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| Name | Class |
|---|---|
| George Washington University | OTHER |
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The purpose of the study is to assess training of visual speech (lipreading) and audiovisual (lipreading plus auditory) speech as a rehabilitation strategy for hearing loss in adults.
It is hypothesized that training that improves lipreading in older adults can carry over to untrained lipreading materials and to audiovisual speech recognition in noise. Participants receive pre- and post-training tests of speech recognition with visual-only, auditory-only, and audiovisual spoken sentences and isolated words. During pre- and post-training tests, they carry out forced choice identification of lipread consonants. Participants who are assigned to a training arm train on lipreading isolated sentences (Aim 1) or on learning via lipreading sets of isolated nonsense words (Aim 2). Depending on the outcomes of Aims 1 and 2, in Aim 3, new participants receive audiovisual training with conditions from Aims 1 and 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aim 1, Sentence Training: Sentence Feedback | Experimental | In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading. This arm gives printed whole sentence feedback following an attempt to lipread each sentence. Participants receive pre- and post-training tests. |
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| Aim 1, Sentence Training: Word Feedback | Experimental | In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading. This arm gives printed whole word feedback following an attempt to lipread each sentence. Word feedback is for correct words and words that are perceptually similar but incorrect responses. Participants receive pre- and post-training tests. |
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| Aim 1, Sentence Training: Consonant Feedback | Experimental | In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading. This arm gives printed consonant word feedback following an attempt to lipread each sentence. Word feedback is for correct words, but only the consonants are given as feedback for words that are perceptually similar but incorrect responses. Participants receive pre- and post-training tests. |
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| Aim 1, Sentence Training: No Training Control | No Intervention | Participants receive only the pre- and post-training tests. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Speech Recognition Training | Behavioral | Training for each training arm takes place over 10 sessions carried out at home. on the participant's own computer without experimenter direct supervision. Pre- and post-training tests are carried out under experimenter supervision. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in words-correct scores across pre- and post-training sentence lipreading tests. | Change in words-correct scores across pre- and post-training visual-only sentence tests with open-set responses. | up to 8 weeks |
| Change in phonemes-correct scores across pre- and post-training sentence lipreading tests. | Change in phonemes-correct scores across pre- and post-training visual-only sentence tests with open-set responses. | up to 8 weeks |
| Change in consonant-identification scores across pre- and post-training word lipreading tests. | Change in consonants-correct scores across pre- and post-training for visual-only tests using isolated nonsense words and closed-set responses. | up to 8 weeks |
| Change in word-correct scores across pre- and post-training word lipreading tests. | Change in words-correct scores across pre- and post-training visual-only isolated real word tests with open-set response. | up to 8 weeks |
| Change in phonemes-correct scores across pre- and post-training word lipreading tests. | Change in phonemes-correct scores across pre- and post-training visual-only isolated real word tests with open-set response. | up to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in words-correct scores across pre- and post-training audiovisual sentence tests. | Change in words-correct scores across pre- and post-training audiovisual-in-noise sentence identification tests with open-set response. | up to 8 weeks |
| Change in phonemes-correct scores across pre- and post-training audiovisual sentence tests. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lynne E Bernstein, Ph.D. | George Washington University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| George Washington University | Washington | Virginia | 20052 | United States |
De-identified data may be shared with other researchers following appropriate agreements. Personally-identifiable data will never be shared with individuals outside the research team, except as required by Law, NIH, or Geourge Washington University.
Data will be available after they have been described in publications by the authors.
The data will be transferred via the Open Science Framework.
| Type | Date | Date Unknown |
|---|---|---|
| Release | Aug 31, 2023 | |
| Reset | Mar 20, 2024 | |
| Release | Oct 22, 2025 | |
| Reset | Nov 10, 2025 |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Feb 26, 2021 | Aug 18, 2021 | ICF_000.pdf |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Aug 31, 2023 | Mar 20, 2024 | |||
| Oct 22, 2025 |
| ID | Term |
|---|---|
| D034381 | Hearing Loss |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
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In Aim 1, which is sentence lipreading training, the intervention compares the provision of three different types of feedback for lipreading. The three types are consonant-level, word-level, or sentence-level feedback. A no-training wait-list control is included.
In Aim 2, novel word training, the intervention has one arm in which novel word learning via lipreading the words is supported by allowing the participants to read the consonants in the novel words before lipreading them.
In Aim 3, the most effective feedback with sentence training will be compared with novel word training using training stimuli that are audiovisual speech in speech-shaped noise.
The interventions are all delivered individually via the web. Finally, all pre- and post-training results will be compared across groups including the wait-list controls.
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| Aim 2, Nonsense Word Training | Experimental | Participants train to lipread nonsense words that name nonsense pictures. Participants receive pre- and post-training tests. |
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| Aim 3, Audiovisual Nonsense Word Training | Experimental | Participants train to recognize audiovisual spoken nonsense words that name nonsense pictures and are presented in speech-shaped noise. The paradigm is the same as in Aim 2. Participants receive pre- and post-training tests. |
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| Aim 3, Audiovisual Sentence Training | Experimental | Participants receive the same training paradigm from Aim 1 with the most effective feedback type from Aim 1. But the sentences are audiovisual and in speech-shaped noise. Participants receive pre- and post-training tests. |
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Change in phonemes-correct scores across pre- and post-training audiovisual-in-noise sentence identification tests with open-set response. |
| up to 8 weeks |
| Change in word-correct scores across pre- and post-training for audiovisual-in-noise word tests. | Change in word-correct scores across pre- and post-training audiovisual-in-noise isolated real word tests with open-set response. | up to 8 weeks |
| Change in phoneme-recognition scores across pre- and post-training audiovisual-in-noise word tests. | Change in phoneme-recognition scores across pre- and post-training audiovisual-in-noise isolated real word tests with open-set response. | up to 8 weeks |
| Nov 10, 2025 |
| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |