

Locations (3)

Mercy LIFE PACE; 🇺🇸 West Springfield, Massachusetts, United States

PACE Upham's Elder Service Plan; 🇺🇸 Boston, Massachusetts, United States

PACE Organization of Rhode Island; 🇺🇸 Providence, Rhode Island, United States