AzTrials
AzTrials

Hearing Loss, SensorineuralBEARSNCT05808543

BEARS Training Package to Maximise Hearing Abilities in Older Children and Teenagers With Bilateral Cochlear Implants

A study testing Both EARS training package (BEARS) in people with Hearing Loss, Sensorineural and Hearing Loss, run by Guy's and St Thomas' NHS Foundation Trust at 13 sites in United Kingdom.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

The goal of the BEARS clinical trial is to determine whether using the directional listening training delivered via the BEARS training package for 3-months alongside usual care compared to only receiving usual care improves speech-in-noise perception, hearing experiences, vocabulary and quality of life and reduces… Read more about this study

Who is it for?
Ages 8 to 16 years
What is being tested?
Both EARS training package (BEARS)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
272 participants
Where
13 sitesUnited Kingdom
Study dates
27 Jul 2023to 31 Oct 2026
Phase
Interventional
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 8 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant is a simultaneous or sequential bilateral cochlear implant user*, who either has:
  • Congenital severe/profound bilateral sensorineural hearing loss and have received at least one implant ≤ 36 months of age.
  • Progressive or acquired severe/profound bilateral sensorineural hearing loss (no age at implant restrictions for these patients) *(a bilateral CI user is defined as a patient who uses both cochlear implant processors for a minimum of 6-hours per day over a month)
  • Participant has stable programmes (defined as no longer using progressive programmes to work through).
  • Participant has had at least two usual care checks/clinical appointments with stable aided levels (+/- 10 dB across 500Hz-4kHz) and no progressive maps to still work through, if they have had re-implantation of internal implant devices.
  • Participant is aged 8-16 years, inclusive.

Who cannot join

  • Participant (or parent/legal representative) does not speak/understand English sufficiently to undertake assessments.
  • Participant has an intellectual disability at a level that would prevent their ability to understand the trial the intervention or assessment questions.
  • Participant has a comorbid condition impacting ability to participate in the intervention and/or outcome assessment.
  • Participant has an audiological profile impacting ability to participate in the intervention and/or outcome assessments.
  • Participant is actively participating in other trials that may affect hearing outcomes or impact their ability to participate in the intervention.
  • Participant is currently or anticipated to receive treatment and/or intervention that may affect hearing outcomes or adapt implant settings/programming.
Show all 13Show fewer
  • Participant is refusing to consent to trial activities/protocol.
  • Participant is awaiting reimplantation following device failure or infection.
  • Participant is a non-user of one or both implant processors (i.e., must use both processors for a minimum of 6 hours per day over a month).
  • Participant is a fulltime boarder at a boarding school
  • Participant has unresolvable issues found in device checks that render one of the implants unusable.
  • Participant is a female that is pregnant.
  • Participant has a diagnosis of epilepsy or history of seizures of any kind.

Trial locations and contacts

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

Debi Vickers, PhD contact

01223 760683

dav1000@medschl.cam.ac.uk

Liz Arram, MSc contact

cctu.bears@ucl.ac.uk

13 sites in 1 country

United Kingdom13 sites, 12 recruiting
  • The Midlands Hearing Implant Programme (Children's Service)

    Birmingham, Birmingham, B4 7ET

    Active, not recruiting
  • Yorkshire Auditory Implant Service

    Bradford, Bradford, BD9 6RJ

    Recruiting
  • Emmeline Centre for Hearing Implants

    Cambridge, Cambridge, CB2 0QQ

    Recruiting
  • Scottish Cochlear Implant Programme

    Kilmarnock, Kilmarnock, KA2 0BE

    Recruiting
  • St Thomas' Hospital Hearing Implant Centre

    London, London, SE1 7EH

    Recruiting
  • St George's Auditory Implant Service

    London, London, SW17 OQT

    Recruiting
  • Auditory Implants: Royal National ENT and Eastman Dental Hospitals

    London, London, WC1E 6DG

    Recruiting
  • Great Ormond Street Cochlear Implant Programme

    London, London, WC1N 3JH

    Recruiting
  • The Richard Ramsden Centre for Hearing Implants

    Manchester, Manchester, M13 9WL

    Recruiting
  • North East Regional Cochlear Implant Programme

    Middlesbrough, Middlesborough, TS4 3BW

    Recruiting
  • Nottingham Auditory Implant Programme

    Nottingham, Nottingham, NG1 5DU

    Recruiting
  • Oxford Auditory Implant Centre

    Oxford, Oxford, OX3 9DU

    Recruiting
  • University of Southampton Auditory Implant Service

    Southampton, Southampton, SO17 1BJ

    Recruiting

Other trials in United Kingdom

About this study

Official title: A Randomised Controlled Trial to Evaluate the Effectiveness of Spatial-listening Training Delivered Via the Both EARS Training Package (BEARS) in Older Children and Teenagers With Bilateral Cochlear Implants

The goal of the BEARS clinical trial is to determine whether using the directional listening training delivered via the BEARS training package for 3-months alongside usual care compared to only receiving usual care improves speech-in-noise perception, hearing experiences, vocabulary and quality of life and reduces listening effort in young people between 8-16 years old (inclusive) with two cochlear implants.

The participants will complete hearing assessments and questionnaires before completing the 3-month intervention. They will be followed up for the next 9-months through online and in-person appointments.

Read the detailed description

Deafness is the most frequent human sensory deficit. Cochlear implantation is the primary intervention. Currently over 6000 people have bilateral cochlear implants in the United Kingdom, most of these are children.

Two implants are supposed to provide better access to sound, but it is challenging to interpret and integrate what is heard from both sides. Our 'Living with cochlear implants' Patient and Public Involvement group reported that everyday communication is challenging and tiring, with extra effort required to integrate information from two ears, especially in noise. They reported that current rehabilitation techniques are not engaging, or appropriate to their lifestyles.

To address these issues, we have developed a set of virtual reality games called BEARS (Both EARS). BEARS trains sound localisation and listening in noise. These are skills required in everyday listening.

The aim of this trial is to determine whether using the directional listening training delivered via the BEARS training package for 3-months alongside usual care compared to only receiving usual care improves speech-in-noise perception, hearing experiences, vocabulary and quality of life and reduces listening effort in young people between 8-16 years old (inclusive) with two cochlear implants. The study will be carried out in clinical cochlear implant departments in National Health Service or University hospitals.

Participants will be randomly allocated into one of two groups:

  1. Receiving the BEARS training package to use for 3-months alongside usual care
  2. Continue with usual care

The participants will complete hearing assessments and questionnaires before completing the 3-month intervention. They will be followed up for the next 9-months through online and in-person appointments.

Participants and clinicians can also consent to qualitative or process evaluation interviews, which are BEARS sub-studies

Being tested
Both EARS training package (BEARS), Usual Care
Keywords
Cochlear Implant, Virtual Reality, Children, Teenagers, Deaf, Bilateral, Training, Rehabilitation
Medical subject headings
Hearing Loss, Sensorineural, Hearing Loss, Deafness

What participants receive

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

  • Both EARS training package (BEARS)Other

    The BEARS training package comprises of three games addressing different hearing functions: speech-in-noise perception, music listening and sound-source localisation. Each game is based on an audio-visual task performed through a virtual-reality interface. Players are guided through on-screen visual prompts to support the gameplay with feedback given on their performance and progress through levels of increasing difficulty. The BEARS training package design allows for the training to be self-administered, played anywhere and at any time. There is no upper limit to the frequency of use of the BEARS training package, it is advised to play the games for a minimum of 1 hour a week over a minimum of 2x 30-minute sessions, all three games will need to be played.

  • Usual CareOther

    This is an annual review appointment with the patient and their clinician. This could be face-to-face, virtual video consultation, questionnaire, or be cochlear remote care checks. As a minimum this review will check the following: Microphone covers changed, Reported or recorded device use, all external and internal equipment working (known through no reported or recorded degradation in hearing ability). During the appointment, the clinician would establish if there were any concerns regarding the cochlear implant functioning and the patient's rehabilitation programme. They will then make any repairs or adjustments to the device and manage additional support and contact as required. Between the annual review appointments patients can attend the implant centre for repair appointments or have spare equipment posted. There is no limit to the level of contact between the patient and the implant centre.

Study groups in NCT05808543
Study groupRoleWhat they receive
Both EARS training package (BEARS) and Usual CareExperimentalBEARS is a compilation of virtual reality games designed specifically for young people with bilateral cochlear implants. The hardware is either: A Head Mounted Display Device or an iPad with headphones.
Receives: Other: Both EARS training package (BEARS); Other: Usual Care
Usual CareActive comparatorUsual care describes the routine rehabilitation received by participants via their implant centre.
Receives: Other: Usual Care

What is being measured

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

  1. Spatial speech in Noise - Virtual Acoustics (SSiN-VA) test outcome

    The Primary outcome for the BEARS trial is the difference between the intervention groups in speech-in-noise perception score (% correct overall task) at 3 months, accounting for the participant's baseline score. This is derived from the spatial speech in noise (SSiN-VA) test.

    Measured: Three months

Secondary outcomes (12)
  1. SSiN-VA test outcome

    Speech-in-noise perception score (% correct of the overall task) at twelve months accounting for the baseline score.

    Measured: Twelve months

  2. SSiN-VA test outcome

    Relative localisation score (% correct) at three months and at twelve months accounting for the baseline score.

    Measured: Three and Twelve Months

  3. Spatial Adaptive Sentence List (Sp-ASL) test outcomes

    Speech reception threshold at three months and at twelve months, accounting for baseline (for better ear, worse ear, and average of both).

    Measured: Three and Twelve Months

  4. British Picture Vocabulary Scale (BPVS) test outcome

    Difference between arms in vocabulary age at twelve months, accounting for baseline vocabulary age

    Measured: Twelve Months

  5. Vanderbilt Fatigue Scale: Child self-report version (VFS-C) questionnaire outcome

    Difference between arms in listening-related fatigue score at three and 12 months, accounting for baseline.

    Measured: Three and Twelve Months

  6. Speech, Spatial, and Qualities of Hearing Scale for Children with Impaired Hearing (SSQ) outcome

    Difference between arms in SSQ scores at three and 12 months, accounting for baseline.

    Measured: Three and Twelve Months

  7. Health Economic outcomes

    The economic evaluation will calculate incremental cost per quality-adjusted life-year (QALY) gained by offering BEARS and usual care, compared to usual care, from an NHS, Personal Social Services (PSS) and Local Education Provider perspective over the twelve months of the trial.

    Measured: Twelve Months

  8. SSiN-VA test outcome

    Average reaction time (measure of listening effort) for word identification selections at three months and at twelve months accounting for the baseline score.

    Measured: Three and Twelve Months

  9. SSiN-VA test outcome

    Average reaction time (measure of listening effort) for location shift selection at three months, and at twelve months accounting for the baseline score.

    Measured: Three and Twelve Months

  10. SSiN-VA test outcome

    Spatial index for word identification at three months and at twelve months accounting for the baseline score.

    Measured: Three and Twelve Months

  11. SSiN-VA test outcome

    Spatial index for relative localisation at three months and at twelve months accounting for the baseline score.

    Measured: Three and Twelve Months

  12. Spatial Adaptive Sentence List (Sp-ASL) test outcomes

    Spatial release from masking score at three months and at twelve months, accounting for baseline (for better ear, worse ear, and average of both).

    Measured: Three and Twelve Months

Timeline

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

  1. First posted11 Apr 2023
  2. Study start27 Jul 2023
  3. Primary completion31 Oct 2026 (estimated)
  4. Study completion31 Oct 2026 (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
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomised on a 1:1 ratio to either the BEARS or usual care intervention arm. The trial will be unblinded.
Masking
None (open label)
Enrolment
272 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05808543
Sponsor's protocol ID
319903
Acronym
BEARS
Status last verified
Mar 2026
First submitted
17 Mar 2023
Last updated
1 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Vickers D, Salorio-Corbetto M, Driver S, Rocca C, Levtov Y, Sum K, Parmar B, Dritsakis G, Albanell Flores J, Jiang D, Mahon M, Early F, Van Zalk N, Picinali L. Involving Children and Teenagers With Bilateral Cochlear Implants in the Design of the BEARS (Both EARS) Virtual Reality Training Suite Improves Personalization. Front Digit Health. 2021 Nov 12;3:759723. doi: 10.3389/fdgth.2021.759723. eCollection 2021.

    PubMed 34870270
  • Salorio-Corbetto M, Williges B, Lamping W, Picinali L, Vickers D. Evaluating Spatial Hearing Using a Dual-Task Approach in a Virtual-Acoustics Environment. Front Neurosci. 2022 Mar 8;16:787153. doi: 10.3389/fnins.2022.787153. eCollection 2022.

    PubMed 35350560

Questions about this trial

What is this clinical trial studying?

A study testing Both EARS training package (BEARS) in people with Hearing Loss, Sensorineural and Hearing Loss, run by Guy's and St Thomas' NHS Foundation Trust at 13 sites in United Kingdom.

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 6 inclusion and 13 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 1 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United Kingdom. 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?

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 Debi Vickers, PhD (01223 760683, dav1000@medschl.cam.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Spatial speech in Noise - Virtual Acoustics (SSiN-VA) test outcome (time frame: Three months). 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 NCT05808543, which also lists 2 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 1 Apr 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in