- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05176561
Auditory-Cognitive Training to Optimize Outcomes for Older CI Users (ARCog)
Optimizing Speech Recognition and Cognitive Outcomes for Older Cochlear Implant Users
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Optimizing Speech Recognition and Cognitive Outcomes for Older Cochlear Implant Users with Auditory-Brain Training is evaluating the performance of older cochlear implant users completing a customized auditory-cognitive brain training program. The goal is to determine the effectiveness of training based on speech recognition, neural responses, cognitive, and psychosocial function. Successful training could result in improved outcomes for communication and cognition, new client-centered care models, and better consumer access to effective training.
Specifically, investigators will assess two training programs to determine whether participants can improve speech understanding and speed, attention and memory, and communication in daily life. Thirty participants will be randomly assigned to one of two treatment groups: auditory-brain training or non-auditory brain training. Participants will complete two hours of training online at home or office. Participants will meet virtually with a clinician weekly to discuss progress.The study will help determine the best training methods for older adult cochlear implant users.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Diane M Brewer, MA
- Phone Number: 202 244-3538
- Email: dmb@gwu.edu
Study Contact Backup
- Name: Claire M Bernstein, PhD
- Phone Number: 301 509 0722
- Email: Claire.bernstein@gallaudet.edu
Study Locations
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20002
- Recruiting
- Gallaudet University
-
Contact:
- Claire Bernstein, PhD
- Phone Number: 301-509-0722
- Email: claire.bernstein@gallaudet.edu
-
Contact:
- Diane Brewer, MA
- Phone Number: 2022568343
- Email: dmb@gwu.edu
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-
New York
-
New York, New York, United States, 10004
- Not yet recruiting
- Center for Hearing and Communication
-
Contact:
- Laurie Hanin, PhD
- Phone Number: 917-305-7760
- Email: lhanin@chchearing.org
-
Contact:
- Dominique Calandrillo, MA
- Phone Number: 917 305 7758
- Email: dcalandrillo@chchearing.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 60 years of age and over;
- Between 3 months and 3 years post cochlear implant activation;
- Passing score an cognitive screener (Callahan et al, 2002);
- Speech recognition scores on AZBio between 10% and 85%.
Exclusion Criteria:
- Single-sided deafness
- Non-fluent English
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment: Auditory-Cognitive Training
Behavioral: AR Group will complete sessions in their home or office via internet.
Sessions will include independent work using computer software two hours per week and one hour meeting with the clinician each week.
One half of the training is devoted to auditory training and one half to auditory cognitive activities.
Three assessment appointments are required.
The goal is to evaluate the benefit of training on performance with cochlear implant.
|
Participant will complete 8 weeks of training for 2 hours per week and participate in a 1 hour meeting with clinician.
|
Sham Comparator: Control: Non-auditory Cognitive Training
Behavioral: The CT Group will complete two hours of training in their home or office via internet.
Sessions will include independent work using computer software two hours per week.
Training exercises will be chosen from: Ken-Ken, Sudoku, Crosswords, Word Search, Spot the Differences.
Three assessment appointments are required.
The goal is to evaluate the benefit of training on performance with cochlear implant.
|
Participant will complete 8 weeks of training for 2 hours per week and participate in a 1 hour meeting with clinician.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AZBio Sentence Test (Spahr A, Dorman M, Gilles,A et al (2012)
Time Frame: Change from baseline AZBio Sentence Test scores at one-week post training. Change from baseline AZBio scores at 2 months post training.
|
Repeat sentences; % score of words repeated correctly; 0-100%; higher is better
|
Change from baseline AZBio Sentence Test scores at one-week post training. Change from baseline AZBio scores at 2 months post training.
|
Client Orientated Scale of Improvement (COSI) Dillon H, James A , Ginis J, et al.(1997)
Time Frame: Change from baseline COSI score at one-week post training. Change from baseline COSI score at 2 months post training.
|
Questionnaire rating for hearing ability pre and post treatment 10-95%; higher is better
|
Change from baseline COSI score at one-week post training. Change from baseline COSI score at 2 months post training.
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Cochlear Implant Quality of Life (CIQOL) McRacken,T (2019) McRackan T, Hand B; Velozo CA, Dubno J. (2019) Cochlear Implant Quality of Life (CIQOL)(CIQOL-10 Global). J Speech Lang Hear Res. 62(9
Time Frame: Change from baseline CIQOL score at one-week post training. Change from baseline CIQOL score at 2 months post training.
|
Questionnaire measuring quality of life with hearing loss.
Scores 1-5; higher is better
|
Change from baseline CIQOL score at one-week post training. Change from baseline CIQOL score at 2 months post training.
|
Raven Progressive Matrices Test. (2009).
Time Frame: Change from baseline Raven Progressive Matrices Test score at one-week post training. Change from baseline Raven Progressive Matrices Test score at 2 months post training.
|
Test of nonverbal reasoning.
Scores number matrices completed from 0-60 matrices; higher is better.
|
Change from baseline Raven Progressive Matrices Test score at one-week post training. Change from baseline Raven Progressive Matrices Test score at 2 months post training.
|
Repeatable Battery for the Assessment of Neuropsychological Status for Hearing Impaired Individuals (RBANS-H). Claes A, Mertens G, Gilles A et al. (2016).
Time Frame: Change from baseline Repeatable Battery for the Assessment of Neuropsychological Status (RBANS-H) scores at one-week post training. Change from RBANS-H baseline at 2 months.
|
Test of cognitive function adapted and normed for persons with hearing loss.
Scores range from 40-160; higher is better.
|
Change from baseline Repeatable Battery for the Assessment of Neuropsychological Status (RBANS-H) scores at one-week post training. Change from RBANS-H baseline at 2 months.
|
Revised Hearing Handicap Inventory and Screening Tool based on Psychometric Reevaluation of the Hearing Handicap Inventories for the Elderly and Adults (RHHI). Cassarly C, Matthews L, Simpson A et al.( 2020)
Time Frame: Change from baseline RHHI scores at 1-week post training. Change from baseline RHHI scores at 2 months post training.
|
Questionnaire to assess perceived hearing handicap associated with a hearing loss or effects of hearing loss on an individual's quality of life.
Scores range from 0 to100 with 0-52 for emotional sub-scale and 0-48 for social-situational; lower scores are better.
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Change from baseline RHHI scores at 1-week post training. Change from baseline RHHI scores at 2 months post training.
|
Trail Making Test (TMT) Sánchez-Cubillo I, Periáñez JA, Adrover-Roig D, et al. (2009)
Time Frame: Change from baseline Trail Making Test scores at 1-week post training. Change from baseline Trail Making Test scores at 1-week post training. at 2 months post training. at 2 months post training
|
Test of cognitive abilities.
Scores time to completion; lower is better.
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Change from baseline Trail Making Test scores at 1-week post training. Change from baseline Trail Making Test scores at 1-week post training. at 2 months post training. at 2 months post training
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Neural Response to sound Electrophysological response to sound.
Time Frame: Change in amplitude and latency scores at 1-week post training. Change from baseline at 2 months post training
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Electrophysiological response to measure brain's electrical activity to sounds.
Latency and amplitude changes recorded.
Increased amplitude and reduced latency are better.
|
Change in amplitude and latency scores at 1-week post training. Change from baseline at 2 months post training
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Diane M Brewer, MA, Gallaudet University
- Principal Investigator: Claire M Bernstein, PhD, Gallaudet University
Publications and helpful links
General Publications
- Spahr AJ, Dorman MF, Litvak LM, Van Wie S, Gifford RH, Loizou PC, Loiselle LM, Oakes T, Cook S. Development and validation of the AzBio sentence lists. Ear Hear. 2012 Jan-Feb;33(1):112-7. doi: 10.1097/AUD.0b013e31822c2549.
- Mahncke HW, Connor BB, Appelman J, Ahsanuddin ON, Hardy JL, Wood RA, Joyce NM, Boniske T, Atkins SM, Merzenich MM. Memory enhancement in healthy older adults using a brain plasticity-based training program: a randomized, controlled study. Proc Natl Acad Sci U S A. 2006 Aug 15;103(33):12523-8. doi: 10.1073/pnas.0605194103. Epub 2006 Aug 3.
- Dillon H, James A, Ginis J. Client Oriented Scale of Improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. J Am Acad Audiol. 1997 Feb;8(1):27-43.
- Sanchez-Cubillo I, Perianez JA, Adrover-Roig D, Rodriguez-Sanchez JM, Rios-Lago M, Tirapu J, Barcelo F. Construct validity of the Trail Making Test: role of task-switching, working memory, inhibition/interference control, and visuomotor abilities. J Int Neuropsychol Soc. 2009 May;15(3):438-50. doi: 10.1017/S1355617709090626.
- Fu QJ, Galvin JJ 3rd. Computer-Assisted Speech Training for Cochlear Implant Patients: Feasibility, Outcomes, and Future Directions. Semin Hear. 2007 May 1;28(2):10.1055/s-2007-973440. doi: 10.1055/s-2007-973440.
- Claes AJ, Mertens G, Gilles A, Hofkens-Van den Brandt A, Fransen E, Van Rompaey V, Van de Heyning P. The Repeatable Battery for the Assessment of Neuropsychological Status for Hearing Impaired Individuals (RBANS-H) before and after Cochlear Implantation: A Protocol for a Prospective, Longitudinal Cohort Study. Front Neurosci. 2016 Nov 15;10:512. doi: 10.3389/fnins.2016.00512. eCollection 2016.
- Raven, J. (2009). The Raven Progressive Matrices and measuring aptitude constructs. The International Journal of Educational and Psychological Assessment, 2, 2-38.
- McRackan TR, Hand BN; Cochlear Implant Quality of Life Development Consortium; Velozo CA, Dubno JR. Cochlear Implant Quality of Life (CIQOL): Development of a Profile Instrument (CIQOL-35 Profile) and a Global Measure (CIQOL-10 Global). J Speech Lang Hear Res. 2019 Sep 20;62(9):3554-3563. doi: 10.1044/2019_JSLHR-H-19-0142. Epub 2019 Sep 4.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GallaudetU
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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