Communication Treatment for Hearing Loss
What You Need to Know Before You Apply
What is the purpose of this trial?
The language outcome of children receiving cochlear implantation to address bilateral sensorineural hearing loss is more variable than that of typical hearing children. The research is focused upon development of neural predictive models based upon brain imaging to forecast language after cochlear implantation on the individual child level. The long-term goal is improving children's language by using predictive models to enable a custom "predict to prescribe" approach to intervene with more effective behavioral therapy for children at risk to develop poorer language. The investigators previously developed models for short term language outcome of English-learning implanted children. The aims of this study are to 1. Develop models able to predict long term outcome for English- learning and Spanish-learning children; and 2. To evaluate whether English-learning children predicted to achieve lower language based on the investigators' previously constructed models can demonstrate significant gains from Parent Implemented Communication Treatment (PICT). PICT is an intensive parent education program about strategies to improve children's communication.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
Is Parent-Child Interaction Therapy (PCIT) safe for humans?
How is the Parent-Implemented Communication Treatment (PICT) different from other treatments for hearing loss?
The Parent-Implemented Communication Treatment (PICT) is unique because it involves parents directly in the therapy process, teaching them communication support strategies to enhance their child's prelinguistic skills. This approach empowers parents to actively engage in their child's language development, which is different from traditional treatments that may rely more on professional-led interventions.56789
What data supports the effectiveness of the treatment Parent-Implemented Communication Treatment (PICT) for hearing loss?
Research shows that parent-child interaction therapy (PCIT) can improve language skills and parent-child interactions in children with hearing loss, suggesting that treatments involving parent engagement, like PICT, may be effective. Additionally, studies indicate that enhancing parents' communication skills can lead to significant improvements in their ability to convey messages to their children, which supports the potential effectiveness of PICT.58101112
Who Is on the Research Team?
Nancy Young, MD
Principal Investigator
Ann & Robert H Lurie Children's Hospital of Chicago
Are You a Good Fit for This Trial?
This trial is for children under 5 with bilateral sensorineural hearing loss who are candidates for cochlear implantation, and speak English or Spanish. It's also open to kids under 7 at the Lurie site with unilateral hearing loss meeting implant criteria. Participants must be exposed to spoken language at home.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-surgical Evaluation
Pre-surgical MRI and audiology evaluations as part of routine pre-operative evaluation
Treatment
Children receive cochlear implantation and follow-up audiology evaluations at 6, 12, 18, 24, 36, and/or 48 months
Communication Treatment
Parent Implemented Communication Treatment (PICT) with weekly virtual sessions for six months
Follow-up
Participants are monitored for language and communication development through surveys and evaluations
What Are the Treatments Tested in This Trial?
Interventions
- Parent-Implemented Communication Treatment
Find a Clinic Near You
Who Is Running the Clinical Trial?
Ann & Robert H Lurie Children's Hospital of Chicago
Lead Sponsor
The University of Texas at Dallas
Collaborator
Chinese University of Hong Kong
Collaborator
Northwestern University
Collaborator
University of North Carolina, Chapel Hill
Collaborator
University of Southern California
Collaborator
University of Miami
Collaborator