Hearing Impairment, Strategies, and Outcomes in Emergency Departments
Hear-VA
2 other identifiers
interventional
133
1 country
1
Brief Summary
Aim 1: Establish the feasibility of screening for hearing loss in the ED Aim 2: Determine the acceptability of the screening procedure (among the ED population) Aim 3: Derive a preliminary estimate of the effect size of primary outcomes Aim 4: Identify the evidence that decision makers in Veteran Affair Medical Centers, ED and Audiology Services need to commit to this approach
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2019
Shorter than P25 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
July 11, 2018
CompletedFirst Posted
Study publicly available on registry
July 20, 2018
CompletedStudy Start
First participant enrolled
March 18, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 26, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 2, 2020
CompletedResults Posted
Study results publicly available
June 18, 2021
CompletedNovember 5, 2025
October 1, 2025
8 months
July 11, 2018
February 10, 2021
October 17, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of Participants With Use of Hearing Assistance Device (HAD) During Emergency Department (ED) Stay
The investigators will observe and survey intervention participants to determine whether or not they use the hearing assistance device while they are in the ED. This will be measured on a yes/no basis.
Duration of ED stay, average of 1-2 days
Patient-Rated Quality of Hearing, Understanding, and Communication With Providers During ED Stay
Participants will self-rate their quality of hearing, understanding, and communication using a six item questionnaire. Scored on a 10-point Likert scale (1 = do not agree at all; 10 = completely agree) the questions will be: When I talked to the doctors and nurses today ... (1) their voices were very clear; (2) I was able to hear the sounds that I wanted to hear; (3) noises did not cause a problem for my hearing; and (4) listening did not make me tired. Two additional statements will explicitly capture understanding: (5) I was able to understand what they said; and (6) I was able to understand without making an effort. Higher scores will indicate better communication and understanding with providers.
Duration of ED stay, average of 1-2 days
Patient-Rated Quality of Post-Discharge Care
Patient-rated quality of post-discharge care using a three-item subset of the Care Transition Measure (CTM). The questions are scored on a 1-4 scale (1= strongly disagree; 4 = strongly agree): (1) The ED staff considered my preferences and those of my family or caregiver in deciding what my healthcare needs were for discharge; (2) Leaving the ED, I have a good understanding of the things I am responsible for in managing my health; (3) Leaving the ED, I clearly understand the purpose for each of my medications. Higher scores will indicate better discharge preparation.
At time of discharge from ED, average 1 day
Secondary Outcomes (5)
Education Level
Duration of ED stay, average of 1-2 days
Primary Language
Duration of ED stay, average of 1-2 days
Number of Participants Who Live Alone or With Others
Duration of ED stay, average of 1-2 days
Number of Participants in the ED Alone or With Others
Duration of ED stay, average of 1-2 days
Hospital Readmission
3-30 days after initial ED stay
Study Arms (2)
Intervention: PockeTalker
EXPERIMENTALConsenting participants will be randomly assigned to the intervention group while receiving care in the emergency department
Control: No PockeTalker
OTHERConsenting participants will be randomly assigned to the control group while receiving care in the emergency department
Interventions
The intervention group will receive PockeTalkers (hearing assistance devices) while they receive care in the ED
The control group will not receive PockeTalkers while they receive care in the ED
Eligibility Criteria
You may qualify if:
- English or Spanish speaking
- Emergency severity index criterion of 4 or 5 (low acuity)
- Hearing Handicap Impairment Evaluation Screen greater than or equal to 24
- Capacity to consent to participate in research
You may not qualify if:
- Inability to consent to participate in research
- Emergency severity index criterion of 1-3 (high acuity)
- Hearing Handicap Impairment Evaluation Screen less than 24
- Inability to speak English or Spanish
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- VA Office of Research and Developmentlead
- NYU Langone Healthcollaborator
Study Sites (1)
VA NY Harbor Healthcare System, New York, NY
New York, New York, 10010-5011, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Joshua Chodosh
- Organization
- VA NY Harbor Healthcare System
Study Officials
- PRINCIPAL INVESTIGATOR
Joshua Chodosh, MD MSHS
VA NY Harbor Healthcare System, New York, NY
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 11, 2018
First Posted
July 20, 2018
Study Start
March 18, 2019
Primary Completion
November 26, 2019
Study Completion
January 2, 2020
Last Updated
November 5, 2025
Results First Posted
June 18, 2021
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share