Skip to content

Baltimore HEARS: Hearing Health Equity Through Accessible Research & Solutions

Baltimore HEARS Study: Addressing Hearing Impairment and Social Engagement Through Community-delivered Hearing Care

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03442296
Acronym
HEARS
Enrollment
151
Registered
2018-02-22
Start date
2018-04-18
Completion date
2021-07-14
Last updated
2022-10-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Age-related Hearing Impairment 1, Personal Communication

Brief summary

Age-related hearing loss is highly prevalent and hearing health care is underutilized. The primary objective of the proposed randomized controlled trial is to investigate the efficacy of a community health worker (CHW)-delivered hearing loss intervention program. A preceding pilot study demonstrated preliminary effectiveness of the intervention program in reducing self-reported hearing handicap, and highlighted its acceptability among the target demographic. The proposed trial will now expand upon lessons learned through previous pilot studies and expand to other affordable residences for low-to-moderate income older adults in Baltimore. Primary outcome measurements will investigate intervention effects on hearing handicap, with secondary measurements investigating effects on domains such as social isolation and quality of life. This trial is a first-in-kind investigation of a novel community-based intervention that addresses hearing loss in a vulnerable, urban population.

Interventions

BEHAVIORALBaltimore HEARS

Tailored aural rehabilitation for participant and communication partner (if applicable)

Sponsors

National Institute on Deafness and Other Communication Disorders (NIDCD)
CollaboratorNIH
Johns Hopkins University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
60 Years to 100 Years
Healthy volunteers
Yes

Inclusion criteria

* Age 60 years or older * English-speaking * Aural-oral verbal communication as primary communication modality * Post-lingual hearing loss (Audiometric pure tone averages \[0.5-4kHz\] in both ears \>25 dB) * Does not currently use a hearing amplification device or hearing aid * Signed informed consent to participate in all study related activities * Willing to regularly use listening device once provided for the remainder of their time in the study * Hearing handicap as measured by HHIE-S score \>8 * Able to follow study instructions

Exclusion criteria

* Individuals who do not fulfill inclusion criteria * Evidence of ear disease or pathology requiring further medical evaluation

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)Measure was collected through a one-on-one interview with a trained data collector. Higher scores indicate increased hearing handicap. Scoring: 0-8 suggests no hearing handicap 10-24 suggests mild-moderate hearing handicap 26-40 suggests significant hearing handicap Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in hearing handicap.

Secondary

MeasureTime frameDescription
Change From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)Measure collected via one-on-one interview conducted by trained data collectors. Total of 9 questions, scored from 0 to 3. The score from each question are summed to a total score, which can range from 0 to 27. Interpretation of Total Score Total Score Depression Severity 0 No depression 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in depression severity.
Change From Baseline in Short Form-12 (SF-12) Mental Component ScoreBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the mental component which relates to mental health functioning. Score ranges from 0-100 with higher scores indicating better mental health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.
Change From Baseline in Short Form -12 (SF-12) Physical Component ScoreBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the physical component which relates to physical health functioning. Score ranges from 0-100 with higher scores indicating better physical health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.
Change From Baseline in Cohen Social Network Index (SNI): Network DiversityBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)Change from baseline in total number of high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). Maximum of 12 roles included on the measure. An increase in the score from baseline (a positive number) indicates a more diverse network.
Change From Baseline in Cohen Social Network Index (SNI): Social Network SizeBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)Change from baseline in total number of individuals in high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). .An increase in the number of individuals from baseline (a positive number) indicates an increase in their social network size.
Change From Baseline in Valuation of LifeBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)This self-reported 13 question measure asks the participant how much they agree or disagree on a 5 point Likert scale when asked a statement about the meaning of life and personal goals. Score ranges from 0 to 65. Higher score means higher value of life. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher value of life.
Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-EfficacyBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)A 5 question measure surveying self-reported self-efficacy of computer use on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-EfficacyBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)A 5 question measure surveying self-reported device self-efficacy on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Revised UCLA Loneliness ScaleBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)Measure was collected via a one-on-one interview conducted by a trained data collector. Score is the sum of 20-item self-reported measure. Scores range from 20 to 80. Score ranges: 20-34 - Low degree of loneliness 35-49 - Moderate degree of loneliness 50-64 - Moderately high degree of loneliness 65-80 - High degree of loneliness. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in degree of loneliness.
Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total ScoreBaseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)This 5 question survey measures listening self efficacy on a 0-10 scale in different situations such as being able to understand a conversation in a quiet room to a crowded restaurant. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 50. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex ListeningBaseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in complex listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed ListeningBaseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in complex listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in QuietBaseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)This measure is a participant's self-reported listening self efficacy on a 0-10 score scale in a dialog in quiet listening situation. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 10. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.
Change From Baseline in Hearing KnowledgeBaseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)This 5 question measure asks participants about their hearing knowledge based on the information presented in the intervention. The score ranges from 0 to 5. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates more hearing knowledge.
Change From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)Baseline and 12 months post-interventionMeasure was collected through a one-on-one interview with a trained data collector. Higher scores indicate increased hearing handicap. Scoring: 0-8 suggests no hearing handicap 10-24 suggests mild-moderate hearing handicap 26-40 suggests significant hearing handicap. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in hearing handicap.
Change From Baseline in Short Form -12 (SF-12) Mental Component ScoreBaseline and 12 months post-interventionThe 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the mental component which relates to mental health functioning. Score ranges from 0-100 with higher scores indicating better mental health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.
Change From Baseline in Cohen (Social Network Index) SNI: Network DiversityBaseline and 12 months post-interventionChange from baseline in total number of high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). Maximum of 12 roles included on the measure. An increase in the number of roles from baseline (a positive number) indicates a more diverse network.
Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device InterestBaseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)A 5 question measure surveying self-reported self-efficacy of listening device interest on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Countries

United States

Participant flow

Recruitment details

Study recruitment began in April 2018 and ended in October 2019. Participants were recruited from independent senior housing in Baltimore City and County and from Baltimore City senior centers and social centers.

Participants by arm

ArmCount
Immediate Treatment Group
Immediate treatment with Baltimore HEARS intervention Baltimore HEARS: Tailored aural rehabilitation for participant and communication partner (if applicable) Baltimore HEARS: Tailored fitting and programming of a personal sound amplifier. This will be accompanied by a component of aural rehabilitation.
78
Delayed Treatment Group
3-month delayed treatment with Baltimore HEARS intervention Baltimore HEARS: Tailored aural rehabilitation for participant and communication partner (if applicable) Baltimore HEARS: Tailored fitting and programming of a personal sound amplifier. This will be accompanied by a component of aural rehabilitation.
73
Total151

Withdrawals & dropouts

PeriodReasonFG000FG001
12 Month Follow-upIncomplete measurement11
3 Month Follow-upDeath31
3 Month Follow-upLost to Follow-up11
3 Month Follow-upObtained Hearing Aids01
3 Month Follow-upWithdrawal by Subject10

Baseline characteristics

CharacteristicImmediate Treatment GroupDelayed Treatment GroupTotal
12-Item Short Form Survey (SF-12): Mental Component Score48.5 score on a scale
STANDARD_DEVIATION 10.1
49.4 score on a scale
STANDARD_DEVIATION 9.9
49 score on a scale
STANDARD_DEVIATION 10
12-Item Short Form Survey (SF-12) Physical Component Score39 score on a scale
STANDARD_DEVIATION 11
39.4 score on a scale
STANDARD_DEVIATION 11.1
39.2 score on a scale
STANDARD_DEVIATION 11
Adapted from Attitudes Towards Computers Questionnaire (ATCQ): Computer Self Efficacy19.3 score on a scale
STANDARD_DEVIATION 3.9
19.1 score on a scale
STANDARD_DEVIATION 4.6
19.2 score on a scale
STANDARD_DEVIATION 4.3
Adapted from Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest13.9 units on a scale
STANDARD_DEVIATION 1.8
14.3 units on a scale
STANDARD_DEVIATION 1.8
14.1 units on a scale
STANDARD_DEVIATION 1.8
Adapted from Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Self Efficacy21.7 units on a scale
STANDARD_DEVIATION 2.3
20.9 units on a scale
STANDARD_DEVIATION 3.1
21.3 units on a scale
STANDARD_DEVIATION 2.7
Adapted from Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening Self- Efficacy7.7 score on a scale
STANDARD_DEVIATION 4.9
7.3 score on a scale
STANDARD_DEVIATION 4.7
7.6 score on a scale
STANDARD_DEVIATION 4.8
Adapted from Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet Listening Self-Efficacy7.4 score on a scale
STANDARD_DEVIATION 2.5
7.7 score on a scale
STANDARD_DEVIATION 2.2
7.6 score on a scale
STANDARD_DEVIATION 2.4
Adapted from Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening Self-Efficacy13.7 score on a scale
STANDARD_DEVIATION 4.5
13.8 score on a scale
STANDARD_DEVIATION 4
13.8 score on a scale
STANDARD_DEVIATION 4.2
Adapted from Listening Self-Efficacy Questionnaire (LSEQ): Total Score28.9 score on a scale
STANDARD_DEVIATION 10.3
28.9 score on a scale
STANDARD_DEVIATION 9.1
28.9 score on a scale
STANDARD_DEVIATION 9.7
Age, Continuous76.1 years
STANDARD_DEVIATION 7.1
78.2 years
STANDARD_DEVIATION 8.8
77.1 years
STANDARD_DEVIATION 8
Cohen Social Network Index (SNI): Network Diversity4.8 number of roles
STANDARD_DEVIATION 1.9
4.9 number of roles
STANDARD_DEVIATION 1.7
4.8 number of roles
STANDARD_DEVIATION 1.8
Cohen Social Network Index (SNI): Social Network Size17 number of people15.5 number of people16 number of people
Education
High School or Equivalent
20 Participants22 Participants42 Participants
Education
Less than High School
21 Participants21 Participants42 Participants
Education
More than High School
37 Participants30 Participants67 Participants
Hearing Knowledge3.3 score on a scale
STANDARD_DEVIATION 1.5
3.4 score on a scale
STANDARD_DEVIATION 1.7
3.4 score on a scale
STANDARD_DEVIATION 1.6
Hearing Loss
Mild
43 Participants35 Participants78 Participants
Hearing Loss
Moderate to severe
35 Participants38 Participants73 Participants
HHIE-S (Hearing handicap inventory for the elderly - screening)21.7 score on a scale
STANDARD_DEVIATION 9.4
20.1 score on a scale
STANDARD_DEVIATION 10.1
21 score on a scale
STANDARD_DEVIATION 9.7
Living Arrangement
Does not live alone
25 Participants17 Participants42 Participants
Living Arrangement
Lives Alone
53 Participants56 Participants109 Participants
Monthly Household Income
$100,000 to $149,999
0 Participants1 Participants1 Participants
Monthly Household Income
$25,000 to $49,999
16 Participants16 Participants32 Participants
Monthly Household Income
$50,000 to $74,999
7 Participants4 Participants11 Participants
Monthly Household Income
$75,000 to $99,999
2 Participants2 Participants4 Participants
Monthly Household Income
Don't Know
3 Participants1 Participants4 Participants
Monthly Household Income
Less than $25,000
48 Participants48 Participants96 Participants
Monthly Household Income
Refused
2 Participants0 Participants2 Participants
Monthly Household Income
Skipped
0 Participants1 Participants1 Participants
Montreal Cognitive Assessment22.6 score on a scale
STANDARD_DEVIATION 4.4
23.5 score on a scale
STANDARD_DEVIATION 3.9
23 score on a scale
STANDARD_DEVIATION 4.2
Own Smartphone
Doesn't own smartphone
36 Participants32 Participants68 Participants
Own Smartphone
NA
0 Participants1 Participants1 Participants
Own Smartphone
Owns smartphone
42 Participants40 Participants82 Participants
Patient Health Questionnaire - Depression Score (PHQ-9)6 score on a scale
STANDARD_DEVIATION 4.5
5.9 score on a scale
STANDARD_DEVIATION 4.5
6 score on a scale
STANDARD_DEVIATION 4.5
Prior Hearing Aid Use
Don't Know
1 Participants0 Participants1 Participants
Prior Hearing Aid Use
No prior Hearing Aid Use
66 Participants52 Participants118 Participants
Prior Hearing Aid Use
Prior Hearing Aid Use
11 Participants21 Participants32 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Black
40 Participants25 Participants65 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic
1 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Other
0 Participants7 Participants7 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White Not Hispanic
37 Participants39 Participants76 Participants
Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF)6.1 score on a scale
STANDARD_DEVIATION 1.7
6.1 score on a scale
STANDARD_DEVIATION 1.8
6.1 score on a scale
STANDARD_DEVIATION 1.8
Sex/Gender, Customized
Sex
Female
47 Participants54 Participants101 Participants
Sex/Gender, Customized
Sex
Male
31 Participants17 Participants48 Participants
Sex/Gender, Customized
Sex
NA
0 Participants2 Participants2 Participants
Speech-Frequency Pure Tone Average41.5 db HL
STANDARD_DEVIATION 12.8
42.6 db HL
STANDARD_DEVIATION 11.2
42 db HL
STANDARD_DEVIATION 12
UCLA Loneliness Scale23.3 score on a scale
STANDARD_DEVIATION 10
20.6 score on a scale
STANDARD_DEVIATION 9.2
22 score on a scale
STANDARD_DEVIATION 9.7
Used Computer within past month
I do not have or use a computer
38 Participants38 Participants76 Participants
Used Computer within past month
I have or use a computer and I used the internet
31 Participants29 Participants60 Participants
Used Computer within past month
I have or use a computer but I do not go on the internet
9 Participants6 Participants15 Participants
Used text or email within the past month
Most days
27 Participants24 Participants51 Participants
Used text or email within the past month
Not within the past month
33 Participants26 Participants59 Participants
Used text or email within the past month
Rarely
10 Participants10 Participants20 Participants
Used text or email within the past month
Some days
8 Participants13 Participants21 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
6 / 784 / 73
other
Total, other adverse events
0 / 780 / 73
serious
Total, serious adverse events
0 / 780 / 73

Outcome results

Primary

Change From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)

Measure was collected through a one-on-one interview with a trained data collector. Higher scores indicate increased hearing handicap. Scoring: 0-8 suggests no hearing handicap 10-24 suggests mild-moderate hearing handicap 26-40 suggests significant hearing handicap Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in hearing handicap.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 4 incomplete baseline measures (2 immediate, 2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~3 incomplete 3 month measures from immediate group

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)-13.2 score on a scaleStandard Deviation 10.3
Delayed Treatment GroupChange From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S).06 score on a scaleStandard Deviation 7.1
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy

A 5 question measure surveying self-reported self-efficacy of computer use on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (11 immediate, 1 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy-0.5 score on a scaleStandard Deviation 3.8
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy0 score on a scaleStandard Deviation 3.2
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy

A 5 question measure surveying self-reported self-efficacy of computer use on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 0 incomplete baseline (0 immediate, 0 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy0.3 score on a scaleStandard Deviation 3.9
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Computer Self-Efficacy0.2 score on a scaleStandard Deviation 2.9
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy

A 5 question measure surveying self-reported device self-efficacy on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 3 incomplete baseline measures (1 immediate, 2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~10 incomplete 3 month measures from immediate group

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy-0.6 score on a scaleStandard Deviation 3.8
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy-0.1 score on a scaleStandard Deviation 3.6
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy

A 5 question measure surveying self-reported device self-efficacy on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 3 incomplete at baseline (1 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delay)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy-0.6 score on a scaleStandard Deviation 3.5
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Device Self-Efficacy-0.4 score on a scaleStandard Deviation 3
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest

A 5 question measure surveying self-reported self-efficacy of listening device interest on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 0 incomplete at baseline (0)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest0.9 score on a scaleStandard Deviation 2.2
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest0.1 score on a scaleStandard Deviation 2
Secondary

Change From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest

A 5 question measure surveying self-reported self-efficacy of listening device interest on a 5 point Likert scale. Score ranges from 0 to 25. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~10 incomplete 3 month measures in immediate group

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest0.7 score on a scaleStandard Deviation 2.3
Delayed Treatment GroupChange From Baseline in Adapted From Attitudes Towards Computers Questionnaire (ATCQ): Listening Device Interest-0.4 score on a scaleStandard Deviation 2.5
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening

This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in complex listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 1 incomplete at baseline (0 immediate, 1 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening4.0 score on a scaleStandard Deviation 5.6
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening4.8 score on a scaleStandard Deviation 5.3
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening

This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in complex listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)

Population: 1 incomplete baseline measures (1 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (12 immediate)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening5.1 score on a scaleStandard Deviation 5.7
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Complex Listening-0.1 score on a scaleStandard Deviation 4.3
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet

This measure is a participant's self-reported listening self efficacy on a 0-10 score scale in a dialog in quiet listening situation. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 10. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)

Population: 1 incomplete baseline measures (1 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (12 immediate)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet1.5 score on a scaleStandard Deviation 2.7
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet-0.6 score on a scaleStandard Deviation 2.8
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet

This measure is a participant's self-reported listening self efficacy on a 0-10 scale in a directed listening situation. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 10. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 1 incomplete at baseline (0 immediate, 1 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~29 incomplete 12 month measures (14 immediate, 15 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet1.5 score on a scaleStandard Deviation 1.9
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Dialog in Quiet0.8 score on a scaleStandard Deviation 2.8
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening

This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in directed listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 2 incomplete baseline measure (0 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening2.8 score on a scaleStandard Deviation 3.8
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening2.5 score on a scaleStandard Deviation 4.5
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening

This measure is the combined score of two questions where a participant self-reported their listening self efficacy on a 0-10 scale in complex listening situations. Participants answer with a higher number the more confident they are in the presented situation. Score ranges from 0 to 20. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)

Population: 2 incomplete baseline measures (2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (12 immediate)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening4.2 score on a scaleStandard Deviation 5.1
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Directed Listening-0.1 score on a scaleStandard Deviation 4.5
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score

This 5 question survey measures listening self efficacy on a 0-10 scale in different situations such as being able to understand a conversation in a quiet room to a crowded restaurant. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 50. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 12 months post-intervention

Population: 2 incomplete at baseline (0 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~28 incomplete 12 month measures (14 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score8.3 score on a scaleStandard Deviation 9.3
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score8.2 score on a scaleStandard Deviation 10.7
Secondary

Change From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score

This 5 question survey measures listening self efficacy on a 0-10 scale in different situations such as being able to understand a conversation in a quiet room to a crowded restaurant. Participants answer with a higher number the more confident they are in the presented situation. Maximum possible score is 50. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher self-efficacy.

Time frame: Baseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)

Population: 2 incomplete baseline measures (2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (12 immediate)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score10.8 score on a scaleStandard Deviation 11.3
Delayed Treatment GroupChange From Baseline in Adapted From Listening Self-Efficacy Questionnaire (LSEQ): Total Score-0.7 score on a scaleStandard Deviation 8.1
Secondary

Change From Baseline in Cohen (Social Network Index) SNI: Network Diversity

Change from baseline in total number of high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). Maximum of 12 roles included on the measure. An increase in the number of roles from baseline (a positive number) indicates a more diverse network.

Time frame: Baseline and 12 months post-intervention

Population: 5 incomplete at baseline (3 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~27 incomplete 12 month measures (15 immediate, 12 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Cohen (Social Network Index) SNI: Network Diversity-0.1 contact rolesStandard Deviation 1
Delayed Treatment GroupChange From Baseline in Cohen (Social Network Index) SNI: Network Diversity-0.2 contact rolesStandard Deviation 1.3
Secondary

Change From Baseline in Cohen Social Network Index (SNI): Network Diversity

Change from baseline in total number of high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). Maximum of 12 roles included on the measure. An increase in the score from baseline (a positive number) indicates a more diverse network.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 5 incomplete measures at baseline (3 immediate, 2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~17 incomplete 3 month measures (12 immediate, 5 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Network Diversity0.3 number of rolesStandard Deviation 1.2
Delayed Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Network Diversity-0.0 number of rolesStandard Deviation 1.2
Secondary

Change From Baseline in Cohen Social Network Index (SNI): Social Network Size

Change from baseline in total number of individuals in high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). .An increase in the number of individuals from baseline (a positive number) indicates an increase in their social network size.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 5 incomplete baseline measures (3 immediate, 2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~17 incomplete 3 month measures (12 immediate, 5 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Social Network Size1.8 number of individualsStandard Deviation 10.5
Delayed Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Social Network Size1.0 number of individualsStandard Deviation 7.2
Secondary

Change From Baseline in Cohen Social Network Index (SNI): Social Network Size

Change from baseline in total number of individuals in high contact roles the participant interacts with at least every 2 weeks (such as family, friends, work). .An increase in the number of individuals from baseline (a positive number) indicates an increase in their social network size.

Time frame: Baseline and 12 months post-intervention

Population: 5 incomplete at baseline (3 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~27 incomplete at 12 month (15 immediate, 12 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Social Network Size-1.5 individualsStandard Deviation 12.4
Delayed Treatment GroupChange From Baseline in Cohen Social Network Index (SNI): Social Network Size-3.7 individualsStandard Deviation 10.4
Secondary

Change From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)

Measure was collected through a one-on-one interview with a trained data collector. Higher scores indicate increased hearing handicap. Scoring: 0-8 suggests no hearing handicap 10-24 suggests mild-moderate hearing handicap 26-40 suggests significant hearing handicap. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in hearing handicap.

Time frame: Baseline and 12 months post-intervention

Population: 4 incomplete baseline measure (2 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~8 incomplete 12 month measures (6 immediate, 3 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)-10.3 score on a scaleStandard Deviation 11
Delayed Treatment GroupChange From Baseline in Hearing Handicap Inventory for the Elderly (HHIE-S)-8.2 score on a scaleStandard Deviation 13.4
Secondary

Change From Baseline in Hearing Knowledge

This 5 question measure asks participants about their hearing knowledge based on the information presented in the intervention. Score ranges from 0 to 5. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates more hearing knowledge.

Time frame: Baseline and 12 months post-intervention

Population: 9 incomplete at baseline (5 immediate, 4 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~27 incomplete 12 month measures (12 immediate, 15 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Hearing Knowledge0.2 score on a scaleStandard Deviation 1.7
Delayed Treatment GroupChange From Baseline in Hearing Knowledge0.0 score on a scaleStandard Deviation 1.7
Secondary

Change From Baseline in Hearing Knowledge

This 5 question measure asks participants about their hearing knowledge based on the information presented in the intervention. The score ranges from 0 to 5. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates more hearing knowledge.

Time frame: Baseline and 3 month post-intervention (immediate group) or 3 month post-baseline (delayed group)

Population: 9 incomplete baseline measures (5 immediate, 4 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~14 incomplete 3 month measures (12 immediate, 2 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Hearing Knowledge0.2 score on a scaleStandard Deviation 1.6
Delayed Treatment GroupChange From Baseline in Hearing Knowledge-0.4 score on a scaleStandard Deviation 1.5
Secondary

Change From Baseline in Revised UCLA Loneliness Scale

Measure was collected via a one-on-one interview conducted by a trained data collector. Score is the sum of 20-item self-reported measure. Scores range from 20 to 80. Score ranges: 20-34 - Low degree of loneliness 35-49 - Moderate degree of loneliness 50-64 - Moderately high degree of loneliness 65-80 - High degree of loneliness. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in degree of loneliness.

Time frame: Baseline and 12 months post-intervention

Population: 5 incomplete baseline measure (3 immediate, 2 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~30 incomplete 12 month measures (19 immediate, 11 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Revised UCLA Loneliness Scale-1.3 score on a scaleStandard Deviation 6.8
Delayed Treatment GroupChange From Baseline in Revised UCLA Loneliness Scale-1.9 score on a scaleStandard Deviation 9
Secondary

Change From Baseline in Revised UCLA Loneliness Scale

Measure was collected via a one-on-one interview conducted by a trained data collector. Score is the sum of 20-item self-reported measure. Scores range from 20 to 80. Score ranges: 20-34 - Low degree of loneliness 35-49 - Moderate degree of loneliness 50-64 - Moderately high degree of loneliness 65-80 - High degree of loneliness. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in degree of loneliness.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 5 incomplete baseline measures (3 immediate, 2 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~16 incomplete 3 month measures (11 immediate, 5 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Revised UCLA Loneliness Scale-2.8 score on a scaleStandard Deviation 8.7
Delayed Treatment GroupChange From Baseline in Revised UCLA Loneliness Scale-0.6 score on a scaleStandard Deviation 7
Secondary

Change From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)

Measure collected via one-on-one interview conducted by trained data collectors. Total of 9 questions, scored from 0 to 3. The score from each question are summed to a total score, which can range from 0 to 27. Interpretation of Total Score Total Score Depression Severity 0 No depression 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in depression severity.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 8 incomplete baseline measures (3 immediate, 5 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~11 incomplete 3 month measures (9 immediate, 2 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)-1 score on a scaleStandard Deviation 4.3
Delayed Treatment GroupChange From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)-0.2 score on a scaleStandard Deviation 4
Secondary

Change From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)

Measure collected via one-on-one interview conducted by trained data collectors. Total of 9 questions, scored from 0 to 3. The score from each question are summed to a total score, which can range from 0 to 27. Interpretation of Total Score Total Score Depression Severity 0 No depression 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a worsening in depression severity.

Time frame: Baseline and 12 months post-intervention

Population: 8 missing at baseline (3 immediate, 5 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~22 Incomplete 12 month measures (8 immediate, 14 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)-0.3 score on a scaleStandard Deviation 3.3
Delayed Treatment GroupChange From Baseline in Self-reported Depression in Patient Health Questionnaire (PHQ-9)-1.1 score on a scaleStandard Deviation 4.5
Secondary

Change From Baseline in Short Form -12 (SF-12) Mental Component Score

The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the mental component which relates to mental health functioning. Score ranges from 0-100 with higher scores indicating better mental health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.

Time frame: Baseline and 12 months post-intervention

Population: 6 incomplete at baseline (3 immediate, 3 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~27 incomplete 12 month measures (12 immediate, 15 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Short Form -12 (SF-12) Mental Component Score0.5 score on a scaleStandard Deviation 9.9
Delayed Treatment GroupChange From Baseline in Short Form -12 (SF-12) Mental Component Score0.7 score on a scaleStandard Deviation 13
Secondary

Change From Baseline in Short Form-12 (SF-12) Mental Component Score

The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the mental component which relates to mental health functioning. Score ranges from 0-100 with higher scores indicating better mental health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 6 incomplete baseline measures (3 immediate, 3 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (11 immediate, 1 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Short Form-12 (SF-12) Mental Component Score1.1 score on a scaleStandard Deviation 11.2
Delayed Treatment GroupChange From Baseline in Short Form-12 (SF-12) Mental Component Score-1.4 score on a scaleStandard Deviation 10
Secondary

Change From Baseline in Short Form -12 (SF-12) Physical Component Score

The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the physical component which relates to physical health functioning. Score ranges from 0-100 with higher scores indicating better physical health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.

Time frame: Baseline and 12 months post-intervention

Population: 6 incomplete at baseline (3 immediate, 3 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~27 incomplete 12 month measures (12 immediate, 15 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Short Form -12 (SF-12) Physical Component Score1.0 score on a scaleStandard Deviation 9.3
Delayed Treatment GroupChange From Baseline in Short Form -12 (SF-12) Physical Component Score1.7 score on a scaleStandard Deviation 11.4
Secondary

Change From Baseline in Short Form -12 (SF-12) Physical Component Score

The 12-Item Short Form Survey (SF-12) was collected through a one-on-one interview with a trained data collector. The 12-Item Short Form Survey (SF-12) measures the construct of self-reported health-related quality of life. Here we report the physical component which relates to physical health functioning. Score ranges from 0-100 with higher scores indicating better physical health functioning. Change from baseline is reported. An increase in the score from baseline (a positive number) indicates a better health state.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 6 incomplete baseline measures (3 immediate, 3 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~12 incomplete 3 month measures (11 immediate, 1 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Short Form -12 (SF-12) Physical Component Score4.4 score on a scaleStandard Deviation 10.4
Delayed Treatment GroupChange From Baseline in Short Form -12 (SF-12) Physical Component Score-0.4 score on a scaleStandard Deviation 10.1
Secondary

Change From Baseline in Valuation of Life

This self-reported 13 question measure asks the participant how much they agree or disagree on a 5 point Likert scale when asked a statement about the meaning of life and personal goals. Score ranges from 0 to 65. Higher score means higher value of life. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher value of life.

Time frame: Baseline and 3 months post-intervention (Immediate Group) or 3 months post-baseline (Delayed Group)

Population: 7 incomplete baseline measures (3 immediate, 4 delayed)~1 obtained hearing aids (1 delayed)~1 withdrew consent (1 immediate)~4 non-study related deaths (3 immediate, 1 delayed)~2 lost to follow up (1 immediate, 1 delayed)~11 incomplete 3 month measures (10 immediate, 1 delayed)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Valuation of Life0.1 score on a scaleStandard Deviation 6.9
Delayed Treatment GroupChange From Baseline in Valuation of Life-0.6 score on a scaleStandard Deviation 5.1
Secondary

Change From Baseline in Valuation of Life

This self-reported 13 question measure asks the participant how much they agree or disagree on a 5 point Likert scale when asked a statement about the meaning of life and personal goals. Score ranges from 0 to 65. Higher score means higher value of life. Change from baseline score is reported. An increase in the score from baseline (a positive number) indicates a higher value of life.

Time frame: Baseline and 12 months post-intervention

Population: 7 incomplete baseline (3 immediate, 4 delayed)~14 withdrew consent (4 immediate, 10 delayed)~6 non-study related deaths (3 immediate, 3 delayed)~13 lost to follow up (8 immediate, 5 delayed)~25 incomplete 12 month measures (14 immediate, 11 delay)

ArmMeasureValue (MEAN)Dispersion
Immediate Treatment GroupChange From Baseline in Valuation of Life-1.9 score on a scaleStandard Deviation 6.6
Delayed Treatment GroupChange From Baseline in Valuation of Life-1.0 score on a scaleStandard Deviation 7.6

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026