Aural Rehab for Adult CI Outcomes

November 9, 2026 updated by: NYU Langone Health

A Phase I, Single-Center Study of the Effects of Aural Rehabilitation Protocols on Adult Cochlear Implant Outcomes

This study will compare two different types of aural rehabilitation schedules (computer-based auditory training vs computer based auditory training and clinician guided training) for adult cochlear implant (CI) users to determine the effect of rehabilitation type on speech perception, hearing related-quality of life, and CI management skills.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • New York
      • New York, New York, United States, 10016
        • NYU Langone Heath

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Be at least 18 years of age at the time of cochlear implantation.
  • Receive pre- and post-CI care at the NYU Langone Health Cochlear Implant Center.
  • Have bilateral hearing loss, with at least moderate to profound hearing loss in both ears.
  • Be able to participate in follow-up visits, either in person or via synchronous telehealth, and to use an app-based training platform (ReDi).
  • Be English-speaking or have native-like English proficiency.

Exclusion Criteria:

  • Has significant cognitive impairment or a medical disability that precludes informed consent or reliable participation or develops such impairment during the study period.
  • Has pre-lingual or long-term (>20 years) severe to profound hearing loss
  • Is undergoing cochlear implantation for single-sided deafness.
  • Is undergoing revision CI surgery.
  • Is younger than 18 years of age.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Computer-Based Auditory Training

CI users assigned to receive computer-based auditory training only.

Aural rehabilitation program delivered through an auditory training app. Each participant will be assigned to complete training 5 days per week, with each session being 15 minutes for the first 6 months post-activation.

Experimental: Computer-Based Auditory Training + Clinician-Guided Training

CI users assigned to receive computer-based auditory training and clinician-guided training.

Aural rehabilitation program delivered through an auditory training app. Each participant will be assigned to complete training 5 days per week, with each session being 15 minutes for the first 6 months post-activation.

Aural rehabilitation program delivered by a speech-language pathologist.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in CNC Word Recognition Score
Time Frame: Baseline (pre-cochlear implant), Year 1 Post-Activation

Calculated as the percentage of words a person can hear, repeat back, and understand.

Baseline (pre-cochlear implant), Year 1 Post-Activation
Change in CNC Phoneme Recognition Score
Time Frame: Baseline (pre-cochlear implant), Year 1 Post-Activation

Calculated as the percentage of individual phonemes (sounds) identified correctly out of 150 total phonemes.

Baseline (pre-cochlear implant), Year 1 Post-Activation
Change in AzBio Sentence Recognition Score
Time Frame: Baseline (pre-cochlear implant), Year 1 Post-Activation

Standardized speech perception assessment used by audiologists to measure how well a person understands everyday conversational speech. Patients are evaluated on their ability to recognize words correctly in a sentence. Each sentence has a set number of key words assigned specific point values. The final score is calculated as a percentage of words correct out of the total possible words in the list.

Baseline (pre-cochlear implant), Year 1 Post-Activation

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in CIQOL35 Profile Score
Time Frame: Week 6 Post-Activation, Year 1 Post-Activation

Patient-reported outcome measure designed to evaluate real-world functional abilities and quality of life for adult cochlear implant (CI) users. Each item is rated on a Likert scale; the raw score is re-scaled into a total score from 0 (low quality of life/functional ability) to 100 (high quality of life/functional ability).

Week 6 Post-Activation, Year 1 Post-Activation
Change in CIMS-Self
Time Frame: Week 6 Post-Activation, Year 1 Post-Activation

10-item self-administered assessment of how effectively a patient or caregiver handles and maintains a cochlear implant processor. Each response is rated from 0 to 3; the raw score is the sum of responses and is transformed to a percentage (0 - 100%); a score below 100% indicates a need for targeted training or retraining in specific maintenance areas.

Week 6 Post-Activation, Year 1 Post-Activation

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: J. Thomas Roland, Jr., MD, NYU Langone Health

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 1, 2026

Primary Completion (Estimated)

January 1, 2029

Study Completion (Estimated)

January 1, 2029

Study Registration Dates

First Submitted

November 9, 2026

First Submitted That Met QC Criteria

November 9, 2026

First Posted (Actual)

November 13, 2026

Study Record Updates

Last Update Posted (Actual)

November 13, 2026

Last Update Submitted That Met QC Criteria

November 9, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 26-00880

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

No plan to make IPD available.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.