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N/A N=325 Randomized Single-blind Health Services Research

Hearing for Communication and Resident Engagement

Hearing Loss, Age-Related

Enrolled (actual)
325
Serious AEs
Results posted
Dec 2024
Primary outcome: Primary: Satisfaction With Social Participation — 49.7; 52.8; 51.2; 49.4 T-score — p=0.58

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Consult Model (Other); Engage Model (Other)
Age
Adult, Older Adult · 60+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Satisfaction With Social Participation
49.7; 52.8; 51.2; 49.4; 51.7; 49.7 0.58
PRIMARY
Hearing-Specific Health-Related Quality of Life
10.2; 10.6; 9.2; 7.5; 8.1; 9.4 0.95
SECONDARY
Family Burden
5.5; 4.4; 5.4; 4.7; 4.9; 3.6 0.96
SECONDARY
Staff Satisfaction
2.1; 1.3; 1.6; 2.1; 1.8; 1.9 0.13

Summary

Amplification is a well-established, evidence-based front-line treatment for those with impaired communication secondary to Age Related Hearing Loss (ARHL). ARHL is the most prevalent cause of communication impairment among older adults. The challenge in treating ARHL is identifying a care model that effectively promotes adherence to individualized-treatment recommendations allowing the end-user to self-manage hearing loss with appropriate support. This proposal compares the two most common models of care for ARHL provided to adults in assisted living/personal care communities. The Consult Model (i.e., usual care) is an acute care strategy, relying on a monthly Audiologist visit to the facility. The Engage Model is a chronic care approach to support hearing loss self-management of ARHL. Engage includes (a) hearing screening for all residents, (b) an individualized communication plan for those with an identified hearing loss (e.g., one-to-one, group, telephone, television plans, hearing aid trouble shooting, communication strategies, etc.), (c) provision of simple, non-custom amplifiers, (d) referral to audiology if needed, and (e) ongoing support provided by trained personnel (Communication Facilitator) under the supervision of the audiologist.

Eligibility Criteria

Inclusion Criteria

  • Willingness to participate and
  • Being a resident, staff member or family member of a resident at one of the participating Assisted Living/Personal Care Facilities.

Exclusion Criteria

  • Unwillingness to participate
  • Not being a Resident, staff member or family member of a resident at one of eight Assisted Living/Personal Care Facilities.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04575051). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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