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Cochlear Hearing LossEarly Phase 1NCT05486637

Vocal Emotion Communication With Cochlear Implants

A Early Phase 1 study testing Perception of acoustic cues to emotion and Production of acoustic cues to emotion in people with Cochlear Hearing Loss, run by Father Flanagan's Boys' Home at 4 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Patients with hearing loss who use cochlear implants (CIs) show significant deficits and strong unexplained intersubject variability in their perception and production of spoken emotions in speech. Read more about this study

Who is it for?
Ages 6 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Cochlear Hearing Loss
What is being tested?
Perception of acoustic cues to emotion and Production of acoustic cues to emotion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
255 participants
Where
4 sitesUnited States
Study dates
1 Jul 2022to 30 Jun 2027
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

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 6 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Prelingually deaf children with cochlear implants
  • Postlingually deaf adults with cochlear implants
  • Normally hearing children
  • Normally hearing adults

Who cannot join

  • Non-native speakers of American English
  • Prelingually deaf individuals who receive cochlear implants after age 12
  • Adults unable to pass a basic cognitive screen

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Monita Chatterjee, Ph.D. contact

8474672760

monita.chatterjee@northwestern.edu

Dawna E Lewis, Ph.D. contact

531-355-6607

dawna.lewis@boystown.org

United States4 sites, 4 recruiting
  • Northwestern University

    Evanston, Illinois, 60208

    Monita Chatterjee, Ph.D., monita.chatterjee@northwestern.edu

    Not yet recruiting
  • House Institute Foundation

    Los Angeles, California, 90017

    John J Galvin, Ph.D., jgalvin@hifla.org

    Recruiting
  • Boys Town National Research Hospital

    Omaha, Nebraska, 68131

    Monita Chatterjee, Ph.D., 531-355-5069, monita.chatterjee@boystown.org

    Dawna E Lewis, Ph.D., 531-355-6607, dawna.lewis@boystown.org

    Recruiting
  • Arizona State University

    Tempe, Arizona, 85287

    Xin Luo, Ph.D., 480-965-9251, xinluo@asu.edu

    Recruiting

Other trials in United States

About this study

Official title: Perception and Production of Emotional Prosody With Cochlear Implants

Patients with hearing loss who use cochlear implants (CIs) show significant deficits and strong unexplained intersubject variability in their perception and production of spoken emotions in speech. This project will investigate the hypothesis that "cue-weighting", or how patients utilize the different acoustic cues to emotion, accounts for significant variance in emotional communication with CIs. The results will focus on children with CIs, but parallel measures in postlingually deaf adults with CIs will be made, ensuring that results of these studies benefit social communication by CI patients across the lifespan by informing the development of technological innovations and improved clinical protocols.

Read the detailed description

Emotion communication is a fundamental part of spoken language. For patients with hearing loss who use cochlear implants (CIs), detecting emotions in speech poses a significant challenge. Deficits in vocal emotion perception observed in both children and adults with CIs have been linked with poor self-reported quality of life. For young children, learning to identify others' emotions and express one's own emotions is a fundamental aspect of social development. Yet, little is known about the mechanisms and factors that shape vocal emotion communication by children with CIs. Primary cues to vocal emotions (voice characteristics such as pitch) are degraded in CI hearing, but secondary cues such as duration and intensity remain accessible to patients. It is proposed that individual CI users' auditory experience with their device plays an important role in how they utilize these different cues and map them to corresponding emotions.

In previous studies, the Principal Investigator (PI) and the PI's team conducted foundational research that provided valuable information about key predictors of vocal emotion perception and production by pediatric CI recipients. The work proposed here will use novel methodologies to investigate how the specific acoustic cues used in emotion recognition by CI patients change with increasing device experience (Aim 1) and how the specific cues emphasized in vocal emotion productions by CI patients change with increasing device experience (Aim 2). Studies will include both a cross-sectional and a longitudinal approach.

The team's long-term goal is to improve emotional communication by CI users. The overall objectives of this application are to address critical gaps in knowledge by elucidating how cue-utilization (the reliance on different acoustic cues) for vocal emotion perception (Aim 1) and production (Aim 2) are shaped by CI experience. The knowledge gained from these studies will provide the evidence-base to support the development of clinical protocols that support emotional communication by pediatric CI recipients, and will thus benefit quality of life for CI users.

The hypotheses to be tested are: [H1] that cue-weighting accounts significantly for inter-subject variations in vocal emotion identification by CI users; [H2] that optimization of cue-weighting patterns is the mechanism by which predictors such as the duration of device experience and age at implantation benefit vocal emotion identification; and [H3] that in children with CIs, the ability to utilize voice pitch cues to emotion, together with early auditory experience (e.g., age at implantation and/or presence of usable hearing at birth) account significantly for inter-subject variation in emotional productions. The two Specific Aims will test these hypotheses while taking into account other factors such as cognitive and socioeconomic status, theory of mind, and psychophysical sensitivity to individual prosodic cues.

This is a prospective design involving human subjects who are children and adults. The participants will perform two kinds of tasks: 1) listening tasks in which participants listen to speech or nonspeech sounds and make a judgment about it, interacting with a software program on a computer screen; and 2) speaking tasks, in which participants will read aloud a list of simple sentences in a happy way and a sad way or converse with a member of the research team, in which participants retell a picture book story or describe an activity of their choosing. Participants' speech will be recorded, analyzed for its acoustics, and also used as stimuli for listening tasks. In addition to these tasks, participants will also be invited to perform tests of cognition, vocabulary, and theory of mind.

Participants will not be assigned to groups, and no control group will be assigned, in any of the Aims. In parallel with cochlear implant patients, the team will test normally hearing listeners spanning a similar age range to provide information on how the intact auditory system processes emotional cues in speech in perception and in production. Effects of patient factors such as their hearing history, experience with their cochlear implant, and cognition will be investigated using regression-based models. All patients will be invited to participate in all studies, with no assignment, until the sample size target is met for the particular study. The order of tests will be randomized as appropriate to avoid order effects.

Being tested
Perception of acoustic cues to emotion, Production of acoustic cues to emotion
Keywords
Emotional prosody, Acoustic cues, Perception, Production, Children, Development, Cochlear Implant, Hearing Loss
Medical subject headings
Hearing Loss, Sensorineural, Hearing Loss

What participants receive

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

  • Perception of acoustic cues to emotionBehavioural

    Using novel methodologies and stimuli comprising both controlled laboratory recordings and materials culled from databases of ecologically valid speech emotions (e.g., from publicly available podcasts), the team aims to collect perceptual data to build a statistical model to test the hypothesis that experience-based changes in emotion identification by pediatric and adult CI recipients is mediated by improvements in cue-optimization.

  • Production of acoustic cues to emotionBehavioural

    The team will acoustically analyze vocal emotion productions by participants, quantify acoustic features of spoken emotions, and obtain behavioral measures of how well normally hearing listeners can identify those emotions.

Study groups in NCT05486637
Study groupRoleWhat they receive
Vocal emotion communication by children and adults with cochlear implants or normal hearingExperimentalParticipants will be native speakers of American English and include pediatric cochlear implant recipients with unilateral or bilateral devices aged 6-19 years, children with normal hearing aged 6-19 years, postlingually deaf adults with cochlear implants, and adults with normal hearing. In Aim 1 participants will listen to emotional speech sounds and identify the talker's intended emotion. In Aim 2 participants will be invited to produce emotional speech by reading out scripted materials or in a more naturalistic conversational setting.
Receives: Behavioral: Perception of acoustic cues to emotion; Behavioral: Production of acoustic cues to emotion

What is being measured

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

  1. Vocal emotion recognition accuracy

    Percent correct scores in vocal emotion recognition

    Measured: Years 1-5

  2. Vocal emotion recognition sensitivity

    Sensitivity (d's) in vocal emotion recognition

    Measured: Years 1-5

  3. Voice pitch (fundamental frequency) of vocal productions

    Voice pitch (Hz) measured from acoustic analyses of recorded speech

    Measured: Years 1-5

  4. Intensity of vocal productions

    Intensity (decibel units) measured from acoustic analyses of recorded speech

    Measured: Years 1-5

  5. Duration of vocal productions

    Duration (1/speaking rate) measured from acoustic analyses of recorded speech

    Measured: Years 1-5

  6. Recognition of recorded speech emotions by listeners -- percent correct scores

    Accuracy and associated d's (sensitivity measure) in listeners' ability to identify the emotions recorded in participants' speech

    Measured: Years 1-5

  7. Recognition of recorded speech emotions by listeners -- d' values (sensitivity measure)

    Sensitivity (d's based on hit rates and false alarm rates) in listeners' ability to identify the emotions recorded in participants' speech

    Measured: Years 1-5

Secondary outcomes (1)
  1. Reactions times (seconds) for vocal emotion identification

    Time between the end of the stimulus recording and the response (button press)

    Measured: Years 1-5

Timeline

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

  1. First posted3 Aug 2022
  2. Study start1 Jul 2022
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Model description
This is a prospective design involving human subjects who are children and adults with cochlear implants or with normal hearing. Participants will perform two kinds of tasks: 1) listening tasks in which participants listen to speech or nonspeech sounds and make a judgment regarding the emotion in the sound and 2) speaking tasks, in which participants will read aloud a list of simple sentences in a happy way and a sad way or converse with a member of the research team, in which participants retell a picture book story or describe an activity of their choosing. Participants' speech will be recorded, analyzed for its acoustics, and also used as stimuli for listening tasks. Child participants will also be invited to perform tests of cognition, vocabulary, and theory of mind. All participants will be invited to participate in all studies, with no assignment. The order of tests will be randomized as appropriate to avoid order effects.
Masking
None (open label)
Enrolment
255 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05486637
Sponsor's protocol ID
Prosody
Other IDs
R01DC019943
Status last verified
Sep 2025
First submitted
26 Jul 2022
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The team plans to potentially share relevant information regarding participant age, device (if cochlear implant user), age at implantation, outcome measures, etc., excluding all PHI (personal health identifier) information.

Publications

  • Barrett KC, Chatterjee M, Caldwell MT, Deroche MLD, Jiradejvong P, Kulkarni AM, Limb CJ. Perception of Child-Directed Versus Adult-Directed Emotional Speech in Pediatric Cochlear Implant Users. Ear Hear. 2020 Sep/Oct;41(5):1372-1382. doi: 10.1097/AUD.0000000000000862.

    PubMed 32149924
  • Chatterjee M, Kulkarni AM, Siddiqui RM, Christensen JA, Hozan M, Sis JL, Damm SA. Acoustics of Emotional Prosody Produced by Prelingually Deaf Children With Cochlear Implants. Front Psychol. 2019 Sep 30;10:2190. doi: 10.3389/fpsyg.2019.02190. eCollection 2019.

    PubMed 31632320
  • Damm SA, Sis JL, Kulkarni AM, Chatterjee M. How Vocal Emotions Produced by Children With Cochlear Implants Are Perceived by Their Hearing Peers. J Speech Lang Hear Res. 2019 Oct 25;62(10):3728-3740. doi: 10.1044/2019_JSLHR-S-18-0497. Epub 2019 Oct 7.

    PubMed 31589545
  • Chatterjee M, Zion DJ, Deroche ML, Burianek BA, Limb CJ, Goren AP, Kulkarni AM, Christensen JA. Voice emotion recognition by cochlear-implanted children and their normally-hearing peers. Hear Res. 2015 Apr;322:151-62. doi: 10.1016/j.heares.2014.10.003. Epub 2014 Oct 16.

    PubMed 25448167

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Perception of acoustic cues to emotion and Production of acoustic cues to emotion in people with Cochlear Hearing Loss, run by Father Flanagan's Boys' Home at 4 sites in United States.

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 4 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 19 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. 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.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Monita Chatterjee, Ph.D. (8474672760, monita.chatterjee@northwestern.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Vocal emotion recognition accuracy (time frame: Years 1-5). 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?

On the ClinicalTrials.gov record for NCT05486637, which also lists 4 linked publications.

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 19 Sep 2025.

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