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Effect of an Aural Rehabilitation Program in Hearing-impaired Older Adults

17. oktober 2021 opdateret af: National Taiwan University Hospital

The Effectiveness of an Aural Rehabilitation Program on Communication Abilities, Depression, Loneliness and Quality of Life in Older Adults With Hearing Impairment

Hearing impairment in older adults is becoming a common health problem as the population ages. The impact of hearing impairment in older adults includes not only physical function and cognitive performance, but also depression, loneliness and social isolation, as well as having a negative impact on quality of life and financial status. Therefore, an audiological rehabilitation program intervention is recommended. The purposes of this study are to examine the effects of an audiological rehabilitation program (Hear-Talk-Activity audiological rehabilitation program) intervention on communication abilities, depression, loneliness and quality of life outcomes in older adults with hearing impairment. The single-blind, randomized control trial will include older adults aged 65 years or older with hearing impairment and aid user. Participants will be randomized to either intervention groups or control groups.

Studieoversigt

Detaljeret beskrivelse

The study will be an experimental design featuring repeated measures, with data collected from a pretest, a posttest and a follow-up test. An estimated total of 96 participants will be randomly assigned to experimental and control groups. The experimental group will participate in a 10-week aural rehabilitation program (Hear-Talk-Activity audiological rehabilitation program), including provide information, hearing aids and assistive listening devices, communication strategies and skills, personal coping and adjustment, psychosocial support and stress management, consisting of 60-minute sessions once per week, while the control group will be put on a waiting-list group. Each group will be assessed of the outcomes at 3 time points: baseline (T0), three months following the intervention (T1) and again at six months following the intervention (T2). The investigators will use the Hearing Handicap Inventory for the Elderly-Screening version (HHIE-S), the 10-item version of the Center for Epidemiological Studies Depression Scale (10-item CES-D), the short-form University of California, Los Angeles (UCLA) Loneliness Scale-8 item (ULS-8) and the Short Form-12 health survey (SF-12) as the outcome indicators. The principle of intention-to-treat (ITT) analysis will be used, and the result will be analyzed mainly by generalized estimating equation (GEE).

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

96

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Meei-Fang Lou, Ph.D.
  • Telefonnummer: 88441 886-2-23123456
  • E-mail: mfalou@ntu.edu.tw

Studiesteder

      • Taipei, Taiwan
        • Rekruttering
        • National Taiwan University Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

65 år og ældre (Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • being 65 or older
  • Pure-Tone Average (PTA) more than 40 decibel (dB) Hearing Level (HL) and aid users less than half a year
  • living in the community
  • having normal cognitive
  • articulate in the Mandarin Chinese language
  • signing a consent form to participate

Exclusion Criteria:

  • severe psychiatric disorders
  • acoustic neuroma lead to hearing impairment
  • chronic otitis media lead to hearing impairment

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Hear-Talk-Activity audiological rehabilitation program
Audiological intervention program
The participants were randomly assigned to either the experimental group or the waiting-list control group, using a computer-generated list of random numbers.
Ingen indgriben: Control group
Waitlist control program

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change from Baseline the Hearing Handicap Inventory for the Elderly-Screening version at 3 months, and 6 months
Tidsramme: baseline, 3th, 6th month
A score of participants in baseline communication abilities as assessed by the Hearing Handicap Inventory for the Elderly-Screening version. The overall score ranging from 0 to 40, which higher scores indicating poorer communication abilities
baseline, 3th, 6th month
Change from Baseline the 10-item version of the Center for Epidemiological Studies Depression Scale at 3 months, and 6 months
Tidsramme: baseline, 3th, 6th month
A score of participants in baseline depression as assessed by the 10-item version of the Center for Epidemiological Studies Depression Scale. The overall score ranging from 0 to 30, which higher scores indicating severe depression
baseline, 3th, 6th month
Change from Baseline the short-form UCLA Loneliness Scale-8 item at 3 months, and 6 months
Tidsramme: baseline, 3th, 6th month
A score of participants in baseline loneliness as assessed by the short-form UCLA Loneliness Scale-8 item. The overall score ranging from 8 to 32, which higher scores indicating severe loneliness
baseline, 3th, 6th month
Change from Baseline the Short Form-12 health survey at 3 months, and 6 months
Tidsramme: baseline, 3th, 6th month
A score of participants in baseline quality of life as assessed by the Short Form-12 health survey. The overall score ranging from 0 to 100, which higher scores indicating better quality of life
baseline, 3th, 6th month
Change from Baseline the International Outcome Inventory for Hearing Aids at 3 months, and 6 months
Tidsramme: baseline, 3th, 6th month
A score of participants in baseline communication abilities and aids satisfaction as assessed by the International Outcome Inventory for Hearing Aids. The overall score ranging from 7 to 35, which higher scores indicating better communication abilities and aid satisfaction
baseline, 3th, 6th month

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Meei-Fang Lou, Ph.D., School of Nursing, College of Medicine, National Taiwan University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. september 2021

Primær færdiggørelse (Forventet)

28. februar 2023

Studieafslutning (Forventet)

6. juni 2023

Datoer for studieregistrering

Først indsendt

13. september 2021

Først indsendt, der opfyldte QC-kriterier

17. oktober 2021

Først opslået (Faktiske)

19. oktober 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. oktober 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. oktober 2021

Sidst verificeret

1. oktober 2021

Mere information

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Kliniske forsøg med Ældre voksne

Kliniske forsøg med Hear-Talk-Activity audiological program

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