Hearing Loss, Sensorineural
Conditions
Keywords
Hearing aid, Freiburger, Matrix Test, SSQ, IOI-HA
Brief summary
The purpose of the study is to follow-up on a released low-risk device as part of standard PMCF activities
Detailed description
This is a comparative study which is conducted monocentric at Hoerzentrum Oldenburg, Germany. The focus is to test a released hearing aid and compare this to the subject's own hearing aids with a minimum of 16 mild-to-moderate sensorineural hearing impaired adult subjects. The subjects, all of them native German speakers, have 2 appointments of 1-2 hours including a fitting procedure with real-ear measurements and some standard speech tests and undergo two 2-weeks home trials (with questionnaires).
Interventions
Receiver in Canal (RIC) hearing aid, M Receiver
subjects' own hearing aids, any brand, any model
Sponsors
Study design
Eligibility
Inclusion criteria
* Hearing loss should fall within fitting range of study hearing aid * They should be experienced hearing aid users * Air-Bone-Gap should be less or equal to 20 dB Hearing Loss (HL). * Sensorineural HL, mild-to-moderate * HL corresponding to the fitting range of the hearing aid * Healthy (outer) ear * Older than 18 years * German is mother tongue * Able to understand the instructions * Willing to participate in laboratory tests and to wear the hearing aids at home for 2 weeks * Informed consent
Exclusion criteria
* Contraindication for hearing aid treatment * Fluctuating or rapidly progressing hearing loss * Central hearing problems * Limited mobility * Limited dexterity (in handling the hearing aid) * Known psychological problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oldenburg Sentence Test | Estimated Time Frame 2 weeks (Test conducted at second lab session). | The Oldenburg Sentence Test (OLSA) is an audiometric test for determining the speech recognition threshold (SRT in dB). Sentences of the form name - verb - numeral - adjective - noun are used as speech material. The sequence of words is a random combination from an inventory of 50 words in total. The design of the test prevents memorization of the sentences, so the OLSA can be repeated as often as desired. For this study speech in noise recognition was measured. Noise level was 65 dB SPL played from the back, speech was presented from front. The SRT shows the signal-to-noise ratio needed for 80% speech recognition. Lower values mean better speech understanding (i.e. the speech can be quieter with respect to the noise and still be understood). There are no minimum or maximum values. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Freiburger Monosyllabic Speech Test | Estimated Time Frame 2 weeks (Test conducted at second lab session). | To investigate speech intelligibility (SI) performance for speech at 65dB in a quiet listening situation, the Freiburger monosyllabic speech test is used which is still the gold standard for Hearing Care Professionals (HCPs) in Germany. Results are reported in Percent correct data. Minimum is 0%, maximum is 100% with higher values meaning better speech understanding. |
| Match-to-Target | 1 day (Fitting procedure with real-ear measurements is done at first lab session) | Investigate how close the study hearing aids fitted and fine-tuned with the fitting software to NAL-NL2 Targets match the postulated targets, as measured in-situ with real-ear measurements. Absolute deviations were calculated at specific frequencies ranging from 250 Hz to 4 kHz. Unit of measure is dB SPL. Minimum Value is 0 (i.e. measured value and target value identical), no maximum value. Higher values mean greater deviation from target. |
| Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | 2 weeks | A short form of the SSQ is used (SSQ 17, German version), to investigate speech perception, sound localisation, quality of hearing perceived in real-life. Questions are answered on a scale from 0 to 10, higher scores mean better outcomes. The responses to the individual questions are grouped for the subsections (speech, spatial, quality) by calculating the means. |
| International Outcome Inventory for Hearing Aids (IOI-HA) | 2 weeks | Investigate outcomes and effectiveness of hearing aid usage in real-life. Responses are given on a scale from 1 - 5. Here, the mean of questions 2 -7 is reported. Higher values represent better outcomes. Question 1 was on wearing time, which is not considered a rating of effectiveness and was therefore excluded from the mean and will be reported separately. Fpr wearing times higher values represent longer wearing time (maximum 5 equals more than 8 hours a day). |
| Satisfaction Questionnaire | 2 weeks | Investigate satisfaction in real-life for different aspects such as sound quality, naturalness of sound, conversation with one person and overall satisfaction. Each aspect was assessed on on a 7-point likert scale, going from 1 (very dissatisfied) to 7 (very satisfied) The overall satisfaction and sound quality overall were individual questions and are not the combination of different situations/aspects. These questions were also assessed on on a 7-point likert scale, going from 1 (very dissatisfied) to 7 (very satisfied). Higher values represent better outcomes. |
Countries
Germany
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Study Participants within subject design: compare Pure C&G 7IX to subjects' own hearing aids. Baseline measures are the same for all study participants | 20 |
| Total | 20 |
Baseline characteristics
| Characteristic | Study Participants | — |
|---|---|---|
| Age, Categorical <=18 years | 0 Participants | — |
| Age, Categorical >=65 years | 19 Participants | — |
| Age, Categorical Between 18 and 65 years | 1 Participants | — |
| mild to moderate Hearing Impairment | 20 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment Germany | 20 participants | — |
| Sex: Female, Male Female | 10 Participants | — |
| Sex: Female, Male Male | 10 Participants | — |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 20 | 0 / 20 |
| other Total, other adverse events | 0 / 20 | 0 / 20 |
| serious Total, serious adverse events | 0 / 20 | 0 / 20 |
Outcome results
Oldenburg Sentence Test
The Oldenburg Sentence Test (OLSA) is an audiometric test for determining the speech recognition threshold (SRT in dB). Sentences of the form name - verb - numeral - adjective - noun are used as speech material. The sequence of words is a random combination from an inventory of 50 words in total. The design of the test prevents memorization of the sentences, so the OLSA can be repeated as often as desired. For this study speech in noise recognition was measured. Noise level was 65 dB SPL played from the back, speech was presented from front. The SRT shows the signal-to-noise ratio needed for 80% speech recognition. Lower values mean better speech understanding (i.e. the speech can be quieter with respect to the noise and still be understood). There are no minimum or maximum values.
Time frame: Estimated Time Frame 2 weeks (Test conducted at second lab session).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Results With Study Device | Oldenburg Sentence Test | -6.6 dB | Standard Deviation 4.5 |
| Results Unaided | Oldenburg Sentence Test | -1.1 dB | Standard Deviation 7.5 |
| Results With Own Devices | Oldenburg Sentence Test | -3.5 dB | Standard Deviation 5.1 |
Freiburger Monosyllabic Speech Test
To investigate speech intelligibility (SI) performance for speech at 65dB in a quiet listening situation, the Freiburger monosyllabic speech test is used which is still the gold standard for Hearing Care Professionals (HCPs) in Germany. Results are reported in Percent correct data. Minimum is 0%, maximum is 100% with higher values meaning better speech understanding.
Time frame: Estimated Time Frame 2 weeks (Test conducted at second lab session).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Results With Study Device | Freiburger Monosyllabic Speech Test | 75.1 Percent Correct | Standard Deviation 12.3 |
| Results Unaided | Freiburger Monosyllabic Speech Test | 31.5 Percent Correct | Standard Deviation 20.1 |
| Results With Own Devices | Freiburger Monosyllabic Speech Test | 68.6 Percent Correct | Standard Deviation 12.7 |
International Outcome Inventory for Hearing Aids (IOI-HA)
Investigate outcomes and effectiveness of hearing aid usage in real-life. Responses are given on a scale from 1 - 5. Here, the mean of questions 2 -7 is reported. Higher values represent better outcomes. Question 1 was on wearing time, which is not considered a rating of effectiveness and was therefore excluded from the mean and will be reported separately. Fpr wearing times higher values represent longer wearing time (maximum 5 equals more than 8 hours a day).
Time frame: 2 weeks
Population: The IOI-HA was developed to measure outcomes in audiological rehabilitation using Hearing Aids and is not designed for the unaided condition. For this reason only the two interventional arms are included for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Results With Study Device | International Outcome Inventory for Hearing Aids (IOI-HA) | Mean effectiveness ratings | 3.6 score on a scale | Standard Deviation 1 |
| Results With Study Device | International Outcome Inventory for Hearing Aids (IOI-HA) | Wearing Time | 5.0 score on a scale | Standard Deviation 0.2 |
| Results Unaided | International Outcome Inventory for Hearing Aids (IOI-HA) | Mean effectiveness ratings | 3.8 score on a scale | Standard Deviation 0.7 |
| Results Unaided | International Outcome Inventory for Hearing Aids (IOI-HA) | Wearing Time | 4.9 score on a scale | Standard Deviation 0.3 |
Match-to-Target
Investigate how close the study hearing aids fitted and fine-tuned with the fitting software to NAL-NL2 Targets match the postulated targets, as measured in-situ with real-ear measurements. Absolute deviations were calculated at specific frequencies ranging from 250 Hz to 4 kHz. Unit of measure is dB SPL. Minimum Value is 0 (i.e. measured value and target value identical), no maximum value. Higher values mean greater deviation from target.
Time frame: 1 day (Fitting procedure with real-ear measurements is done at first lab session)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Results With Study Device | Match-to-Target | Deviation from Target @ 250 Hz | 3.3 dB | Standard Deviation 4 |
| Results With Study Device | Match-to-Target | Deviation from Target @ 500 Hz | 1.6 dB | Standard Deviation 1.7 |
| Results With Study Device | Match-to-Target | Deviation from Target @ 1000 Hz | 1.2 dB | Standard Deviation 1.4 |
| Results With Study Device | Match-to-Target | Deviation from Target @ 2000 Hz | 1.6 dB | Standard Deviation 1.9 |
| Results With Study Device | Match-to-Target | Deviation from Target @ 4000 Hz | 1.5 dB | Standard Deviation 1.7 |
Satisfaction Questionnaire
Investigate satisfaction in real-life for different aspects such as sound quality, naturalness of sound, conversation with one person and overall satisfaction. Each aspect was assessed on on a 7-point likert scale, going from 1 (very dissatisfied) to 7 (very satisfied) The overall satisfaction and sound quality overall were individual questions and are not the combination of different situations/aspects. These questions were also assessed on on a 7-point likert scale, going from 1 (very dissatisfied) to 7 (very satisfied). Higher values represent better outcomes.
Time frame: 2 weeks
Population: The satisfaction questionnaire was developed to measure satisfaction with hearing aids and not designed for the unaided condition. For this reason data was only collected for the two interventional arms.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Results With Study Device | Satisfaction Questionnaire | Overall Satisfaction | 5.1 score on a scale | Standard Deviation 1.5 |
| Results With Study Device | Satisfaction Questionnaire | Conversation with one person | 5.4 score on a scale | Standard Deviation 1.6 |
| Results With Study Device | Satisfaction Questionnaire | Naturalness | 5.4 score on a scale | Standard Deviation 1.4 |
| Results With Study Device | Satisfaction Questionnaire | Comfort with loud sounds | 5.0 score on a scale | Standard Deviation 1.3 |
| Results With Study Device | Satisfaction Questionnaire | Sound quality overall | 5.4 score on a scale | Standard Deviation 1.3 |
| Results Unaided | Satisfaction Questionnaire | Comfort with loud sounds | 4.5 score on a scale | Standard Deviation 1.4 |
| Results Unaided | Satisfaction Questionnaire | Sound quality overall | 5.5 score on a scale | Standard Deviation 1.2 |
| Results Unaided | Satisfaction Questionnaire | Overall Satisfaction | 5.1 score on a scale | Standard Deviation 1.5 |
| Results Unaided | Satisfaction Questionnaire | Naturalness | 5.2 score on a scale | Standard Deviation 1.5 |
| Results Unaided | Satisfaction Questionnaire | Conversation with one person | 5.6 score on a scale | Standard Deviation 1.4 |
Speech, Spatial and Qualities of Hearing Questionnaire (SSQ)
A short form of the SSQ is used (SSQ 17, German version), to investigate speech perception, sound localisation, quality of hearing perceived in real-life. Questions are answered on a scale from 0 to 10, higher scores mean better outcomes. The responses to the individual questions are grouped for the subsections (speech, spatial, quality) by calculating the means.
Time frame: 2 weeks
Population: The aim of the SSQ questionnaire was to compare the performance/benefit of the study hearing aids to the subjects' own devices. As the unaided ratings would have been the same for both arms, they would have cancelled out by comparing the two interventions and thus it was considered as not necessary to collect the unaided responses.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Results With Study Device | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Speech Perception | 6.2 score on a scale | Standard Deviation 2.3 |
| Results With Study Device | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Sound Localization | 6.9 score on a scale | Standard Deviation 2.4 |
| Results With Study Device | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Quality of Hearing | 7.9 score on a scale | Standard Deviation 1.3 |
| Results Unaided | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Speech Perception | 5.8 score on a scale | Standard Deviation 1.9 |
| Results Unaided | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Sound Localization | 6.2 score on a scale | Standard Deviation 1.6 |
| Results Unaided | Speech, Spatial and Qualities of Hearing Questionnaire (SSQ) | Quality of Hearing | 7.3 score on a scale | Standard Deviation 1.7 |