Aging, Cognition, and Hearing Evaluation in Elders Study (ACHIEVE-P)
April 6, 2021 updated by: Johns Hopkins University
Aging, Cognition, and Hearing Evaluation in Elders Pilot Study
The investigators will conduct a small pilot study that will randomize ~ 40 70-84 year-old adults with hearing loss to best-practices hearing rehabilitative treatment (hearing assessment, counseling, fitting of amplification devices) versus a successful aging intervention (one-on-one counseling/education sessions on successful aging topics).
Participants will be followed for 6 months, and outcomes will focus on communication, quality of life, cognition, and other functional surveys.
This pilot study is in preparation for a larger planned trial to investigate if hearing loss treatment can reduce cognitive decline and dementia in older adults.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
40
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 Locations
-
-
Maryland
-
Hagerstown, Maryland, United States, 21740
- Johns Hopkins Comstock Center for Public Health Research
-
-
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
70 years to 84 years (Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria
- Age 70-84 years.
- Community-dwelling.
- Fluent English-speaker.
- Residency. Participants must plan to reside in the local area for the study duration (6 months).
- Audiometric hearing impairment. Participants must have adult-onset hearing impairment with a pure tone average (0.5, 1, and 2 kHz) in the better-hearing ear of ≥ 30 decibels and <70 dB.
- Word Recognition in Quiet score >60% bilaterally.
- Mini-Mental State Exam (MMSE) score ≥ 23 for individuals with high-school degree or less; Mini-Mental State Exam (MMSE) score ≥ 25 for individuals with some college or more
- Willingness to participate. Participants must be willing and able to consent to participate in the study, be willing to be randomized to either the Hearing intervention or to the Successful Aging intervention, and be willing to follow the study protocol for the duration of the trial.
Exclusion Criteria
Potential candidates for enrollment who meet one or more of t he following criteria are excluded from participation in the study:
- Self-reported disability in ≥ 2 or more Activities of Daily Living (ADL)
- Self-reported hearing aid use in the past year (>5 hours/week).
- Vision impairment (worse than 20/40 on MN Near Vision Card).
- Medical contraindication to use of hearing aids (e.g., draining ear).
- Conductive hearing impairment as determined by a difference in air audiometry and bone audiometry ("air-bone gap") greater than 15 dB in 2 or more contiguous frequencies in both ears.
- Unwilling to wear hearing aids on a regular (i.e., daily or near daily) basis
- No participants are excluded based on race or sex
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Hearing intervention
Best practices hearing rehabilitative treatment
|
Intervention comprises hearing needs assessment, counselling, sensory management with amplification devices, and rehabilitative training.
|
|
Placebo Comparator: Successful aging intervention
|
One-on-one education sessions on healthy aging topics (cancer screening, smoking cessation, etc.) between a trainer and participant
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Hearing Handicap Inventory for the Elderly (HHIE)
Time Frame: 6 month follow-up
|
6 month follow-up
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Neurocognitive test battery including Trail Making Test, Delayed Word Recall, and other tests
Time Frame: 6 months
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Frank Lin, Johns Hopkins University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
May 1, 2015
Primary Completion (Actual)
March 8, 2021
Study Completion (Actual)
March 8, 2021
Study Registration Dates
First Submitted
April 1, 2015
First Submitted That Met QC Criteria
April 5, 2015
First Posted (Estimate)
April 9, 2015
Study Record Updates
Last Update Posted (Actual)
April 8, 2021
Last Update Submitted That Met QC Criteria
April 6, 2021
Last Verified
March 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00067383
- R34AG046548 (U.S. NIH Grant/Contract)
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.