The Effectiveness of Computerized Auditory Training Programme on Children With Auditory Processing Disorder

NCT02111343 | Completed

• 1 other identifier: D/09/485
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The current study aimed to examine the effectiveness of a Computer-based auditory training (CBAT) intervention for children with Central Auditory Processing Disorder (CAPD) by comparing the changes in auditory processing (AP) and functional listening skills of these children immediately post-intervention, to that of the untrained controls. The AP skills of the trained group were evaluated again at 3 months post-intervention to examine the sustainability of any improvements made from the CBAT intervention. I hypothesised that after intervention, children from the auditory training (AT) group would improve in their AP skills, and that improvement would be greater than the changes in AP skills of those untrained controls. I also hypothesised that the improvement made from the intervention would sustain for at least 3 months after the end of intervention. Finally, I examined if the training outcomes are predictable from any underlying factors such as the initial AP, language, or cognitive skills of these children.

Conditions

Central Auditory Processing Disorder

Keywords

auditory processing disorder; central auditory processing disorder; auditory processing; auditory training

Outcome Measures

Primary Outcomes (1)

• Change from baseline in auditory processing skills at 3 months

  The auditory processing skills of patients were assessed using the LiSN-S. The LiSN-S is an auditory task that assesses the ability of children to understand speech in the background of two other talkers. The LiSN-S test was administered using a laptop with a circumaural headphones connected to the computer. The target sentences were presented at an initial level of 62 dB SPL, whereas the distracter stories were presented at a constant level of 55 dB SPL. The target stimuli and distracter discourse were presented to both ears simultaneously. A maximum of 30 sentences were presented in each of the four listening conditions. The patient was required to repeat the targeted sentences verbally in every listening condition and correct responses were scored manually by the me on the computer. The stimulus presentation level was adjusted adaptively depending on the patient's response. The assessment took approximately 20 minutes to complete.

  baseline, and post-3 months

Secondary Outcomes (1)

• Change from baseline in listening skills at 3 months

  Baseline, and post-3 months

Study Arms (2)

Computer-based auditory training (CBAT)

EXPERIMENTAL

The CBAT programmes in the current study were specifically designed to improve speech-in-noise and dichotic listening skills of children diagnosed with CAPD. All the training programmes were designed to be installed on home-user's computer, and they were visually attractive and appealing to children. The development of the software (non commercial) for the speech-in-noise and dichotic listening training was done by two different teams in the United Kingdom and Singapore, respectively.

Other: Computer-based auditory training (CBAT)

Control

NO INTERVENTION

No intervention other than participants' regular school activities

Interventions

Computer-based auditory training (CBAT) OTHER

There are 3 listening games (i.e. Doggy, Who-Is-Right, Story-in-noise) that target on speech-in-noise training and 1 listening game (i.e. TATP) that aims to train dichotic listening. Patient was required to undergo the training for 30 minutes per day, 5 sessions per week, for a duration of 12 weeks. Parents were advised to keep a journal to record child's training hour of the day.

Computer-based auditory training (CBAT)

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Presentation to the clinic with reported symptoms of listening difficulties.
• No measurable peripheral hearing anomalies in both ears, i.e. normal cochlea and middle ear function, as judged by normal audiometric thresholds of 20dB HL or better in the speech frequency range of 250-8000 Hz, and normal impedance audiometry.
• Performance on the behavioural AP test battery (Table 6.1) which met the following criteria:
• At least two abnormalities in the non-speech or minimally-linguistic loaded tasks.
• No indication of any other underlying higher order cognitive problems as judged by abnormal performance scores in all the tasks in AP test battery.
• Normal intelligence, as judged by having a nonverbal IQ score of more than 85 (Test of Nonverbal Intelligence, TONI).

You may not qualify if:

• one with medical or developmental conditions, i.e. epilepsy, global developmental delay, pervasive learning disorder such as autism, which may additionally impact on auditory or cognitive performance.

Sponsors & Collaborators

• National University Health System, Singapore: lead

Study Sites (1)

National University Hospital

Singapore, Singapore, 119074, Singapore

Location

MeSH Terms

Conditions

Language Development Disorders; Auditory Perceptual Disorders

Condition Hierarchy (Ancestors)

Language Disorders; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Auditory Diseases, Central; Retrocochlear Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Brain Diseases; Central Nervous System Diseases; Perceptual Disorders; Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Study Officials

• Jenny HY Loo, PhD

  National University Health System

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Audiologist

Study Record Dates

• First Submitted: March 25, 2014
• First Posted: April 11, 2014
• Study Start: October 1, 2009
• Primary Completion: September 1, 2011
• Study Completion: September 1, 2011
• Last Updated: April 11, 2014

Record last verified: 2014-04

Locations

SG (1)