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| ID | Type | Description | Link |
|---|---|---|---|
| K01DC018324 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Deafness and Other Communication Disorders (NIDCD) | NIH |
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The goal of this project is to determine whether the selection of hearing aid settings should be based in part on an individual's cognitive characteristics (specifically, working memory). We anticipate the outcomes of this study to be applicable to realistic listening conditions.
Hearing aids have specialized features to improve access to sounds for the hearing-impaired listener. The choice of appropriate hearing aid settings is integral to the hearing rehabilitative process. Researchers and clinicians have been influenced by previous work showing that individual cognitive abilities, including working memory, are associated with hearing aid benefit, especially in adverse listening conditions. However, previous research is limited to omnidirectional microphone settings and unrealistic listening conditions. Such conditions fail to recognize that most hearing aids are fit with directional processing that may improve the listening environment, and that typical environments contain speech and noise signals in a range of spatial locations. Therefore, the broad goal of this research is to understand how patient variables interact with hearing aid signal processing in realistic listening conditions in order to effectively treat hearing-impaired individuals in communications situations that are most important to them.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Setting 1 | Experimental | Hearing aid features presented in this arm include omnidirectional microphone settings and fast-acting compression |
|
| Setting 2 | Experimental | Hearing aid features presented in this arm include omnidirectional microphone settings and slow-acting compression |
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| Setting 3 | Experimental | Hearing aid features presented in this arm include directional microphone settings and fast-acting compression |
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| Setting 4 | Experimental | Hearing aid features presented in this arm include directional microphone settings and slow-acting compression |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hearing aid | Device | Settings in a wearable hearing aid will be adjusted within a clinically-relevant range for two features. The features include wide dynamic range compression and microphone directionality. |
| Measure | Description | Time Frame |
|---|---|---|
| Speech Intelligibility (Percent Correct Scores) | Listeners will listen to and repeat recorded low-context sentences mixed with noise from different spatial locations. Speech intelligibility will be measured immediately following hearing aid fitting. Scoring is determined by percentage of words repeated correctly. Scores range from 0-100% (higher score indicates better performance). This task may take up to 1-2 visits (~ 2 hours each) for different combinations of hearing aid features. The device will only be worn in the laboratory for the duration of the experimental task and will be retrieved by the investigator at the end of each visit. | ~20 mins for each intervention over the course of 1-2 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Varsha Rallapalli, AuD, PhD | Northwestern University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University | Evanston | Illinois | 60208 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39620655 | Derived | Rallapalli V, Freyman R, Souza P. Relationship Between Working Memory, Compression, and Beamformers in Ideal Conditions. Ear Hear. 2025 Mar-Apr 01;46(2):523-536. doi: 10.1097/AUD.0000000000001605. Epub 2024 Nov 6. |
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Participants were recruited from the local community in the Chicago area
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| ID | Title | Description |
|---|---|---|
| FG000 | Hearing Aid Setting: Single Arm | All participants listened to hearing aid features presented in this arm include omnidirectional microphone settings, directional microphone settings, slow-acting compression, and fast-acting compression Hearing aid: Settings in a wearable hearing aid will be adjusted within a clinically-relevant range for two features. The features include wide dynamic range compression and microphone directionality. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sub-study 1 |
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| Sub-study 2 |
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| Sub-study 3 |
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Participants within a Sub-study received all the hearing aid settings. The order of the settings was randomized for each individual participant at the point of testing. Participants were not assigned to a particular order. Participants were allowed to participate in one to three Sub-studies and participation in all Sub-studies was not required.
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| ID | Title | Description |
|---|---|---|
| BG000 | Hearing Aid Setting | Hearing aid features presented in this arm include omnidirectional microphone settings, directional microphone settings, fast-acting compression, and slow-acting compression Hearing aid: Settings in a wearable hearing aid will be adjusted within a clinically-relevant range for two features. The features include wide dynamic range compression and microphone directionality. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Speech Intelligibility (Percent Correct Scores) | Listeners will listen to and repeat recorded low-context sentences mixed with noise from different spatial locations. Speech intelligibility will be measured immediately following hearing aid fitting. Scoring is determined by percentage of words repeated correctly. Scores range from 0-100% (higher score indicates better performance). This task may take up to 1-2 visits (~ 2 hours each) for different combinations of hearing aid features. The device will only be worn in the laboratory for the duration of the experimental task and will be retrieved by the investigator at the end of each visit. | A total of 42 participants were tested for the study. The study design was a full factorial design where each participant completed the outcome measures with all 4 settings in sub-studies 1 & 2. In Sub-study 3, the outcome measures were completed with Settings 1 & 3 only. Due to an error in assigning settings, 1 participant each did not listen with settings 1 & 3 in sub-study 1; 1 participant did not listen with Setting 3 in sub-study 3. | Posted | Mean | 95% Confidence Interval | percentage of words correct | ~20 mins for each intervention over the course of 1-2 days | Data Points | Data Points |
No adverse events to report because all-Cause Mortality, Serious, and Other [Not Including Serious] Adverse Events were not monitored/assessed.
All-Cause Mortality, Serious, and Other (Not Including Serious) Adverse Events were not monitored/assessed.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Hearing Aid Setting | Hearing aid features presented in this arm include omnidirectional microphone settings, directional microphone settings, fast-acting compression, and slow-acting compression. Hearing aid: Settings in a wearable hearing aid will be adjusted within a clinically-relevant range for two features. The features include wide dynamic range compression and microphone directionality. |
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Listeners were tested on the same day as the hearing aid fitting and were not provided with time to acclimate to the different settings. Experience with the different hearing aid settings could affect the role of working memory in speech understanding with hearing aids.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Varsha Rallapalli | Northwestern University | 847-467-0897 | varsha8904@gmail.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 25, 2024 | Jun 26, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 25, 2024 | Jun 26, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D006319 | Hearing Loss, Sensorineural |
| ID | Term |
|---|---|
| D034381 | Hearing Loss |
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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| ID | Term |
|---|---|
| D006310 | Hearing Aids |
| ID | Term |
|---|---|
| D000076251 | Wearable Electronic Devices |
| D055615 | Electrical Equipment and Supplies |
| D004864 | Equipment and Supplies |
| D012682 | Sensory Aids |
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Settings in a wearable hearing aid will be adjusted within a clinically-relevant range for two features. The features include wide dynamic range compression and microphone directionality.
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The participant will be blinded to the hearing aid features being adjusted. The order of presentation of the hearing aid features will be randomized across participants, using a Latin-Square design. The outcomes assessor(s) (who score speech intelligibility) will also be blinded to the conditions.
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Decibel Hearing Level | Mean | Standard Deviation | Decibel Hearing Level |
|
| Working Memory Capacity: Percentage of words recalled correctly | Mean | Standard Deviation | Percentage |
|
| ID | Title | Description |
|---|
| OG000 | Setting 1 | Hearing aid features presented in this arm include omnidirectional microphone settings and fast-acting compression |
| OG001 | Setting 2 | Hearing aid features presented in this arm include omnidirectional microphone settings and slow-acting compression |
| OG002 | Setting 3 | Hearing aid features presented in this arm include directional microphone settings and fast-acting compression |
| OG003 | Setting 4 | Hearing aid features presented in this arm include directional microphone settings and slow-acting compression |
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| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
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| D012678 |
| Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |