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NCT04575051: HearCARE

Hearing for Communication and Resident Engagement

Completed NA Results posted Last updated 13 December 2024
What this trial tests

NA trial testing Consult Model in Hearing Loss, Age-Related in 684 participants. Completed in 1 November 2023.

Timeline
1 June 2021
Primary endpoint
1 November 2023
1 November 2023

Quick facts

Lead sponsorUniversity of Pittsburgh
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingsingle
Primary purposehealth services research
Enrollment684
Start date1 June 2021
Primary completion1 November 2023
Estimated completion1 November 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Pittsburgh

Who can join

60 and older, any sex, with Hearing Loss, Age-Related. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Satisfaction With Social Participation Primary · Baseline (T0), at 5 (T1), 10 (T2), 15 (T3), 20 (T4) and 25 (T5) months

PROMIS Satisfaction with Participation in Discretionary Social Activities SF7a self-reported contentment with leisure interests and relationships with friends. T- scores are provided ranging from 27 to 65.6 where higher scores indicate more satisfaction (50 indicates the population mean with a standard deviation of 10).

Baseline (Time 0)
GroupValue95% CI
Group 1 (HearCARE Start at T1)49.7± 7.9
Group 2 (HearCARE Start at T2)52.8± 8.9
Group 3 (HearCARE Start at T3)51.2± 10.3
Group 4 (HearCARE Start at T4)49.4± 6.6
Group 5 (HearCARE Start at T5)51.7± 7.6
5 months (Time 1)
GroupValue95% CI
Group 1 (HearCARE Start at T1)49.7± 7.8
Group 2 (HearCARE Start at T2)48.4± 6.7
Group 3 (HearCARE Start at T3)47.6± 8.7
Group 4 (HearCARE Start at T4)48.1± 5.6
Group 5 (HearCARE Start at T5)48.1± 7.0
10 months (Time 2)
GroupValue95% CI
Group 1 (HearCARE Start at T1)48.1± 7.1
Group 2 (HearCARE Start at T2)47.6± 6.1
Group 3 (HearCARE Start at T3)49.4± 7.0
Group 4 (HearCARE Start at T4)48.6± 7.0
Group 5 (HearCARE Start at T5)47.4± 6.0
15 months (Time 3)
GroupValue95% CI
Group 1 (HearCARE Start at T1)52.0± 7.1
Group 2 (HearCARE Start at T2)47.1± 6.5
Group 3 (HearCARE Start at T3)45.4± 6.2
Group 4 (HearCARE Start at T4)49.9± 8.1
Group 5 (HearCARE Start at T5)48.4± 6.6
20 months (Time 4)
GroupValue95% CI
Group 1 (HearCARE Start at T1)49.4± 5.6
Group 2 (HearCARE Start at T2)49.0± 7.1
Group 3 (HearCARE Start at T3)47.2± 6.3
Group 4 (HearCARE Start at T4)48.1± 6.8
Group 5 (HearCARE Start at T5)48.2± 6.4
25 months (Time 5)
GroupValue95% CI
Group 1 (HearCARE Start at T1)49.1± 7.3
Group 2 (HearCARE Start at T2)48.2± 7.8
Group 3 (HearCARE Start at T3)49.6± 8.2
Group 4 (HearCARE Start at T4)47.4± 7.2
Group 5 (HearCARE Start at T5)48.9± 6.7
Hearing-Specific Health-Related Quality of Life Primary · Baseline, at 5, 10, 15, 20 and 25 months

Hearing Handicap Inventory for the Elderly captures social and emotional hearing handicap. 10 items with responses scored 0, 2, and 4 for 'No', 'Sometimes', and 'Yes'; min total score is 0 and maximum is 40. Higher scores indicate worse impact of hearing difficulties on activities and participation.

Baseline (Time 0)
GroupValue95% CI
Group 1 (HearCARE Start at T1)10.2± 11.2
Group 2 (HearCARE Start at T2)10.6± 9.6
Group 3 (HearCARE Start at T3)9.2± 10.2
Group 4 (HearCARE Start at T4)7.5± 8.9
Group 5 (HearCARE Start at T5)8.1± 9.4
5 months (Time 1)
GroupValue95% CI
Group 1 (HearCARE Start at T1)9.4± 9.6
Group 2 (HearCARE Start at T2)10.9± 10.1
Group 3 (HearCARE Start at T3)9.4± 9.2
Group 4 (HearCARE Start at T4)9.2± 10.9
Group 5 (HearCARE Start at T5)8.9± 9.1
10 months (Time 2)
GroupValue95% CI
Group 1 (HearCARE Start at T1)8.9± 8.8
Group 2 (HearCARE Start at T2)11.6± 10.2
Group 3 (HearCARE Start at T3)8.9± 8.5
Group 4 (HearCARE Start at T4)9.2± 9.0
Group 5 (HearCARE Start at T5)5.6± 7.0
15 months (Time 3)
GroupValue95% CI
Group 1 (HearCARE Start at T1)7.3± 8.9
Group 2 (HearCARE Start at T2)9.8± 10.0
Group 3 (HearCARE Start at T3)9.5± 9.2
Group 4 (HearCARE Start at T4)10.1± 9.5
Group 5 (HearCARE Start at T5)6.7± 8.5
20 months (Time 4)
GroupValue95% CI
Group 1 (HearCARE Start at T1)6.9± 8.3
Group 2 (HearCARE Start at T2)8.5± 8.3
Group 3 (HearCARE Start at T3)7.9± 7.7
Group 4 (HearCARE Start at T4)9.7± 8.9
Group 5 (HearCARE Start at T5)7.0± 8.8
25 months (Time 5)
GroupValue95% CI
Group 1 (HearCARE Start at T1)9.0± 11.0
Group 2 (HearCARE Start at T2)8.5± 10.0
Group 3 (HearCARE Start at T3)4.4± 5.0
Group 4 (HearCARE Start at T4)6.9± 8.5
Group 5 (HearCARE Start at T5)5.6± 8.6
Family Burden Secondary · Baseline, at 5, 10, 15, 20 and 25 months

Zarit Burden Interview is a 4-item questionnaire that measures caregiver burden. The 4 items each have responses ranging from 0='Never' to 4='Nearly Always'. Item responses are summed to produce the total score that ranges from 0 to 16 with higher scores indicating more burden.

Baseline (Time 0)
GroupValue95% CI
Group 1 (HearCARE Start at T1)5.5± 3.7
Group 2 (HearCARE Start at T2)4.4± 3.4
Group 3 (HearCARE Start at T3)5.4± 3.0
Group 4 (HearCARE Start at T4)4.7± 3.6
Group 5 (HearCARE Start at T5)4.9± 3.0
5 months (Time 1)
GroupValue95% CI
Group 1 (HearCARE Start at T1)3.6± 2.8
Group 2 (HearCARE Start at T2)3.9± 2.9
Group 3 (HearCARE Start at T3)4.5± 3.1
Group 4 (HearCARE Start at T4)4.2± 3.7
Group 5 (HearCARE Start at T5)4.6± 3.4
10 months (Time 2)
GroupValue95% CI
Group 1 (HearCARE Start at T1)3.9± 2.8
Group 2 (HearCARE Start at T2)6.7± 4.4
Group 3 (HearCARE Start at T3)5.6± 3.3
Group 4 (HearCARE Start at T4)4.8± 3.7
Group 5 (HearCARE Start at T5)4.8± 3.8
15 months (Time 3)
GroupValue95% CI
Group 1 (HearCARE Start at T1)5.1± 3.7
Group 2 (HearCARE Start at T2)5.2± 4.6
Group 3 (HearCARE Start at T3)5.4± 3.0
Group 4 (HearCARE Start at T4)4.1± 3.8
Group 5 (HearCARE Start at T5)5.0± 4.8
20 months (Time 4)
GroupValue95% CI
Group 1 (HearCARE Start at T1)4.8± 2.8
Group 2 (HearCARE Start at T2)3± 2.8
Group 3 (HearCARE Start at T3)5.9± 3.7
Group 4 (HearCARE Start at T4)5.0± 3.5
Group 5 (HearCARE Start at T5)5.3± 3.9
25 months (Time 5)
GroupValue95% CI
Group 1 (HearCARE Start at T1)5.1± 2.7
Group 2 (HearCARE Start at T2)4.3± 4.0
Group 3 (HearCARE Start at T3)5.4± 2.8
Group 4 (HearCARE Start at T4)4.6± 3.9
Group 5 (HearCARE Start at T5)4.4± 3.6
Staff Satisfaction Secondary · Baseline, at 5, 10, 15, 20 and 25 months

Michigan Organizational Assessment Questionnaire (MOAQ) is a 3-item questionnaire that measures satisfaction with one's job. Items have responses ranging from 1='Agree Strongly' to 6='Disagree Strongly'. The combined score is the average of the 3 items with one item reverse scored. Higher scores indicate less satisfaction.

Baseline (Time 0)
GroupValue95% CI
Group 1 (HearCARE Start at T1)2.1± 1.0
Group 2 (HearCARE Start at T2)1.3± 0.5
Group 3 (HearCARE Start at T3)1.6± 0.8
Group 4 (HearCARE Start at T4)2.1± 1.0
Group 5 (HearCARE Start at T5)1.8± 0.6
5 months (Time 1)
GroupValue95% CI
Group 1 (HearCARE Start at T1)1.9± 1.0
Group 2 (HearCARE Start at T2)1.9± 0.8
Group 3 (HearCARE Start at T3)1.6± 0.7
Group 4 (HearCARE Start at T4)1.8± 0.9
Group 5 (HearCARE Start at T5)1.8± 0.7
10 months (Time 2)
GroupValue95% CI
Group 1 (HearCARE Start at T1)1.7± 0.8
Group 2 (HearCARE Start at T2)1.1± 0.3
Group 3 (HearCARE Start at T3)2.2± 1.2
Group 4 (HearCARE Start at T4)1.4± 0.5
Group 5 (HearCARE Start at T5)1.7± 0
15 months (Time 3)
GroupValue95% CI
Group 1 (HearCARE Start at T1)1.8± 0.8
Group 2 (HearCARE Start at T2)1.3± 0.6
Group 3 (HearCARE Start at T3)2.0± 1.0
Group 4 (HearCARE Start at T4)1.7± 0.8
Group 5 (HearCARE Start at T5)2.1± 0.9
20 months (Time 4)
GroupValue95% CI
Group 1 (HearCARE Start at T1)1.8± 1.1
Group 2 (HearCARE Start at T2)1.5± 0.8
Group 3 (HearCARE Start at T3)1.9± 1.1
Group 4 (HearCARE Start at T4)1.4± 0.6
Group 5 (HearCARE Start at T5)1.8± 0.8
25 months (Time 5)
GroupValue95% CI
Group 1 (HearCARE Start at T1)1.6± 0.8
Group 2 (HearCARE Start at T2)1.4± 0.7
Group 3 (HearCARE Start at T3)1.7± 0.7
Group 4 (HearCARE Start at T4)1.4± 0.5
Group 5 (HearCARE Start at T5)1.9± 0.8

Sponsor's own description

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.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Models for delivery and co-ordination of primary or secondary health care (or both) to older adults living in aged care facilities.
    Putrik P, Grobler L, Lalor A, Ramsay H, et al · · 2024 · cited 4× · PMID 38426600 · DOI 10.1002/14651858.cd013880.pub2

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04575051.

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