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Alzheimer DiseaseHIADNCT02294513

Hearing Instruments in Alzheimer's Disease

An observational study of Alzheimer Disease and Hearing Loss, run by Phonak AG, Switzerland at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

There is a strong connection between hearing loss and cognitive impairment, particularly dementia, in old age. Worldwide, dementia affects approximately 5% of persons over the age of 65 years. Hearing loss is even more prevalent in old age, affecting an estimated one third of persons over the age of 65 years. Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
Conditions the study is for
Alzheimer Disease, Hearing Loss
What is being tested?
Standard audiologic rehabilitation (incl. HI)
Type of treatment
Medical device
How many people
25 participants
Where
1 siteCanada
Study dates
Oct 2014to Feb 2017
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Clients of geriatric hospital and residential living

Who may be able to join

  • Referred to the Audiology department by a physician with a confirmed diagnosis of Alzheimer's disease (or no diagnosis of AD if a normal cognition participant)
  • Pure-tone threshold at 3 kHz in excess of 35 dB HL in the worse ear
  • 60 years of age or older
  • Able to read and communicate well in English
  • Allow the researchers access to their medication list throughout the study to assess any changes in medications
  • Willing to use one or more hearing aid(s) on a regular basis
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  • Has a caregiver who…
  • Is a family member
  • Is over the age of 18
  • Is able to read and communicate well in English.
  • Accompanies participant to Baycrest for all necessary appointments
  • Provides qualitative and quantitative assessments of the participant's everyday behaviours and functioning
  • Is willing to learn and support the participant in using hearing aid(s), provide information on their own well-being and communication function
  • If they currently use one or more hearing aid(s), have acquired said aid(s) at least one year prior and are using it/them in a stable fashion.

Who cannot join

  • Suffered a traumatic brain injury or stroke within the past five years
  • Has a history of untreated psychiatric illness
  • Has an uncorrected deficit in visual acuity or an untreated visual medical issue (e.g., glaucoma, macular degeneration, diabetic retinopathy)
  • Suffers from a neurological disorder (e.g., multiple sclerosis, epilepsy)
  • Has any untreated medical conditions that could jeopardize participation in the study
  • Has been taking medication for their cognitive impairment (e.g., cholinesterase inhibitor, NMDA receptor antagonists) for less than one month.
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  • Has a caregiver who…
  • Is not cognitively stable (e.g., has been diagnosed with mild cognitive impairment or dementia)
  • Has a terminal medical or untreated psychiatric conditions that could jeopardize their participation in the study.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Baycrest Center of Geriatric Care

    Toronto, Ontario, M6A 2E1

Other trials in Canada

About this study

Official title: Hearing Intervention for Patients With Early-Stage Alzheimer's Disease: Determining the Benefits for Patients and Family Caregivers

There is a strong connection between hearing loss and cognitive impairment, particularly dementia, in old age. Worldwide, dementia affects approximately 5% of persons over the age of 65 years. Hearing loss is even more prevalent in old age, affecting an estimated one third of persons over the age of 65 years. Thus, there is likely a large degree of overlap between the impairments. Indeed, this overlap may influence older adults' everyday functioning, communication, social engagement and quality of life, as well as influencing the well-being of their family caregivers. This project will examine whether patients with hearing loss and Alzheimer's disease, the most common form of dementia, derive benefit the from hearing aids prescribed and fit to them following current best practice procedures in a geriatric audiology clinic. For the first time, a formal evaluation of the potential benefits of hearing aids for the patients' family caregivers will also be conducted.

Read the detailed description

Currently, five percent of individuals over the age of 65 suffer from Alzheimer's disease (AD) or a related dementia. Given that hearing loss affects approximately one third of individuals over the age of 65, it is likely that many persons with AD will also suffer from co-morbid hearing loss. Following this logic, a small proportion of the patients treated in a geriatric audiology clinic most likely have both AD and hearing loss. Little research has examined the use of hearing aids by persons with AD, and whether current audiologic rehabilitation can provide benefits for their cognitive, social, and communication functioning. In addition, given that caregiver burden is a huge issue for caregivers of persons with AD, this study will examine whether providing hearing aids to those with AD has concomitant benefits for their family caregivers (e.g., spouse, adult child).

The main research question in this study is: Will persons with AD demonstrate benefit from the use of hearing aids, where benefit is measured through questionnaires assessing activities of daily living, communication, and social functioning. We hypothesize that participants with AD in the intervention group (i.e., those who receive hearing aids) will have a larger improvement in overall functioning at the end of a one-month and three-month period than participants with AD in two control groups. Furthermore, we hypothesize that a group of cognitively normal control participants will demonstrate similar gains in functioning to those participants with AD. Finally, we hypothesize that a similar disparity in benefit between the intervention and control groups will be seen for the participants' caregivers. The specific objectives for this project are to determine, for people with AD if … a) they can benefit from hearing aids based on common audiologic outcome measures, as well as measures of communication function and activities of daily living, and if such benefits depend on variations in current audiologic practice; b) they can benefit from hearing aids with regard to measures of severity of cognitive, behavioural and psychological symptoms of dementia and related caregiver burden; c) hearing aids can bolster their family caregivers' psychological well-being, relationship with, and perceived burden related to caring for and communicating with someone who suffers from both AD and hearing loss, and if specific issues related to communication and audiologic rehabilitation are identified as important by caregivers; and d) the beneficial effects of the hearing aid intervention on the person and their caregiver can be maintained at three months post-fitting.

A randomized control design will be used with three groups of AD patients randomly assigned to 1) intervention (immediate hearing aid fitting), 2) wait-list control (no hearing aid intervention) or 3) active control (no hearing aid intervention + using a new form of fitness technology). A final group of controls with normal cognition will also be tested. All participants will undergo an assessment of their cognition. They and their family caregivers will complete a battery of measures on at least three occasions: once right before the hearing aid fitting is completed to provide a baseline (1), as well as one-month (2) and three-months (3) post-fitting. Participants in the control groups will also complete a set of additional assessments corresponding to the timeline for the hearing aid fitting of participants in the interventions groups (i.e., they will complete 5 assessments rather than 3). In addition to the study sessions, all participants will also complete standard audiology appointments including hearing testing, hearing aid evaluation, hearing aid fitting, and hearing aid checking.

Being tested
Standard audiologic rehabilitation (incl. HI)
Keywords
Alzheimer disease, Dementia, Hearing loss, Correction of hearing impairment, Hearing aids, Communication, Family caregivers, Third-party disability
Medical subject headings
Alzheimer Disease, Hearing Loss, Dementia, Communication

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard audiologic rehabilitation (incl. HI)Device

    Also called hearing aid

    The intervention consists of standard audiologic rehabilitation in which participants are fit with at least one hearing instrument (HI).

Study groups in NCT02294513
Study groupRoleWhat they receive
AD_HIThis group will consist of participants with Alzheimer's disease who receive treatment (Standard audiologic rehabilitation (incl. HI)) immediately and are followed over a three-month intervention period.
Receives: Device: Standard audiologic rehabilitation (incl. HI)
NC_HIThis group will consist of participants with normal cognition (i.e., no diagnosis of Alzheimer's disease) who receive treatment (Standard audiologic rehabilitation (incl. HI)) immediately and are followed over a three-month intervention period.
Receives: Device: Standard audiologic rehabilitation (incl. HI)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Client Oriented Scale of Improvement (COSI): Change over 3months

    Measure of communication situations where the participant experiences difficulty (e.g., at church, in a noisy restaurant). Charts change in difficulty over time

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  2. Hearing Handicap Inventory of the Elderly (HHIE): Change over 3months

    Measure of hearing and communication handicap

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  3. International Outcome Inventory for Hearing Aids (IOI-HA): Change over 2months

    Measure of the effectiveness of hearing aid treatments

    Measured: 1st, 3rd month for AD_HI & NC_HI (4th, 6th month for controls AD_WaitC & AD_ActC resp.)

  4. Self-Assessment of Communication (SAC): Change over 3months

    Measure of difficulties caused by an individual's hearing los

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  5. Satisfaction with Amplification in Daily Life (SADL): Change over 2months

    Measure of satisfaction with using hearing aids

    Measured: 1st, 3rd month for AD_HI & NC_HI (4th, 6th month for controls AD_WaitC & AD_ActC resp.)

  6. Significant Other Assessment of Communication (SOAC): Change over 3months

    Completed by significant other, measure of a communication partner's hearing difficulties

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  7. Significant Other Scale for Hearing Disability (SOS-Hear): Change over 3months

    Measure of third-party disability experienced by spouses of older people with hearing impairment

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

Secondary outcomes (20)
  1. Words-in-noise test (WIN): Change over 3months

    Determines the signal-to-noise (SNR) threshold at which the person can correctly recognize 50% of the target words

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  2. Dichotic digits test (DDT): Change over 3months

    Measure of central auditory processing

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  3. Montreal Cognitive Assessment (MoCA): Change over 3months

    Measure of cognitive status

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  4. Hopkins Verbal-Learning Test (HVLT): Change over 3months

    Measure of verbal memory

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  5. Brief Visuospatial Memory Test-R (BVMT): Change over 3months

    Measure of visual memory

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  6. Behavioural Pathology in Alzheimer's disease (BEHAVE-AD): Change over 3months

    Measure of problem behaviours demonstrated by individuals with dementia

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  7. Neuropsychiatric Inventory Brief (NPI-Q): Change over 3months

    Measure of 12 neuropsychiatric symptoms commonly experienced by individuals with dementia

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  8. Positive and Negative Affect Schedule (PANAS): Change over 3months

    Measure of mood assessing frequency of 10 positive and 10 negative emotions

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  9. Geriatric Depression Scale- Short Form (GDS-S): Change over 3months

    Measure of depression in older adults

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  10. Bristol Activities of Daily Living Scale: Change over 3months

    Measure of instrumental and basic activities of daily living over the past two weeks

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  11. Activity and Social Participation Assessment: Change over 3months

    Measure of the frequency of specific activities

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  12. Quality of Life in Alzheimer's disease: Change over 3months

    Measure of the domains of physical health, energy, mood, living situation, memory, family, marriage, friends, chores, fun, money, self, and life as a whole

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  13. Practical Hearing Test- Revised: Change over 2months

    Measure of objective ability to use hearing aids

    Measured: 1st, 3rd month for AD_HI & NC_HI (4th, 6th month for controls AD_WaitC & AD_ActC resp.)

  14. Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids: Change over 3months

    Measure of ability to use and maintain hearing aid

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  15. Perception of Conversation Index- Dementia of the Alzheimer Type: Change over 3months

    Measure of caregivers' strategies for overcoming conversation difficulties

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  16. Relationship Satisfaction Questionnaire (RAS): Change over 3months

    Measure of satisfaction with primary relationship

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  17. Social Support Questionnaire: Change over 3months

    Measure of level of social support

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  18. Zarit Burden Interview- Short Form: Change over 3months

    Measure of burden associated with behavioural impairments and the situation at home

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  19. Short-Form Health Survey-12 items: Change over 3months

    Measure of functional health and well-being

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

  20. Hours of hearing aid use: Change over 3months

    Measure of how many hours the participant is wearing their hearing aid daily

    Measured: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Nov 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionFeb 2017
  4. Study completionFeb 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02294513
Sponsor's protocol ID
CHPHST101659-03HIAD
Acronym
HIAD
Status last verified
Apr 2017
First submitted
31 Oct 2014
Last updated
11 Apr 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Alzheimer Disease and Hearing Loss, run by Phonak AG, Switzerland at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Client Oriented Scale of Improvement (COSI): Change over 3months (time frame: 0, 1st, 3rd month (plus 4th and 6th month for controls AD_WaitC & AD_ActC)). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Apr 2017.

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