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Hearing LossNCT05512000

Retrieval Practice for Word Learning for Deaf and Hard of Hearing Children

A study testing Feedback with massed trials, Feedback with spaced trials and No feedback with massed trials in people with Hearing Loss and Language Impairment, run by Vanderbilt University Medical Center at 1 site in United States.

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

This study is designed to advance the promising yet underutilized research on retrieval practice by evaluating the effectiveness and efficiency of two key retrieval practice features (feedback and spacing). Read more about this study

Who is it for?
Ages 5 to 9 years
Conditions the study is for
Hearing Loss, Language Impairment
What is being tested?
Feedback with massed trials, Feedback with spaced trials and No feedback with massed trials
Could I receive a placebo?
No, everyone receives an active treatment
How many people
13 participants
Where
1 siteUnited States
Study dates
5 Feb 2023to 11 Jul 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 5 to 9 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • At least minimal prelingual hearing loss
  • Standard scores of at least 70 for receptive and expressive vocabulary skills
  • English is only spoken language

Who cannot join

  • Below average nonverbal cognition
  • Uncorrected vision impairment
  • Evidence of severe motor impairment

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

Other trials in United States

About this study

Official title: Increasing Word Learning Efficiency in Children Who Are Deaf and Hard of Hearing Through Retrieval Practice

This study is designed to advance the promising yet underutilized research on retrieval practice by evaluating the effectiveness and efficiency of two key retrieval practice features (feedback and spacing). The study uses four single case adapted alternating treatments studies, each with 5- to 9-year-old children who are deaf and hard of hearing to evaluate the effects of feedback and spacing on the efficiency of word learning and retention.

Read the detailed description

The proposed research addresses a long-standing and important challenge of improving language skills of children who are deaf and hard of hearing, a historically under researched group. The study aims to leverage retrieval practice - an empirically validated intervention approach - for improving how efficiently children who are deaf and hard of hearing learn and retain new words. To advance the promising yet underutilized research on retrieval practice, the study completes the next logical step of evaluating the effectiveness and efficiency of two key retrieval practice features: feedback and spacing. Feedback is predicted to result in more efficient learning because it focuses attention on unmastered material, prevents the illusion of success, and reduces repeated errors. Spacing trials are predicted to result in more efficient learning than massed trials because they require more effort with fewer cues provided. The study will accomplish these aims through four single case adapted alternating treatments design studies with 5- to 9- year-old children who are deaf and hard of hearing. Study innovations include the critical evaluation of retention and use of a multi-session intervention context. The knowledge gained will guide language intervention for children who are deaf and hard of hearing.

Being tested
Feedback with massed trials, Feedback with spaced trials, No feedback with massed trials, No feedback with spaced trials
Medical subject headings
Hearing Loss, Language Disorders

What participants receive

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

  • Feedback with massed trialsBehavioural

    The participant receives feedback on their accuracy completing retrieval practice tasks. For massed trials, exposures for one word are provided before moving to the next word in each session.

  • Feedback with spaced trialsBehavioural

    The participant receives feedback on their accuracy completing retrieval practice tasks. For spaced trials, exposures for each word are interspersed with one another (e.g., an exposure for word 1, then one for word 3, then one for word 2, etc.) in each session.

  • No feedback with massed trialsBehavioural

    The participant does not receive feedback on their accuracy completing retrieval practice tasks. For massed trials, exposures for one word are provided before moving to the next word in each session.

  • No feedback with spaced trialsBehavioural

    The participant does not receive feedback on their accuracy completing retrieval practice tasks. For spaced trials, exposures for each word are interspersed with one another (e.g., an exposure for word 1, then one for word 3, then one for word 2, etc.) in each session.

Study groups in NCT05512000
Study groupRoleWhat they receive
Contrast AExperimentalFeedback vs no feedback with massed trials
Receives: Behavioral: Feedback with massed trials; Behavioral: No feedback with massed trials
Contrast BExperimentalFeedback vs no feedback with spaced trials
Receives: Behavioral: Feedback with spaced trials; Behavioral: No feedback with spaced trials
Contrast CExperimentalSpaced vs massed trials without feedback
Receives: Behavioral: No feedback with massed trials; Behavioral: No feedback with spaced trials
Contrast DExperimentalSpaced vs massed trials with feedback
Receives: Behavioral: Feedback with massed trials; Behavioral: Feedback with spaced trials

What is being measured

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

  1. Labeling - Acquisition Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy labeling target words expressively (number of target words correctly labeled when shown the object divided by the number of words in the set [i.e., 4] times 100).

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy 3 sessions in a row (up to 6 months).

  2. Labeling - Acquisition Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy labeling target words expressively (number of target words correctly labeled when shown the object divided by the number of words in the set [i.e., 4] times 100).

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy 3 sessions in a row (up to 6 months).

  3. Labeling - Retention Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy labeling target words expressively (number of target words correctly labeled when shown the object divided by the number of words in the set [i.e., 4] times 100).

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the maintenance phase.

    Measured: Four weeks after the intervention ends

  4. Labeling - Retention Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy labeling target words expressively (number of target words correctly labeled when shown the object divided by the number of words in the set [i.e., 4] times 100).

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the maintenance phase.

    Measured: Four weeks after the intervention ends

Secondary outcomes (8)
  1. Identifying - Acquisition Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy identifying target words receptively (number of objects correctly identified when target word is named divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy for labeling 3 sessions in a row (up to 6 months).

  2. Identifying - Acquisition Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy identifying target words receptively (number of objects correctly identified when target word is named divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy for labeling 3 sessions in a row (up to 6 months).

  3. Semantic - Acquisition Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy labeling associated semantic information (i.e., location; number of target objects' locations correctly named when shown the object divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy for labeling 3 sessions in a row (up to 6 months).

  4. Semantic - Acquisition Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy labeling associated semantic information (i.e., location; number of target objects' locations correctly named when shown the object divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the comparison phase.

    Measured: End of intervention. The intervention ends when the participant achieves >75% accuracy for labeling 3 sessions in a row (up to 6 months).

  5. Identifying - Retention Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy identifying target words receptively (number of objects correctly identified when target word is named divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the maintenance phase.

    Measured: Four weeks after the intervention ends

  6. Identifying - Retention Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy identifying target words receptively (number of objects correctly identified when target word is named divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the maintenance phase.

    Measured: Four weeks after the intervention ends

  7. Semantic - Retention Effectiveness

    Count of participants for whom the intervention is successful based on percent accuracy labeling associated semantic information (i.e., location; number of target objects' locations correctly named when shown the object divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for at least one active intervention condition versus the control condition within the maintenance phase.

    Measured: Four weeks after the intervention ends

  8. Semantic - Retention Efficiency

    Count of participants for whom the intervention is successful based on percent accuracy labeling associated semantic information (i.e., location; number of target objects' locations correctly named when shown the object divided by the number of words in the set [i.e., 4] times 100)

    The count of participants indicates the number of participants who exhibited a functional relation indicating greater performance for the condition hypothesized to be superior (i.e., "feedback" or "spaced") within the maintenance phase.

    Measured: Four weeks after the intervention ends

Timeline

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

  1. First posted23 Aug 2022
  2. Study start5 Feb 2023
  3. Primary completion11 Jul 2025
  4. Study completion11 Jul 2025

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
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Adapted alternating treatments research design with 3 conditions per participant. Four participants are randomly assigned to each contrast (arm).
Masking
None (open label)
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05512000
Sponsor's protocol ID
221773
Status last verified
Aug 2025
First submitted
11 Aug 2022
Last updated
16 Mar 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Graphs with individual data points will be reported in manuscripts that share the primary study findings. Sharing of such graphical data will permit inclusion of the project's results in future meta-analyses.

Publications

  • Antia SD, Lederberg AR, Easterbrooks S, Schick B, Branum-Martin L, Connor CM, Webb MY. Language and Reading Progress of Young Deaf and Hard-of-Hearing Children. J Deaf Stud Deaf Educ. 2020 May 30;25(3):334-350. doi: 10.1093/deafed/enz050.

    PubMed 32052022
  • Bjork, E. L., & Bjork, R. A. (2011). Making things hard on yourself, but in a good way: Creating desirable difficulties to enhance learning. Psychology and the Real World: Essays Illustrating Fundamental Contributions to Society, 2, 59-68.

  • Bjork, R. A. (1994). Memory and metamemory considerations in the. Metacognition: Knowing About Knowing, 185.

  • Bobzien, J. L., Richels, C., Schwartz, K., Raver, S. A., Hester, P., & Morin, L. (2015). Using repeated reading and explicit instruction to teach vocabulary to preschoolers with hearing loss. Infants & Young Children, 28(3), 262-280.

  • Boons T, De Raeve L, Langereis M, Peeraer L, Wouters J, van Wieringen A. Expressive vocabulary, morphology, syntax and narrative skills in profoundly deaf children after early cochlear implantation. Res Dev Disabil. 2013 Jun;34(6):2008-22. doi: 10.1016/j.ridd.2013.03.003. Epub 2013 Apr 11.

    PubMed 23584181
  • Brennan-Jones CG, White J, Rush RW, Law J. Auditory-verbal therapy for promoting spoken language development in children with permanent hearing impairments. Cochrane Database Syst Rev. 2014 Mar 12;2014(3):CD010100. doi: 10.1002/14651858.CD010100.pub2.

    PubMed 24619508
  • Carpenter SK. Cue strength as a moderator of the testing effect: the benefits of elaborative retrieval. J Exp Psychol Learn Mem Cogn. 2009 Nov;35(6):1563-9. doi: 10.1037/a0017021.

    PubMed 19857026
  • Carpenter, S. K., & Yeung, K. L. (2017). The role of mediator strength in learning from retrieval. Journal of Memory and Language, 92, 128-141.

  • Coyne JH, Borg JM, DeLuca J, Glass L, Sumowski JF. Retrieval practice as an effective memory strategy in children and adolescents with traumatic brain injury. Arch Phys Med Rehabil. 2015 Apr;96(4):742-5. doi: 10.1016/j.apmr.2014.09.022. Epub 2014 Oct 13.

    PubMed 25312580
  • Fritz CO, Morris PE, Nolan D, Singleton J. Expanding retrieval practice: an effective aid to preschool children's learning. Q J Exp Psychol (Hove). 2007 Jul;60(7):991-1004. doi: 10.1080/17470210600823595.

    PubMed 17616915
  • Geers AE, Mitchell CM, Warner-Czyz A, Wang NY, Eisenberg LS; CDaCI Investigative Team. Early Sign Language Exposure and Cochlear Implantation Benefits. Pediatrics. 2017 Jul;140(1):e20163489. doi: 10.1542/peds.2016-3489. Epub 2017 Jun 12.

    PubMed 28759398
  • Geers AE, Sedey AL. Language and verbal reasoning skills in adolescents with 10 or more years of cochlear implant experience. Ear Hear. 2011 Feb;32(1 Suppl):39S-48S. doi: 10.1097/AUD.0b013e3181fa41dc.

    PubMed 21832889
  • Goossens, N. A., Camp, G., Verkoeijen, P. P., & Tabbers, H. K. (2014). The effect of retrieval practice in primary school vocabulary learning. Applied Cognitive Psychology, 28(1), 135-142.

  • Haebig E, Leonard LB, Deevy P, Karpicke J, Christ SL, Usler E, Kueser JB, Souto S, Krok W, Weber C. Retrieval-Based Word Learning in Young Typically Developing Children and Children With Development Language Disorder II: A Comparison of Retrieval Schedules. J Speech Lang Hear Res. 2019 Apr 15;62(4):944-964. doi: 10.1044/2018_JSLHR-L-18-0071.

    PubMed 30986145
  • Jones, A. C., Wardlow, L., Pan, S. C., Zepeda, C., Heyman, G. D., Dunlosky, J., & Rickard, T. C. (2016). Beyond the rainbow: Retrieval practice leads to better spelling than does rainbow writing. Educational Psychology Review, 28(2), 385-400.

Questions about this trial

What is this clinical trial studying?

A study testing Feedback with massed trials, Feedback with spaced trials and No feedback with massed trials in people with Hearing Loss and Language Impairment, run by Vanderbilt University Medical Center at 1 site 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 3 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: finished, as of the sponsor's last update on 16 Mar 2026. 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 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Labeling - Acquisition Effectiveness (time frame: End of intervention. The intervention ends when the participant achieves >75% accuracy 3 sessions in a row (up to 6 months).). The study lists 4 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 NCT05512000, which also lists 37 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 16 Mar 2026.

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