- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00947778
Analysis of Language and Auditory Abilities in Cochlear Implanted Children
Analysis of Language and Auditory Abilities in Cochlear Implanted Children: Assessment by an Auditory Learning Programmed Method
The cochlear implant appears today as one of the best technique so as to lead the congenital deaf children to speak. However the results in terms of accurate access to language remain partial. These results are usually due to the children own factors (social, educational and handicap ones), one which any action has a limited effect.
Besides, there are external factors on which one can rely : " treatments ". For instance, an early cochlear implant on a child is the main stream to a better access to speak properly later. Another essential point to tackle is the early re-education training which remains essential to the treatment. Yet, there is a gap to fill between the theory and the main assistance in the auditory education practice.
The main objective of this survey is to evaluate the efficiency of this auditory teaching programme (MPAA) over the 4 tested skills (identification, discrimination, the analysis of sounds scenes and its memory) among the pre-speaking cochlear implanted congenital deaf children aged from 4 to 10.
This study will be divided into two phases separated by 3 sessions of evaluation tests.
The first session T1 will occur in the two groups (experimentation on G1 and control on G2), then the first training session will start in group G1.
The second session T2 will occur in the two groups, then the first training session will start in group G2.
The third session T3 will occur in the 2 groups at the end of the experiment.
By training the 4 perceptible operations with different auditory stimulations (speech, music, sounds and electro-acoustic sounds), we are looking for better performance in the trained skills as well as a teaching transfer on other linguistic abilities (phonetics discrimination and speech).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The cochlear implant appears today as one of the best technique so as to lead the congenital deaf children to speak. However the results in terms of accurate access to language remain partial. These results are usually due to the children own factors (social, educational and handicap ones), one which any action has a limited effect.
Besides, there are external factors on which one can rely : " treatments ". For instance, an early cochlear implant on a child is the main stream to a better access to speak properly later. Another essential point to tackle is the early re-education training which remains essential to the treatment. Yet, there is a gap to fill between the theory and the main assistance in the auditory education practice.
Researches on auditory cognitive sciences make the distinctions between different operation treatments ranged from the identification of sounds sources to the discrimination of specific acoustic parameters to the analysis of auditory scenes and the memorization of its sources. (Mc Adams and Bigand, 1994).Each operation implies a specific treatment.
Yet, these operations are not systematically followed by a re-education treatment among deaf children even if one is to know that it has a positive impact on the linguistic skills.
They can be trained by a large range of non linguistic stimuli as these specific stimuli belong to the fundamental auditory cognition, their development lead to benefits on the treatment of all the auditory stimuli. Music is part and parcel of the chosen stimuli, as many critics have proved that music was a source of transfer effect for visual and spatial skills for instance (Giomi-Costa, 2003) A synthesis of these researches has been at the source of the so called " method of programmed auditory skills " whose purpose was to develop the complete auditory skills abilities. This complete teaching programme has been integrated in a playful context for children that allows to control the action, the gesture and the game as well as the sounds atmosphere. This teaching programme is controlled by a computer with a large number of different sounds and which is linked to the playful sphere.
The main objective of this survey is to evaluate the efficiency of this auditory teaching programme (MPAA) over the 4 tested skills (identification, discrimination, the analysis of sounds scenes and its memory) among the pre-speaking cochlear implanted congenital deaf children aged from 4 to 10.
This study will take place in the CHU de La Timone in Marseilles in the ENT children department and is at the heart of a cooperation with Dr Emmanuel Bigand team in Dijon (LEAD CNRS, UMR 5022 à Dijon). The cochlear implant children department in Marseilles gathers a group of more than 70 implanted children aged from 4 to 10 that is in adequacy with the parameters for the method to evaluate.
Two groups of 21 cochlear implant children will be included in this study.
This study will be divided into two phases separated by 3 sessions of evaluation tests.
The first session T1 will occur in the two groups (experimentation on G1 and control on G2), then the first training session will start in group G1.
The second session T2 will occur in the two groups, then the first training session will start in group G2.
The third session T3 will occur in the 2 groups at the end of the experiment.
By training the 4 perceptible operations with different auditory stimulations (speech, music, sounds and electro-acoustic sounds), we are looking for better performance in the trained skills as well as a teaching transfer on other linguistic abilities (phonetics discrimination and speech).
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Marseille, France
- Assistance Publique-Hôpitaux de Marseille
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- children with congenital deaf to speak
- children with cochlear implant Nucleus
Exclusion Criteria:
- children unable to understand orders in the oral or in the language of signs
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: session of training 1
Arm from which members will perform their training session after the first session of evaluation
|
3 sessions of evaluation tests, each session during 15 days
20 sessions of 30 minutes by week during 24 semaines
|
Active Comparator: Session of training 2
Arm from which members will perform their training session after the second session of evaluation
|
3 sessions of evaluation tests, each session during 15 days
20 sessions of 30 minutes by week during 24 semaines
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
to evaluate the efficiency of this auditory teaching programme (MPAA) over the 4 tested skills (identification, discrimination, the analysis of sounds scenes and its memory) among the pre-speaking cochlear implanted congenital deaf children.
Time Frame: 18 months
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
to evaluate the efficiency of this auditory teaching programme (MPAA) over the transfer of learning towards tasks of perception and production of the word
Time Frame: 18 months
|
18 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Stephane Roman, Assistance Publique Hopitaux de Marseille
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 2009-05
- 2009-A00343-54
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.
Clinical Trials on Children With Cochlear Implant
-
Hospices Civils de LyonRecruiting
-
Assiut UniversityNot yet recruitingCochlear Implant
-
Mayo ClinicCompletedCochlear ImplantUnited States
-
Vanderbilt University Medical CenterEnrolling by invitation
-
Vanderbilt University Medical CenterNational Institute on Deafness and Other Communication Disorders (NIDCD)WithdrawnCochlear ImplantUnited States
-
Oticon MedicalCompleted
-
Szeged UniversityCompleted
-
MED-EL Elektromedizinische Geräte GesmbHNot yet recruiting
Clinical Trials on 3 sessions of evaluation tests
-
University Hospital, AngersTerminated
-
Sultan Abdulhamid Han Training and Research Hospital...Not yet recruitingPregnant Women | Gestational Diabetes | Pelvic Girdle PainTurkey
-
Tomsk National Research Medical Center of the Russian...CompletedCovid19 | Cardiac ComplicationRussian Federation
-
Jean Michel HascoetMaternite Regionale UniversitaireCompletedComplications of PrematurityFrance
-
Centre Hospitalier Universitaire DijonCompletedChronic Heart Failure | Reconditioning to EffortFrance
-
Sultan Abdulhamid Han Training and Research Hospital...Not yet recruitingPregnant Women | Pelvic Girdle PainTurkey
-
University of LiegeCompleted
-
Neuromed IRCCSUnknownEpilepsy, Rolandic | BECTSItaly
-
Guang'anmen Hospital of China Academy of Chinese...RecruitingUrinary Retention | Lower Motor Neurone LesionChina