NCT01809496

Brief Summary

The purpose of this study is to examine the effect of enhanced patient-centered counseling (PCC) and the influence of spousal involvement in pre-fitting counseling on hearing-aid outcomes.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
10

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2013

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2013

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

March 6, 2013

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 12, 2013

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2013

Completed
Last Updated

December 9, 2014

Status Verified

December 1, 2014

Enrollment Period

7 months

First QC Date

March 6, 2013

Last Update Submit

December 8, 2014

Conditions

Keywords

hearing losshearing aidsspousesrehabilitation

Outcome Measures

Primary Outcomes (1)

  • post-use subjective opinions regarding the hearing aids

    questionnaires

    4-6 weeks after the hearing aid fitting

Secondary Outcomes (1)

  • pre-use hearing aid expectations

    immediately after the intervention at Visit #2 (Day 0)

Other Outcomes (2)

  • self-efficacy

    4-6 weeks after the hearing aid fitting

  • hearing aid use

    4-6 weeks after the hearing aid fitting

Study Arms (4)

Informational counseling, patient only

ACTIVE COMPARATOR

The purpose of this experimental group is to evaluate the effectiveness of informational counseling alone. This type of counseling is considered the standard of care in audiologic practice. Patients in this will review this material in detail with a member of the study team for approximately 30 minutes at the second visit. Spouses in this experimental group will be will review material regarding VA services with a member of the study team for about 30 minutes.

Behavioral: Informational Counseling

Informational Counseling, couples

EXPERIMENTAL

The purpose of this experimental group is to evaluate the influence of spousal involvement when receiving informational counseling. In this manner, both patients and spouses are presented with the same information regarding hearing loss and hearing aids. Couples in this experimental group will be given the same information that the patients in the first group were given. At the second visit, couples in this group will review this information together with a member of the research team for approximately 30 minutes.

Behavioral: Informational Counseling

Patient Centered Counseling,patient only

EXPERIMENTAL

In order to assess the effects of enhanced patient-centered counseling (PCC), the patients assigned to this group will meet together with either Dr. Lewis or the Research Audiologist for approximately 30 minutes of counseling. In addition to the PCC techniques used in audiology, this counseling also will involve the core components of motivational interviewing. These principles and methods will be used to allow the patient to clearly express his/her expectations of, concerns about, and motivations for hearing-aid use. The spouses in this experimental group will be given information regarding VA services. This material will be reviewed with a member of the research team for about 30 minutes at the second visit.

Behavioral: Patient Centered Counseling

Patient Centered Counseling, couples

EXPERIMENTAL

In order to assess the influence of the spouse on the enhanced PCC process, the couples assigned to this group will meet together with either Dr. Lewis or the Research Audiologist for approximately 30 minutes of counseling. This counseling will be conducted with both the patient and the spouse together, giving both partners time to express their thoughts.

Behavioral: Patient Centered Counseling

Interventions

Informational Counseling, couplesInformational counseling, patient only
Also known as: motivational interviewing
Patient Centered Counseling, couplesPatient Centered Counseling,patient only

Eligibility Criteria

Age20 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 20-85 years;
  • Intact mental status as assessed by the Mini-Mental State Examination (MMSE; Folstein, Folstein \& McHugh, 1975);
  • No evidence of any major medical illness requiring long-term assistive care, as determined by the Katz Index of Independence in Activities of Daily Living (Katz, Down, Cash \&Grotz, 1970);
  • Able to read and respond to English; and
  • Willing and able to give written informed consent to participate in this investigation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Portland VA Medical Center

Portland, Oregon, 97207, United States

Location

Related Publications (2)

  • Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist. 1970 Spring;10(1):20-30. doi: 10.1093/geront/10.1_part_1.20. No abstract available.

    PMID: 5420677BACKGROUND
  • Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available.

    PMID: 1202204BACKGROUND

MeSH Terms

Conditions

Hearing Loss

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Hearing DisordersEar DiseasesOtorhinolaryngologic DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • M. Samantha Lewis, PhD

    VA National Center for Rehabilitative Auditory Research

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 6, 2013

First Posted

March 12, 2013

Study Start

March 1, 2013

Primary Completion

October 1, 2013

Study Completion

October 1, 2013

Last Updated

December 9, 2014

Record last verified: 2014-12

Locations