Auditory Training for Cochlear Implant Recipients
Palo Alto (17 mi)Overseen byMatthew Carlson, M.D.
Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: N/A
Recruiting
Sponsor: Mayo Clinic
Trial Summary
What is the purpose of this trial?The purpose of this study is to compare the effectiveness of a free computer-based auditory training program, Sound Success (Advanced Bionics, Valencia, CA), with the current standard of care of patient-directed auditory training in improving common measures of speech recognition and cochlear implant (CI) specific quality-of-life in new adult CI recipients in their first year post-activation.
What safety data is available for auditory training in cochlear implant recipients?The provided research does not directly address the safety data for auditory training in cochlear implant recipients. However, it discusses the failure rates and outcomes of cochlear implants, the need for standardized reporting of outcomes, and the benefits of auditory training in improving speech recognition. No specific safety concerns related to auditory training itself are mentioned in the abstracts.2671112
Is the treatment Sound Success, Standard of Care a promising treatment for cochlear implant recipients?Yes, Sound Success, Standard of Care is a promising treatment for cochlear implant recipients. Auditory training, like Sound Success, helps patients recognize sounds and improve speech understanding, especially in challenging situations like noisy environments. It can enhance the benefits of cochlear implants, making it a valuable addition to the treatment process.23458
What data supports the idea that Auditory Training for Cochlear Implant Recipients is an effective treatment?The available research shows that auditory training significantly improves speech recognition for cochlear implant recipients. One study highlights that targeted auditory training helps both poorly performing and good performers in challenging listening situations, like noisy environments or when listening to music. Another study mentions that computer-assisted speech training programs, which can be used at home, effectively enhance speech recognition. Additionally, children who receive consistent auditory training show more progress in hearing and speech abilities compared to those in less auditory-focused environments. These findings suggest that auditory training is a beneficial addition to cochlear implantation, helping recipients maximize the benefits of their implants.123910
Do I have to stop taking my current medications for this trial?The trial protocol does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for adults who have recently received a cochlear implant and are in their first year post-activation. They should be looking to improve speech recognition and quality of life with their new implant.Inclusion Criteria
I have severe hearing loss in both ears and am getting a cochlear implant at Mayo Clinic.
Exclusion Criteria
I speak a language supported by Sound Success (English, Spanish, French, Italian, Dutch, Polish, Danish).
I am not getting a cochlear implant for the first time or for both ears at once.
Treatment Details
The study compares Sound Success, a free computer-based auditory training program, with the standard patient-directed auditory training to see which one better improves speech recognition and quality-of-life for new adult cochlear implant users.
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Experimental GroupExperimental Treatment1 Intervention
Group II: Control GroupPlacebo Group1 Intervention
Sound Success is already approved in United States, European Union for the following indications:
🇺🇸 Approved in United States as Sound Success for:
- Improving speech recognition and quality-of-life in adult cochlear implant recipients
🇪🇺 Approved in European Union as Sound Success for:
- Supporting auditory rehabilitation and speech development in cochlear implant users
Find a clinic near you
Research locations nearbySelect from list below to view details:
Mayo Clinic in RochesterRochester, MN
Loading ...
Who is running the clinical trial?
Mayo ClinicLead Sponsor
References
Perceptual capabilities with the cochlear implant: implications for aural rehabilitation. [2019]While the cochlear implant provides only limited auditory information, profoundly deaf children continue to show significant gains in hearing performance and speech production abilities. The evidence has indicated that children receiving consistent auditory training demonstrate more progress with the implant than those children in less auditory-type environments. As a result, the House Ear Institute is developing extended training protocols to help optimize implant performance. A three-component framework is detailed to include: (1) the production/perception model, (2) a comprehension/bottom-up approach, and (3) strategical methods of delivery (multisensory versus unisensory). The purpose of such development is to integrate "hearing" into home, classroom, and individualized therapy settings to better facilitate growth in listening skills and speech development within a psycholinguistic context.
Maximizing cochlear implant patients' performance with advanced speech training procedures. [2021]Advances in implant technology and speech processing have provided great benefit to many cochlear implant patients. However, some patients receive little benefit from the latest technology, even after many years' experience with the device. Moreover, even the best cochlear implant performers have great difficulty understanding speech in background noise, and music perception and appreciation remain major challenges. Recent studies have shown that targeted auditory training can significantly improve cochlear implant patients' speech recognition performance. Such benefits are not only observed in poorly performing patients, but also in good performers under difficult listening conditions (e.g., speech noise, telephone speech, music, etc.). Targeted auditory training has also been shown to enhance performance gains provided by new implant devices and/or speech processing strategies. These studies suggest that cochlear implantation alone may not fully meet the needs of many patients, and that additional auditory rehabilitation may be needed to maximize the benefits of the implant device. Continuing research will aid in the development of efficient and effective training protocols and materials, thereby minimizing the costs (in terms of time, effort and resources) associated with auditory rehabilitation while maximizing the benefits of cochlear implantation for all recipients.
Computer-Assisted Speech Training for Cochlear Implant Patients: Feasibility, Outcomes, and Future Directions. [2021]Learning electrically stimulated speech patterns can be a new and difficult experience for cochlear implant patients. Cochlear implantation alone may not fully meet the needs of many patients, and additional auditory rehabilitation may be necessary to maximize the benefits of the implant device. A recently developed computer-assisted speech-training program provides cochlear implant patients with the means to conduct auditory rehabilitation at home. The training software targets important acoustic contrasts between speech stimuli and provides auditory and visual feedback as well as progressive training, thereby maintaining patients' interest in the auditory training exercises. Recent scientific studies have demonstrated the effectiveness of such specialized auditory training programs in improving cochlear implant patients' speech recognition performance. Provided with an inexpensive and accessible auditory training program, cochlear implant patients may find the motivation and momentum to get the most from the implant device.
[The effectiveness of the auditory training of the subjects presenting with partial deafness following cochlear implantation as reported by the patients and speech therapists]. [2014]Auditory training consists of the exercises taking advantage of the environmental sounds and human speech; it is designed to ensure hearing for a person suffering its impairment within the range of acoustic experiences comparable with that of the normally hearing subjects. The successful treatment of partial deafness with the use of a cochlear implant (CI) resulted in the increase of the number of patients who needed auditory training to enable them to recognize mid-and high-frequency sounds. Bearing in mind the lack of the teaching aids permitting to adequately address the specific hearing problems in such patients, the Rehabilitation Clinic of the Institute of Physiology and Pathology of Hearing undertook to develop the relevant materials to satisfy the needs of auditory training following surgical cochlear implantation.
[Phoneme discrimination training with experienced cochlear implant listeners]. [2018]Computer-based auditory training programmes seem to be a useful tool in the process of auditory rehabilitation after cochlear implantation (CI). Currently, little is known about the learning mechanism and efficiency of such programs. The aim of the study was to evaluate a specific auditory training programme for phoneme discrimination in experienced CI listeners.
Minimum Reporting Standards for Adult Cochlear Implantation. [2021]This article outlines new minimum standards for reporting adult cochlear implant outcomes. These standards have been endorsed by the Implantable Hearing Devices Committee and the Hearing Committee of the American Academy of Otolaryngology-Head and Neck Surgery. The lack of a standardized method for reporting outcomes following cochlear implantation in clinical trials has hampered the ability of investigators to draw comparisons across studies. Variability in data reported in articles and presentation formats inhibits meta-analyses, making it impossible to accumulate the large patient cohorts needed for statistically significant inference. While investigators remain unrestricted in publishing their adult cochlear implant outcome data in additional formats that they believe to be valuable, they should include the presently proposed minimal data set to facilitate interstudy comparability and consistency of reporting.
Auditory Training for Adult Cochlear Implant Users: A Survey and Cost Analysis Study. [2020]The aims of this study were as follows: (a) to describe audiologists' practices toward auditory training (AT) for adult cochlear implant (CI) users with a postlingual hearing loss; and (b) to assess the cost of different AT methods for clients and service providers in comparison with no AT delivery.
[Auditory group therapy in adult cochlear implant rehabilitation]. [2020]Auditory training is an established intervention in adult cochlear implant (CI) aural rehabilitation. In most cases, training is implemented in an individual therapy setting. Increasing patient numbers and the associated time-economic and cost-related demands as well as psychosocial and communicative aspects support the use of aural group interventions.
Cochlear Implantation Improves Both Speech Perception and Patient-Reported Outcomes: A Prospective Follow-Up Study of Treatment Benefits among Adult Cochlear Implant Recipients. [2022]Cochlear implantation is considered the best treatment option for patients with severe-to-profound sensorineural hearing loss for whom conventional hearing aids are insufficient. We used a repeated measures longitudinal approach to evaluate speech recognition and patient-reported outcomes after cochlear implantation in an unbiased cohort of Danish adult patients in a prospective cohort study. We assessed 39 recipients before and two times after implantation using a battery of tests that included Dantale I, the Danish Hearing in Noise Test, the Nijmegen Cochlear Implant Questionnaire, and the Speech, Spatial, and Qualities of Hearing Scale. The study group improved significantly on all outcome measures following implantation. On average, Dantale I scores improved by 29 percentage points and Hearing in Noise Test scores improved by 22 percentage points. Most notably, the average Dantale score improved from 26 to 70% in the CI in quiet condition and from 12 to 42% in the cochlear implantation in noise condition when tested monaurally. Dantale demonstrated a significant positive correlation with Nijmegen Cochlear Implant Questionnaire and Speech, Spatial, and Qualities of Hearing Scale scores, while Hearing in Noise Test had no significant correlation with the patient-reported outcome measures. Patients improved significantly at 4 months and marginally improved further at 14 months, indicating that they were approaching a plateau. Our study's use of audiometric and patient-reported outcome measures provides evidence of the treatment benefits of cochlear implantation in adults, which may help physicians advise patients on treatment decisions and align treatment benefit expectations, as well as serve as a foundation for the development of new cochlear implantation selection criteria.
Examination of Language, Behavioral, Academic, and Social Skills of Cochlear Implant Users in Early Primary Education. [2022]Cochlear implants (CIs) improve spoken language skills as well as social and academic performance in children with severe and profound sensorineural hearing loss.
HiRes Ultra Series Recall: Failure Rates and Revision Speech Recognition Outcomes. [2023]To report Advanced Bionics (AB) Ultra (V1) and Ultra 3D (V1) cochlear implant (CI) electrode failures and revision speech recognition outcomes for patients at a large CI program.
HiRes ultra series cochlear implant field recall: failure rates and early outcomes. [2023]Evaluate rates of Advanced Bionics Ultra 3D/Ultra cochlear implant failure in the setting of a worldwide device recall and report surgical and auditory outcomes after revision.