1260 Participants Needed

Auditory Training for Hearing Loss

Recruiting at 2 trial locations
AC
Overseen ByAudrey Carrillo, M.A.
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Northeastern University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine how different types of Auditory Training (AT) can improve speech understanding, particularly in noisy settings. The researchers will focus on various AT methods to identify which ones best enhance speech clarity. This study may suit individuals fluent in English or Spanish, with normal or near-normal hearing, who occasionally struggle to hear speech in noisy environments. Participants will engage in different auditory activities, aiding researchers in understanding what makes AT successful. As an unphased trial, this study offers participants the chance to contribute to foundational research that could enhance auditory training methods for many.

Will I have to stop taking my current medications?

The trial protocol does not specify whether you need to stop taking your current medications. However, if you have a medical illness requiring treatment during the study, you may be excluded from participating.

What prior data suggests that auditory training is safe for improving speech understanding?

Research has shown that auditory training (AT) is generally well-received, with studies indicating various positive outcomes. For the Mixed Training approach, evidence from different studies demonstrates significant improvements in speech understanding and cognitive skills, with no major safety concerns reported.

For Gamified Training, studies have found that this method can enhance sound processing and memory. Its engaging format seems to improve the training experience without any reported negative effects.

Regarding Foraging Training, research has shown significant improvements in hearing abilities in adults, again without any serious safety issues.

Speech Training is supported by studies showing better speech understanding and an improved quality of life, especially for older adults. Safety concerns are minimal, as most studies focus on improvements in speech comprehension.

Finally, for STM (Short-Term Memory) Training, studies have shown it effectively improves specific listening tasks. The training has yielded positive results with no significant safety issues.

Overall, AT methods are considered safe across various types, with studies focusing on improvements in hearing and cognitive skills rather than safety risks.12345

Why are researchers excited about this trial?

Researchers are excited about auditory training for hearing loss because it harnesses the brain's ability to adapt and improve sound processing through different engaging techniques. Unlike traditional hearing aids that amplify sound, these methods—like gamified training and foraging training—aim to retrain the brain to better interpret sounds, potentially enhancing listening skills without hardware. This approach could be particularly beneficial for individuals who struggle to understand speech in noisy environments, offering a novel way to improve hearing function beyond conventional amplification. With options like mixed and speech training, these methods provide a variety of interactive and targeted exercises designed to cater to different learning preferences and auditory challenges.

What evidence suggests that this trial's auditory training approaches could be effective for improving speech understanding in noisy environments?

Research has shown that auditory training can help people understand speech better in noisy places. In this trial, participants may receive different types of auditory training. Studies have found that methods like mixed training and speech training, included in this trial, greatly improve how well many people, including those with cochlear implants, hear speech in noisy settings. Gamified training, another option in this trial, effectively boosts basic listening memory and processing skills. Other types of training in this trial, such as foraging training and short-term memory training, enhance thinking skills like memory and attention, aiding communication in challenging listening situations. Overall, auditory training methods have been proven to assist people with hearing difficulties by enhancing their listening abilities and quality of life.56789

Who Is on the Research Team?

TK

Tess Koerner, PhD

Principal Investigator

Oregon Health and Science University

AS

Aaron Seitz, PhD

Principal Investigator

Northeastern University

Are You a Good Fit for This Trial?

This trial is for individuals with hearing loss, including both young and older adults. Participants will engage in auditory training to improve speech understanding in noise. They must be willing to undergo various auditory tasks, tests, and surveys. Specific eligibility details are not provided but typically include factors like age range and hearing loss severity.

Inclusion Criteria

I am between 50-85, with normal hearing for my age and no signs of dementia.
No self-reported auditory difficulties and normal or near-normal hearing sensitivity as measured by SRTs

Exclusion Criteria

I have been diagnosed with dementia or another brain condition.
My vision or hearing does not limit my ability to learn new things.
I plan to travel for more than a week during the study.
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Auditory Training

Participants take part in auditory training sessions that include different types of auditory tasks

5 weeks
Multiple sessions (in-person)

Testing

Participants complete tests to measure speech understanding in quiet and noisy settings

1 week
3 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after training

4 weeks
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Auditory Training
Trial Overview The study is testing different auditory training methods: STM Training, Speech Training, Mixed Training, Gamified Training, Foraging Training. It aims to determine which sounds and approaches enhance speech comprehension in noisy environments and how personal traits affect outcomes.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Active Control
Group I: Speech TrainingExperimental Treatment1 Intervention
Group II: STM TrainingExperimental Treatment1 Intervention
Group III: Mixed TrainingExperimental Treatment1 Intervention
Group IV: Gamified TrainingExperimental Treatment1 Intervention
Group V: Foraging TrainingExperimental Treatment1 Intervention
Group VI: Business As UsualActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Northeastern University

Lead Sponsor

Trials
103
Recruited
72,600+

University of California, Riverside

Collaborator

Trials
33
Recruited
14,400+

Oregon Health and Science University

Collaborator

Trials
1,024
Recruited
7,420,000+

Published Research Related to This Trial

A formal auditory training program significantly improved behavioral aspects of auditory function in seven adults aged 46 to 57 with bilateral high-frequency hearing loss, particularly in understanding speech in noisy environments.
While some electrophysiological measures showed no significant change, the training led to the emergence of previously absent long-latency components in some participants, indicating potential neural adaptations.
Effects of auditory training in individuals with high-frequency hearing loss.Santos, RB., Marangoni, AT., de Andrade, AN., et al.[2022]
Older adults with hearing impairment who participated in a word-based auditory training program showed significant improvements in understanding speech in noisy environments compared to those who did not receive training.
Training twice a week or three times a week for 5-15 weeks provided similar benefits, suggesting that a lower frequency of training (2x/week) is effective for enhancing auditory skills in this population.
The effects of dosage and duration of auditory training for older adults with hearing impairment.Humes, LE., Kinney, DL., Brown, SE., et al.[2021]
The at-home frequent-word auditory training significantly improved recognition of trained materials for older adults with hearing impairment, with benefits lasting for at least 8.5 months after the intervention.
However, the training did not lead to improvements in recognizing nontrained materials or in overall satisfaction with hearing aids, indicating that while the training was effective for specific tasks, it did not enhance general hearing aid performance.
Clinical Effectiveness of an At-Home Auditory Training Program: A Randomized Controlled Trial.Humes, LE., Skinner, KG., Kinney, DL., et al.[2020]

Citations

Effectiveness of Auditory Training in Experienced Hearing-Aid ...Results showed that half of the cochlear implant users showed better speech in noise perception and better quality of life following training.
Effects of Auditory Training in Older AdultsThis study examines the effects of an auditory training program on the auditory and cognitive abilities of older adults.
Auditory Training Supports Auditory Rehabilitation: A State- ...A recent review and meta-analysis suggests that auditory and cognitive training in individuals with hearing impairment can additionally improve cognitive skills ...
Auditory training can improve working memory, attention ...Auditory training can improve working memory, attention, and communication in adverse conditions for adults with hearing loss.
Auditory and Cognitive Training for Cognition in Adults ...The overall effect of auditory training on cognitive outcomes in adults with hearing loss was small and statistically significant, with no ...
Costs and Effectiveness of Hearing Conservation ...This study characterized overall and specific costs associated with hearing conservation programs (HCPs) at US metal manufacturing sites.
Prevalence and global estimates of unsafe listening ...It is estimated that 0.67–1.35 billion adolescents and young adults worldwide could be at risk of hearing loss from exposure to unsafe listening ...
Auditory Training for Hearing LossA formal auditory training program significantly improved behavioral aspects of auditory function in seven adults aged 46 to 57 with bilateral high-frequency ...
Systematic Review of Auditory Training Outcomes in Adult ...Data Synthesis and Meta-Analysis: Data were qualitatively summarized for 23 studies. All but four studies demonstrated significant improvement ...
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