Hearing Loss in Older Adults Study
Study Details
Study Description
Brief Summary
This is a prospective, 1:1 randomized controlled trial of immediate versus delayed cochlear implantation (CI) on hearing handicap, communicative function, loneliness, mental wellbeing, and cognitive functioning. Participants are randomized 1:1 to an immediate cochlear implant intervention group versus a hearing aid control intervention.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Group A Group A will consist of 30 individuals who are candidates for cochlear implantation. They will be unilaterally implanted immediately after initial study testing has been completed and then be followed for 12 months after device activation. |
Device: Cochlear implantation
Unilateral implantation with a commercially approved Nucleus cochlear implant
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Active Comparator: Group B Group B will consist of 30 individuals who are candidates for cochlear implantation. They will continue to wear hearing aids after enrolling in the study and then be unilaterally implanted and followed for 6 more months after device activation. |
Device: Cochlear implantation
Unilateral implantation with a commercially approved Nucleus cochlear implant
|
Outcome Measures
Primary Outcome Measures
- Hearing Handicap [6 months after enrollment]
Assessment of the impact of cochlear implantation versus continued hearing aid use on hearing handicap as measured on the Speech, Spatial, and Qualities of Hearing (SSQ12)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Community-dwelling
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Proficient in English
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Oral communicator
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PTA (500, 1000 & 2000 Hz) ≥ 70 dB HL hearing loss duration ≥1 and no more than 30 years
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Active daily hearing aid users
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HHIE-S score greater than or equal to 24
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MoCA score greater than or equal to 20
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Post-linguistic onset sensorineural hearing loss and meet applicable FDA and/or Medicare candidacy criteria for cochlear implantation
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Willing to consent for the study, to be randomized to either group, to utilize bimodal hearing for the duration of the trial (if clinically appropriate), and follow the study protocol
Exclusion Criteria:
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Prelingual or perilingual severe-to-profound hearing loss
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Previous cochlear implantation in either ear
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Hearing loss of neural or central origin
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Permanent conductive hearing impairment (e.g. otosclerosis)
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Medical, audiological, or psychological conductions that might contraindicate participation in the clinical investigation
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Self reported disability in 2 or more activities of daily living
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Vision impairment worse than 20/40 on a near vision card
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Arizona Center for Neurosciences | Tucson | Arizona | United States | 85718 |
2 | House Ear Institute | Los Angeles | California | United States | 90057 |
3 | Washington University | Saint Louis | Missouri | United States | 63112 |
4 | New York Eye and Ear Infirmary of Mount Sinai | New York | New York | United States | 10029 |
5 | University of North Carolina Chapel Hill | Chapel Hill | North Carolina | United States | 27599 |
6 | University of Cincinnati Health | Cincinnati | Ohio | United States | 45219 |
7 | Ohio State University | Columbus | Ohio | United States | 43212 |
8 | Medical College of Wisconsin | Milwaukee | Wisconsin | United States | 53226 |
Sponsors and Collaborators
- Cochlear
- CogState Ltd.
- Syneos Health
Investigators
- Study Director: David N Cade, MD, MBA, Cochlear
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CLTD5693