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The Effect of Anatomy-based Fitting on the Perception of Speech in Noise and Music in Single-sided Deaf Cochlear Implant Users

17. Juli 2026 aktualisiert von: University Hospital, Antwerp
The present study evaluates the effect of anatomy-based fitting on speech perception in noise and music perception in newly implanted single-sided deaf (SSD) CI recipients. Speech perception in noise will be assessed using different spatial configurations of speech and noise. Music perception will be evaluated using objective measurements for melody, harmony, timbre and pitch and using a subjective questionnaire, the Music and Cochlear implant questionnaire (MCIQ). Furthermore, localization and self-reported hearing benefit (HISQUI19, SSQ12) will be assessed.

Studienübersicht

Studientyp

Interventionell

Einschreibung (Geschätzt)

20

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

      • Antwerp, Belgien, 2650
        • Rekrutierung
        • Antwerp University Hopsital
        • Kontakt:

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  • Age ≥ 18 years
  • Post-lingual onset of unilateral severe-to-profound sensorineural hearing loss
  • Contralateral hearing < 30 dB HL (PTA measured at 500Hz, 1kHz, 2kHz en 4 kHz)
  • Post-operative Computed Tomography (CT) scan of the CI elec-trode available
  • Subject implanted with MED-EL cochlear implant(s)
  • Subjects received a Flex20, Flex24, Flex28, FlexSoft, Flex34 or Standard electrode
  • Subject planned to receive a SONNET 2, SONNET 3 or RONDO 3 audio processor on the newly implanted side
  • Newly implanted CI users
  • The most apical active electrode contact has to be inserted at least 540°
  • Minimum of 10 active channels can be activated
  • Fluent in the language of the test centre
  • Signed and dated Informed Consent Form (ICF) before the start of any study-specific procedure

Exclusion Criteria:

  • Lack of compliance with any inclusion criteria
  • Implanted with C40+, C40X and C40C
  • Implanted with an ABI or Split electrode array
  • Anything that, in the opinion of the Investigator, would place the subject at increased risk or preclude the subject's full compliance with or completion of the study

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Aktiver Komparator: Anatomy-based fitting
Anatomy-based programming of the speech processor of the cochlear implant
Anatomy-based programming of the speech processor of the cochlear implant
Aktiver Komparator: Default fitting
Default programming of the speech processor of the cochlear implant according to standard clinical practice
Default programming of the speech processor of the cochlear implant according to standard clinical practice

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Speech perception in noise
Zeitfenster: 3 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
3 months post-activation of the audioprocessor
Speech perception in noise
Zeitfenster: 6 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
6 months post-activation of the audioprocessor
Speech perception in noise
Zeitfenster: 12 months post-activation of the audioprocessor
Speech reception threshold in dB SNR for the following spatial configurations: S0N0, S0NSSD and SSSDNNH, measured with and without the cochlear implant
12 months post-activation of the audioprocessor

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Pitch ranking
Zeitfenster: 3 months post-activation
Frequency difference in semitones between CI and NH
3 months post-activation
Pitch ranking
Zeitfenster: 6 months post-activation
Frequency difference in semitones between CI and NH
6 months post-activation
Pitch ranking
Zeitfenster: 12 months post-activation
Frequency difference in semitones between CI and NH
12 months post-activation
Perception of timbre
Zeitfenster: 3 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
3 months post-activation
Perception of timbre
Zeitfenster: 6 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
6 months post-activation
Perception of timbre
Zeitfenster: 12 months post-activation
Score on Visual Analog Scale (VAS). Patients have to rate the timbre on a visual analog scale (VAS) ranging from 0 to 10, with a score of 5 indicating a similar timbre between CI and NH.
12 months post-activation
Localization
Zeitfenster: 3 months post-activation
Root mean square localization error (RMSE) in degrees
3 months post-activation
Localization
Zeitfenster: 6 months post-activation
Root mean square localization error (RMSE) in degrees
6 months post-activation
Localization
Zeitfenster: 12 months post-activation
Root mean square localization error (RMSE) in degrees
12 months post-activation
Melodic interval perception
Zeitfenster: 3 months post-activation
Psychometric function of melodic intervals
3 months post-activation
Melodic interval perception
Zeitfenster: 6 months post-activation
Psychometric function of melodic intervals
6 months post-activation
Melodic interval perception
Zeitfenster: 12 months post-activation
Psychometric function of melodic intervals
12 months post-activation
Sound quality
Zeitfenster: 3 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
3 months post-activation
Sound quality
Zeitfenster: 6 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
6 months post-activation
Sound quality
Zeitfenster: 12 months post-activation
Sound quality ratings of four groups of piano samples ranging from consonant (group A) to most dissonant (group D)
12 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Zeitfenster: 3 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
3 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Zeitfenster: 6 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
6 months post-activation
Music and cochlear implant questionnaire (MCIQ)
Zeitfenster: 12 months post-activation
Qualitative interpretation of questionnaire subdomains: motivation to listen to music, musical behavior, musical preferences, music perception abilities, sound quality perception, musical background and music rehabilitation.
12 months post-activation
HISQUI19 questionnaire
Zeitfenster: 3 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
3 months post-activation
HISQUI19 questionnaire
Zeitfenster: 6 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
6 months post-activation
HISQUI19 questionnaire
Zeitfenster: 12 months post-activation
Total score and classification of self-perceived auditory benefit. The 19 items are rated on a 7-point Likert scale ranging from always (99%) to never (1%). To calculate the overall score the corresponding numerical value of each item (from always = 7 to never = 1) is added. Uncompleted items and the response option "not applicable" correspond to 0 in this calculation. A total score of less than 30, 30-59, 60-89, 90-109, and 110-133 is respectively classified as a very poor, poor, moderate, good, and very good self-perceived auditory benefit.
12 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Zeitfenster: 3 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
3 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Zeitfenster: 6 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
6 months post-activation
Speech, Spatial and Qualities of Hearing scale (SSQ12)
Zeitfenster: 12 months post-activation
Total score and score in the speech, spatial and quality domain. The 12 items of this questionnaire are rated on a visual analog scale from 0 to 10 and the overall score is calculated by taking the average of the scores of these 12 items. For the overall score and the score on each subdomain, the score ranges between 0-10 and a higher score indicates a better outcome.
12 months post-activation

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Ermittler

  • Hauptermittler: Griet Mertens, Prof., University Hospital, Antwerp

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

26. Juni 2025

Primärer Abschluss (Geschätzt)

1. Dezember 2027

Studienabschluss (Geschätzt)

1. Dezember 2027

Studienanmeldedaten

Zuerst eingereicht

9. Juli 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

9. Juli 2026

Zuerst gepostet (Tatsächlich)

14. Juli 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

21. Juli 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

17. Juli 2026

Zuletzt verifiziert

1. Juni 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

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Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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