Hearing Aids
Conditions
Keywords
earmold, hearing aid
Brief summary
Normal hearing participants will be fit with a hearing aid and different types of customized earmolds. Hearing aids will be programmed to a simulated mild, flat, sensorineural hearing loss of 30 dB HL from 250-8000Hz. Objective acoustic real ear measures and subjective ratings of sound quality and physical comfort will be evaluated and compared between earmolds. Findings will help researchers to better understand the impacts of different earmolds and how each might affect overall point-of-care.
Interventions
Hearing aids will be fit with three different types of customized earmolds. They will only wear each earmold group for the duration of the test (total = \ 2.5 hours). Hearing aids will be programmed to a simulated mild, flat, sensorineural hearing loss of 30 dB HL from 250-8000Hz. A short washout period will follow completion of testing with ear earmold group.
Sponsors
Study design
Eligibility
Inclusion criteria
* Normal hearing thresholds (\<25 dB HL) at octave frequencies from 250-8000Hz. * Normal otoscopy: patent ear canals with normal appearing eardrums and aerated middle ear, bilaterally. * English as primary spoken language.
Exclusion criteria
* history of extensive or current outer or middle ear pathology. * history of extensive outer or middle ear surgery. * history of neurological or cognitive disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Real Ear Measures | 15 minutes | Evaluation of ear canal acoustics with participant wearing a hearing aid and earmold type (3d party control, in-house\_Resin, in-house\_PLA). Then, a thin microphone tube is placed in the ear canal to measure the average amount gain (dB SPL) across various frequencies (250-8000Hz) while the participant sits in front of a speaker playing sound samples. Results are recorded in gain (dB SPL) across frequencies. Once complete, the earmold type is changed and recording is repeated until all ear mold material types have been tested for each individual. Arms/Groups were collapsed for RM-ANOVA to compare between various earmold types. A post-hoc paired t-test w/ Bonferroni correction was utilized to compare ear mold material types. |
| Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | 2nd listening session appointment (15 minutes) | A questionnaire eliciting patient perception of physical comfort, quality of voice, and overall self-perceived satisfaction. Includes 12 items (5 point) that are scored on a 0 to 100, with 100 representing best possible function/rating |
| Physical Dimensions | Prior to 2nd listening session appointment (15 minutes) | Physical dimensions of each ear mold type (3rd party Control, in-house\_Resin, in-house\_PLA) were taken using digital calipers in millimeters prior to being worn by participants. |
| Production Variable | Prior to 2nd listening session appointment (15 minutes) | The total raw cost ($) for each ear mold type (3rd party\_control, in-house\_RES, and in-house\_PLA). |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Overall Group Crossover trial of 30 individuals with normal hearing | 30 |
| Total | 30 |
Baseline characteristics
| Characteristic | Overall Group |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 30 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 1 Participants |
| Race/Ethnicity, Customized Asian | 2 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants |
| Race/Ethnicity, Customized Hispanic/Latino | 7 Participants |
| Race/Ethnicity, Customized More than one race | 4 Participants |
| Race/Ethnicity, Customized White/Non-hispanic | 14 Participants |
| Sex: Female, Male Female | 24 Participants |
| Sex: Female, Male Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 30 | 0 / 30 | 0 / 30 |
| other Total, other adverse events | 0 / 30 | 0 / 30 | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 | 0 / 30 | 0 / 30 |
Outcome results
Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire
A questionnaire eliciting patient perception of physical comfort, quality of voice, and overall self-perceived satisfaction. Includes 12 items (5 point) that are scored on a 0 to 100, with 100 representing best possible function/rating
Time frame: 2nd listening session appointment (15 minutes)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 3rd Party Control | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | NaturalSound | 3.17 score on a scale | Standard Deviation 1.02 |
| 3rd Party Control | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PerceptVoice | 3.6 score on a scale | Standard Deviation 0.97 |
| 3rd Party Control | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PhysComfort | 3.9 score on a scale | Standard Deviation 0.97 |
| In-house_RES | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | NaturalSound | 3.43 score on a scale | Standard Deviation 1.25 |
| In-house_RES | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PerceptVoice | 3.77 score on a scale | Standard Deviation 1.22 |
| In-house_RES | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PhysComfort | 4 score on a scale | Standard Deviation 1.11 |
| In-house_PLA | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PerceptVoice | 3.6 score on a scale | Standard Deviation 1.22 |
| In-house_PLA | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | PhysComfort | 3.73 score on a scale | Standard Deviation 1.05 |
| In-house_PLA | Outer Effectiveness of Auditory Rehabilitation (EAR) Questionnaire | NaturalSound | 3.3 score on a scale | Standard Deviation 1.12 |
Physical Dimensions
Physical dimensions of each ear mold type (3rd party Control, in-house\_Resin, in-house\_PLA) were taken using digital calipers in millimeters prior to being worn by participants.
Time frame: Prior to 2nd listening session appointment (15 minutes)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 3rd Party Control | Physical Dimensions | Height_mEC | 7.72 millimeters | Standard Deviation 1.13 |
| 3rd Party Control | Physical Dimensions | DepthTotal | 15.25 millimeters | Standard Deviation 1.66 |
| 3rd Party Control | Physical Dimensions | HeightTotal | 27.19 millimeters | Standard Deviation 2.01 |
| 3rd Party Control | Physical Dimensions | WidthTotal | 21.42 millimeters | Standard Deviation 3.76 |
| 3rd Party Control | Physical Dimensions | VentDiam | 2.56 millimeters | Standard Deviation 0.41 |
| In-house_RES | Physical Dimensions | DepthTotal | 13.88 millimeters | Standard Deviation 2.26 |
| In-house_RES | Physical Dimensions | HeightTotal | 27.73 millimeters | Standard Deviation 1.92 |
| In-house_RES | Physical Dimensions | WidthTotal | 22.50 millimeters | Standard Deviation 3.55 |
| In-house_RES | Physical Dimensions | Height_mEC | 8.21 millimeters | Standard Deviation 0.91 |
| In-house_RES | Physical Dimensions | VentDiam | 2.51 millimeters | Standard Deviation 0.37 |
| In-house_PLA | Physical Dimensions | VentDiam | 2.23 millimeters | Standard Deviation 0.36 |
| In-house_PLA | Physical Dimensions | Height_mEC | 8.38 millimeters | Standard Deviation 0.99 |
| In-house_PLA | Physical Dimensions | HeightTotal | 27.39 millimeters | Standard Deviation 1.85 |
| In-house_PLA | Physical Dimensions | DepthTotal | 13.65 millimeters | Standard Deviation 1.86 |
| In-house_PLA | Physical Dimensions | WidthTotal | 22.23 millimeters | Standard Deviation 3.49 |
Production Variable
The total raw cost ($) for each ear mold type (3rd party\_control, in-house\_RES, and in-house\_PLA).
Time frame: Prior to 2nd listening session appointment (15 minutes)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 3rd Party Control | Production Variable | 59.95 dollars ($) | Standard Deviation 0 |
| In-house_RES | Production Variable | 1.29 dollars ($) | Standard Deviation 0.2 |
| In-house_PLA | Production Variable | 0.04 dollars ($) | Standard Deviation 0 |
Real Ear Measures
Evaluation of ear canal acoustics with participant wearing a hearing aid and earmold type (3d party control, in-house\_Resin, in-house\_PLA). Then, a thin microphone tube is placed in the ear canal to measure the average amount gain (dB SPL) across various frequencies (250-8000Hz) while the participant sits in front of a speaker playing sound samples. Results are recorded in gain (dB SPL) across frequencies. Once complete, the earmold type is changed and recording is repeated until all ear mold material types have been tested for each individual. Arms/Groups were collapsed for RM-ANOVA to compare between various earmold types. A post-hoc paired t-test w/ Bonferroni correction was utilized to compare ear mold material types.
Time frame: 15 minutes
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| 3rd Party Control | Real Ear Measures | REAG_2000s | 61.23 dB SPL | Standard Deviation 2.49 |
| 3rd Party Control | Real Ear Measures | REAG_1000m | 64.53 dB SPL | Standard Deviation 2.61 |
| 3rd Party Control | Real Ear Measures | REAG_500l | 74.43 dB SPL | Standard Deviation 2.01 |
| 3rd Party Control | Real Ear Measures | REAG_1000l | 70.83 dB SPL | Standard Deviation 2.57 |
| In-house_RES | Real Ear Measures | REAG_1000l | 72.23 dB SPL | Standard Deviation 3.17 |
| In-house_RES | Real Ear Measures | REAG_2000s | 60.23 dB SPL | Standard Deviation 2.01 |
| In-house_RES | Real Ear Measures | REAG_500l | 75.4 dB SPL | Standard Deviation 2.11 |
| In-house_RES | Real Ear Measures | REAG_1000m | 66.5 dB SPL | Standard Deviation 2.73 |
| In-house_PLA | Real Ear Measures | REAG_1000l | 71.8 dB SPL | Standard Deviation 3.4 |
| In-house_PLA | Real Ear Measures | REAG_1000m | 66.23 dB SPL | Standard Deviation 2.65 |
| In-house_PLA | Real Ear Measures | REAG_500l | 74.5 dB SPL | Standard Deviation 2 |
| In-house_PLA | Real Ear Measures | REAG_2000s | 60.5 dB SPL | Standard Deviation 2.27 |