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TelerehabilitationNCT05543031

Effect Of Music Integrated Phonological Awareness Program On Preschool Cochlear Implant Users

A study testing Music-Integrated Phonological Awareness training program, Spectral-Temporally Modulated Ripple Test (SMRT) and The Phonological Awareness Scale of Early Childhood Period (PASECP) in people with Telerehabilitation, run by Uskudar University at 2 sites in Turkey (Türkiye).

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

The aim was to observe the effect of the music integrated phonological awareness program on preschool cochlear implant users and to compare the phonological awareness skills of the study group with the control group before and after the online training. Read more about this study

Who is it for?
Ages 5 to 7 yearsHealthy volunteers can take part
Conditions the study is for
Telerehabilitation
What is being tested?
Music-Integrated Phonological Awareness training program, Spectral-Temporally Modulated Ripple Test (SMRT) and The Phonological Awareness Scale of Early Childhood Period (PASECP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
2 sitesTurkey (Türkiye)
Study dates
18 Mar 2021to 16 Jul 2021
Phase
Interventional
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 5 to 7 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • For children with hearing loss
  • Bilateral severe sensorineural hearing loss
  • Having unilateral or bilateral cochlear implants,
  • Having a chronological age in the range of 5-7 years,
  • Not having started primary school.
  • Using the cochlear implant and regularly
Show all 11Show fewer
  • To receive regular training in the auditory rehabilitation center
  • For children with normal hearing:
  • To have normal hearing,
  • To have receptive and expressive language skills compatible with the chronological age in the language test to be performed.
  • Not starting primary school

Who cannot join

  • In case of not having any without being accepted for control and study,
  • Having additional disability
  • Using drugs affecting the auditory system

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • Istanbul University-Cerrahpasa

    Istanbul, 34098

  • Uskudar University

    Istanbul

Other trials in Turkey (Türkiye)

About this study

The aim was to observe the effect of the music integrated phonological awareness program on preschool cochlear implant users and to compare the phonological awareness skills of the study group with the control group before and after the online training.

Read the detailed description

This study was designed to determine the benefit of music integrated phonological awareness programs for children using cochlear implants. In addition, the phonological skills and language skills of children using cochlear implants and children with normal hearing were compared in the pre and post-training results. Test of Early Language Development (TELD-3), The Phonological Awareness Scale of Early Childhood Period (PASECP), Mismatch Negativity (MMN) was used in this study.

This study was carried out with follow-up patients in the Audiology, Language and Speech Disorders Clinic of xxx University - Medical Faculty, Department of Otorhinolaryngology. The study was performed with the approval of Ethics Committee, and written informed consent was obtained from all patient families (138955/ July 2021). There are 9 female and 14 male cochlear implant users in the study group; 9 female and 14 male children with normal hearing in the control group. Children ranging in age from 5 to 7 who also have 5-6 years old language skills without any neurological problems were included in the study. Cochlear implant mappings of all children were checked before the training.

SPSS 25.0 (IBM) was used for statistical analysis. Pre and post-training comparisons of The Phonological Awareness Scale of Early Childhood Period, SMRT, and Mismatch Negativity tests were analyzed with the Wilcoxon test. The correlation of numerical measurements with each other was examined with Spearman Correlation. The differences in the numerical measurements used in the research according to the binary demographic categories were analyzed with the Mann-Whitney U test. The differences according to the multiple categories were analyzed using the Kruskal Wallis H test. The significance level (α=0,05) was used.

Being tested
Music-Integrated Phonological Awareness training program, Spectral-Temporally Modulated Ripple Test (SMRT), The Phonological Awareness Scale of Early Childhood Period (PASECP), Mismatch Negativity Test, Early Language Development (TELD-3)
Keywords
Phonological awareness training, music, cochlear implant, telerehabilitation, mismatch negativity

What participants receive

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

  • Music-Integrated Phonological Awareness training programOther

    We would like to observe the effect of the music integrated phonological awareness program on preschool cochlear implant users and to compare the phonological awareness skills of the study group with the control group before and after the online training. The program is prepared as 10 lessons. Participants were guided through online training for 5 weeks, with 20-minute sessions conducted weekly. The training was carried out via Zoom, a free virtual interview program. Each family had a computer.

  • Spectral-Temporally Modulated Ripple Test (SMRT)Diagnostic test

    Spectral-Temporally Modulated Ripple Test (SMRT) was used to assess the spectral discrimination ability of the study group.Speech stimuli were presented at a calibrated presentation level of 60 dB SPL in a quiet room. The child was positioned at 0° azimuth and 1-meter from the loudspeaker.

  • The Phonological Awareness Scale of Early Childhood Period (PASECP)Diagnostic test

    The Phonological Awareness Scale of Early Childhood Period (PASECP) was used to measure the sound awareness and sound discrimination skills of study group pre-post training. The test has 8 sub-dimensions.

  • Mismatch Negativity TestDiagnostic test

    Mismatch Negativity (MMN) was used to evaluate the central auditory system.The test was used for electrophysiological recordings of the study group.The standard stimulus presented as /ba/ (%80), and the rare stimulus presented as /da/ (%20) frequency. The onset (rise) and offset (fall) times of the stimuli are 10 ms, and the plateau time is 50 ms. The interval between stimuli for both responses was 1.1 ms. A 0.1-30 Hz filter was applied. The speech stimuli intensity was 70 dB SPL. Speech stimuli were presented at a 1-meter distance from the participant, with speakers placed at an angle of 0°.

  • Early Language Development (TELD-3)Diagnostic test

    Test of Early Language Development (TELD-3) measured children's receptive and expressive language skills both group for inclusion criteria.

Study groups in NCT05543031
Study groupRoleWhat they receive
Study groupExperimentalThere are 9 (35,8%) female and 14 (64,2%) male preschool cochlear implant users in the study group. Children ranging in age from 5 to 7 who also have 5-6 years old language skills.
Receives: Other: Music-Integrated Phonological Awareness training program; Diagnostic Test: Spectral-Temporally Modulated Ripple Test (SMRT); Diagnostic Test: The Phonological Awareness Scale of Early Childhood Period (PASECP); Diagnostic Test: Mismatch Negativity Test; Diagnostic Test: Early Language Development (TELD-3)
Control groupExperimentalThere are 9 (35.8%) female and 14 (64,2%) male preschool children with normal hearing in the control group. Children ranging in age from 5 to 6 who also have age-appropriate language skills.
Receives: Diagnostic Test: The Phonological Awareness Scale of Early Childhood Period (PASECP); Diagnostic Test: Early Language Development (TELD-3)

What is being measured

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

  1. Change from Baseline in the phonological awareness skills at 3 Months

    The Early Childhood Phonological Awareness Scale (PASECP) was used to measure sound awareness and sound discrimination skills of preschool children whose language age is between 60-72 months. The test has 8 sub-dimensions. There are 8 test items in the first sub-dimension and 10 test items in the other sub-dimensions, with a total of 78 test items. If the answers given by the children to the scale items are correct (1), if incorrect (0), they are coded into the answer key. The test is administered to children individually. The application time for each child takes approximately 15 minutes. High scores of the child indicate that his/her phonological awareness is good.

    Measured: baseline and 3 months

  2. Change from Electrophysiological at 3 Months

    Mismatch Negativity (MMN) was used to evaluate the central auditory system. Neuron-Spectrum-5 (4/EPM) (Neurosoft, Ivanoco, Russia) was used for the electrophysiological recordings of the study group. Speech stimuli were used as stimuli. Amplitude and latency changes were observed in the Mismatch Negativity test before and after the training. The increase in amplitudes and shortening of latencies after training indicate that the central auditory system has developed.

    Measured: baseline and 3 months

  3. Change from baseline in the spectral discrimination ability at 3 Months

    Spectral-Temporally Modulated Ripple Test (SMRT) was used to assess the spectral discrimination ability of the study group. The test was performed using SMRT software. Waveform broadband noise with spectral-temporal modulation was used. In each trial, three ripple sounds were presented. Two stimuli were reference signals with an intensity of 20 ripple/octave (rpo) and another stimulus was a target signal with a lower rpo intensity. The initial intensity of the target signal was 0.5 rpo and was replaced by a step size of 0.2 rpo. Adaptive running terminated after ten reverses.Spectral-Temporally Modulated Ripple Test was calculated over the last six reversals. Three runs were completed for each child, and the final threshold was determined by averaging the three runs. Having a low rpo value was an indication of good spectral resolution of the children.

    Measured: baseline and 3 months

Timeline

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

  1. First posted16 Sep 2022
  2. Study start18 Mar 2021
  3. Primary completion2 Jun 2021
  4. Study completion16 Jul 2021

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
This study was designed to determine the benefit of music integrated phonological awareness programs for children using cochlear implants. In addition, the phonological skills and language skills of children using cochlear implants and children with normal hearing were compared in the pre and post-training results.
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05543031
Sponsor's protocol ID
138955
Status last verified
Sep 2022
First submitted
26 Aug 2022
Last updated
16 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The IPD available upon reasonable request to the other authors

Publications

  • Carroll JM, Snowling MJ, Hulme C, Stevenson J. The development of phonological awareness in preschool children. Dev Psychol. 2003 Sep;39(5):913-23. doi: 10.1037/0012-1649.39.5.913.

    PubMed 12952403
  • Ching TY, Cupples L. Phonological Awareness at 5 years of age in Children who use Hearing Aids or Cochlear Implants. Perspect Hear Hear Disord Child. 2015 Sep;25(2):48-59. doi: 10.1044/hhdc25.2.48.

    PubMed 26929789
  • Ching TY, Dillon H, Katsch R, Byrne D. Maximizing effective audibility in hearing aid fitting. Ear Hear. 2001 Jun;22(3):212-24. doi: 10.1097/00003446-200106000-00005.

    PubMed 11409857
  • Soleymani Z, Mahmoodabadi N, Nouri MM. Language skills and phonological awareness in children with cochlear implants and normal hearing. Int J Pediatr Otorhinolaryngol. 2016 Apr;83:16-21. doi: 10.1016/j.ijporl.2016.01.013. Epub 2016 Jan 25.

    PubMed 26968046
  • Christiner M, Reiterer SM. Early Influence of Musical Abilities and Working Memory on Speech Imitation Abilities: Study with Pre-School Children. Brain Sci. 2018 Sep 1;8(9):169. doi: 10.3390/brainsci8090169.

    PubMed 30200479
  • Anvari SH, Trainor LJ, Woodside J, Levy BA. Relations among musical skills, phonological processing, and early reading ability in preschool children. J Exp Child Psychol. 2002 Oct;83(2):111-30. doi: 10.1016/s0022-0965(02)00124-8.

    PubMed 12408958
  • Choi JE, Won JH, Kim CH, Cho YS, Hong SH, Moon IJ. Relationship between spectrotemporal modulation detection and music perception in normal-hearing, hearing-impaired, and cochlear implant listeners. Sci Rep. 2018 Jan 15;8(1):800. doi: 10.1038/s41598-017-17350-w.

    PubMed 29335454
  • Engstrom E, Kallioinen P, Nakeva von Mentzer C, Lindgren M, Sahlen B, Lyxell B, Ors M, Uhlen I. Auditory event-related potentials and mismatch negativity in children with hearing loss using hearing aids or cochlear implants - A three-year follow-up study. Int J Pediatr Otorhinolaryngol. 2021 Jan;140:110519. doi: 10.1016/j.ijporl.2020.110519. Epub 2020 Nov 24.

    PubMed 33268013
  • DiNino M, Arenberg JG. Age-Related Performance on Vowel Identification and the Spectral-temporally Modulated Ripple Test in Children With Normal Hearing and With Cochlear Implants. Trends Hear. 2018 Jan-Dec;22:2331216518770959. doi: 10.1177/2331216518770959.

    PubMed 29708065
  • Fernandes NM, Gil D, Azevedo MF. Mismatch Negativity in Children with Cochlear Implant. Int Arch Otorhinolaryngol. 2019 Jul;23(3):e292-e298. doi: 10.1055/s-0039-1688967. Epub 2019 May 28.

    PubMed 31360248
  • Ferreira DA, Bueno CD, de Costa SS, Sleifer P. Mismatch Negativity in Children: Reference Values. Int Arch Otorhinolaryngol. 2019 Apr;23(2):142-146. doi: 10.1055/s-0038-1667313. Epub 2018 Oct 24.

    PubMed 30956696
  • Gifford RH, Noble JH, Camarata SM, Sunderhaus LW, Dwyer RT, Dawant BM, Dietrich MS, Labadie RF. The Relationship Between Spectral Modulation Detection and Speech Recognition: Adult Versus Pediatric Cochlear Implant Recipients. Trends Hear. 2018 Jan-Dec;22:2331216518771176. doi: 10.1177/2331216518771176.

    PubMed 29716437
  • Jeddi Z, Lotfi Y, Moossavi A, Bakhshi E, Hashemi SB. Correlation between Auditory Spectral Resolution and Speech Perception in Children with Cochlear Implants. Iran J Med Sci. 2019 Sep;44(5):382-389. doi: 10.30476/IJMS.2019.44967.

    PubMed 31582862
  • Jing L, Vermeire K, Mangino A, Reuterskiold C. Rhyme Awareness in Children With Normal Hearing and Children With Cochlear Implants: An Exploratory Study. Front Psychol. 2019 Sep 12;10:2072. doi: 10.3389/fpsyg.2019.02072. eCollection 2019.

    PubMed 31572265
  • Kraus N, Hornickel J, Strait DL, Slater J, Thompson E. Engagement in community music classes sparks neuroplasticity and language development in children from disadvantaged backgrounds. Front Psychol. 2014 Dec 16;5:1403. doi: 10.3389/fpsyg.2014.01403. eCollection 2014.

    PubMed 25566109

Questions about this trial

What is this clinical trial studying?

A study testing Music-Integrated Phonological Awareness training program, Spectral-Temporally Modulated Ripple Test (SMRT) and The Phonological Awareness Scale of Early Childhood Period (PASECP) in people with Telerehabilitation, run by Uskudar University at 2 sites in Turkey (Türkiye).

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 11 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 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). 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?

Change from Baseline in the phonological awareness skills at 3 Months (time frame: baseline and 3 months). The study lists 3 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 NCT05543031, which also lists 28 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 Sep 2022.

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