Deafness, Hearing Loss
Conditions
Keywords
Adult, Post-lingual, Auditory training, Communication strategies, Speech tracking, Speech recognition, Quality of Life
Brief summary
This study evaluates the benefits of short-term training via telehealth for post-lingually deafened adult cochlear implant users. Half the participants will receive aural rehabilitation and the other half cognitive training. The hypothesis is that short-term aural rehabilitation via telerehab technology will improve outcomes for post-lingually deafened cochlear implant users
Detailed description
Aural rehabilitation training (AR) has been demonstrated to improve outcomes for adult cochlear implant users. There are both financial and non-financial barriers to AR service delivery including accessibility (mobility, distance and transportation problems), accommodation (time off work impossible, caring for family) and availability (limited providers in rural areas, financial constraints, and lack of transportation. In this study the investigators will measure the impact of telerehab delivery on optimizing speech recognition, communication function, goals, social participation and hearing handicap. Twenty-four participants will be randomly assigned to one of two treatment groups: aural rehabilitation (AR) and cognitive training (CT). Participants will complete six 90-minute treatment sessions in their home or office via a telerehab platform. Participants will come to a center for three 90-minute assessment sessions: pre-treatment, 1 week, and 2 months post-treatment.
Interventions
BEHAVIORALAural Rehabilitation Group
Participants will complete sessions in their home or office via the internet. Sessions will include listening activities, informational counseling and communication strategies training. Three assessment appointments are required. The goal is to evaluate the benefit of training on performance with a cochlear implant.
BEHAVIORALCognitive Training Group
The Cognitive Training Group will receive six 90-minute sessions including training exercises (Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Difference) to improve speed and accuracy. Three assessment sessions are also required.
Sponsors
Columbia University
The Cleveland Clinic
Gallaudet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Participants are randomly assigned to either AR Treatment or Active (Cognitive Training) Control Group. Participants are not told they are in the control group. After the final assessment (two-month post-treatment), control group participants are offered the AR treatment.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Speech Tracking rate of at least 20 words per minute * Sentence recognition scores (CasperSent) between 10% and 85% * Passing score on cognitive screener (Callahan et al., 2002)
Exclusion criteria
* Less than 18 years of age * Pre-lingually deafened * Prior Aural Rehabilitation with cochlear implant * Greater than three years post-activation of CI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Sentence Recognition CasperSent (Boothroyd, 2008) | Pre-training, One-week and Two-months post-training | Percent correct scores on CasperSent topic-related recorded sentences. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Client Oriented Scale of Improvement (COSI) (Dillon, James & Ginis, 1997) | Pre-training, One-week and Two-months post-training | Participant rates hearing ability and degree of change due to treatment for three self- selected listening situations most important to them. |
| Change in Hearing Handicap Inventory (HHI) (Ventry & Weinstein,1982) | Pre-training, One-week and Two-months post-training | Participant rates 25 statements as true Always, Sometimes, or Never. Two subscales are Emotional and Social/situational. |
| Change in Glasgow Benefit Inventory (GBI) (Robinson et al.,1996 | One-week and Two-months post-training | Participant rates change statements of change post-treatment. |
| Change in Nijmegen Cochlear Implant Questionnaire (NCIQ) (Hinderdink et al., 2000) | Pre-training, One-week and Two-months post-training | 60-item questionnaire with three domains: Physical, Social and Psychological. |
Countries
United States
Outcome results
None listed