Adaptation of a Rehabilitation Program for Prosody and Its Application on Egyptian Hearing Impaired Children

NCT04691830 | Completed

• 1 other identifier: 0105832
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

Prosody is the melody and rhythm of speech, it is used to refer to the supra segmental aspects of speech including pitch, loudness and duration. Variations in these features achieve different prosodic functions and are perceived by the listener as meaningful changes. The role of prosody in language acquisition and effective communication is documented in research. Nevertheless, prosodic intervention in children with hearing impairment received less attention compared to other speech and language areas. The aim of this study is to adapt the "prosody treatment program", an evidence based rehabilitation program, and to detect the efficacy of its activities in improving the prosodic skills of Egyptian hearing impaired children. The "prosody treatment program" is an evidence-based practice targeting receptive and expressive prosodic skills in addition to speech production, intelligibility, pragmatics and phonology. The program is applied using a systematic approach of providing cues following the principles adapted from dynamic temporal and tactile cueing (DTTC) for speech motor learning to help accelerate the child's learning of the prosodic skills targeted in this program. The program was translated to Arabic and adapted to be suitable for the Egyptian children.

Conditions

Hearing Impaired Children

Keywords

Hearing impairment; Prosody; Speech rehabilitation; Cochlear implant

Outcome Measures

Primary Outcomes (8)

• change in prosodic skill assessment protocol subjective measures

  a quantitative test that evaluates ten prosodic skills, each skill is given a subjective score from 0 to 4 (4 is the best score) with a total score of 40.

  baseline and 3 months

• change in prosodic skill assessment protocol mean frequency measures

  a quantitative tool that evaluates mean frequency value of recorded utterances in hertz

  baseline and 3 months

• change in prosodic skill assessment protocol mean duration measures

  a quantitative tool that evaluates mean duration of recorded utterances in msec

  baseline and 3 months

• change in prosodic skill assessment protocol mean energy measures

  a quantitative tool that evaluates mean energy of recorded utterances in dB

  baseline and 3 months

• Change in Arabic prosodic assessment tool subjective ratings

  a qualitative tool that rates prosodic skills of recorded utterances as either (A) Appropriate or (I) Inappropriate

  baseline and 3 months

• Change in Arabic prosodic assessment tool frequency measures

  a quantitative tool that evaluates frequency values of recorded utterances in hertz

  baseline and 3 months

• Change in Arabic prosodic assessment tool duration measures

  a quantitative tool that evaluates duration of recorded utterances in msec

  baseline and 3 months

• Change in Arabic prosodic assessment tool energy measures

  a quantitative tool that evaluates energy of recorded utterances in dB

  baseline and 3 months

Secondary Outcomes (2)

• change in Arabic language test scores

  baseline and 3 months

• change in values of Stanford Binet scale

  baseline and 3 months

Study Arms (4)

group IA

EXPERIMENTAL

Preschool cases group who received the proposed "prosody treatment program" in addition to the traditional auditory and language rehabilitation therapy.

Behavioral: Prosody treatment program; Behavioral: Traditional auditory and language rehabilitation

group IB

ACTIVE COMPARATOR

preschool control group who received the traditional auditory and language rehabilitation therapy without the prosody rehabilitation program. This was considered the preschool age control group.

Behavioral: Traditional auditory and language rehabilitation

group IIA

EXPERIMENTAL

School age cases group who received the proposed "prosody treatment program" in addition to the traditional auditory and language rehabilitation therapy.

Behavioral: Prosody treatment program; Behavioral: Traditional auditory and language rehabilitation

group IIB

ACTIVE COMPARATOR

School age control group who received the traditional auditory and language rehabilitation therapy without the prosody rehabilitation program. This was considered the school age control group.

Behavioral: Traditional auditory and language rehabilitation

Interventions

Prosody treatment program BEHAVIORAL

The "prosody treatment program" is an evidence-based practice targeting receptive and expressive prosodic skills in addition to speech production, intelligibility, pragmatics and phonology. The program incorporates the principles of validated prosodic rehabilitation strategies such as Dynamic Temporal and Tactile Cueing (DTTC), Melodic Intonation Therapy, Lee Silverman Voice Treatment in addition to expert professional practice. The program was applied using a systematic approach of providing cues to help accelerate the child's learning of the prosodic skills targeted in the program. The program is divided into two sections according to the age into preschool section and school age section.

group IA; group IIA

Traditional auditory and language rehabilitation BEHAVIORAL

Auditory rehabilitation therapy included activities targeting auditory skills: sound detection, discrimination, identification and auditory comprehension. Language rehabilitation targeted improving semantics, syntax, pragmatics and phonology.

group IA; group IB; group IIA; group IIB

Eligibility Criteria

• Age: 3 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Hearing impaired children of both sexes, in the preschool age (from 3 to 6 years), and school age (6 to 18 years).
• Children using auditory verbal communication.
• Children with moderately severe or severe up to profound sensorineural hearing loss in unaided conditions, fitted with hearing aids or cochlear implant devices with good benefit (aided hearing threshold less than 40 dB across all frequencies).

You may not qualify if:

• Children with intellectual disability.
• Children with brain damage.
• Children with additional sensory deprivation (impaired vision).
• Psychiatric problems (example; ASD).
• Motor speech disorders (example: apraxia, dysarthria).

Sponsors & Collaborators

• Sara Magdy Ibrahim: lead
• Alexandria University: collaborator

Study Sites (1)

Alexandria University, Faculty of Medicine

Alexandria, 21131, Egypt

Location

Related Publications (1)

• Sobhy OA, Abdou RM, Ibrahim SM, Hamouda NH. Effects of Prosody Rehabilitation on Acoustic Analysis of Prosodic Features in Hearing-Impaired Children: A Randomized Controlled Trial. Folia Phoniatr Logop. 2022;74(1):29-45. doi: 10.1159/000516979. Epub 2021 Jul 21.

  PMID: 34289481 DERIVED

MeSH Terms

Conditions

Hearing Loss

Condition Hierarchy (Ancestors)

Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ossama A Sobhy, PhD

  Alexandria University

  PRINCIPAL INVESTIGATOR

• Rania M Abdou, PhD

  Alexandria University

  STUDY CHAIR

• Nesrine H Hammouda, PhD

  Alexandria University

  STUDY DIRECTOR

• Sara M Ibrahim, Master's

  Alexandria University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Demonstrator of phoniatrics

Model Details: a comparative intervention study comparing the effect of prosodic rehabilitation in addition to the traditional language and auditory training on prosodic skills of hearing impaired children in comparison to traditional language and auditory rehabilitation alone.

Study Record Dates

• First Submitted: December 28, 2020
• First Posted: December 31, 2020
• Study Start: February 19, 2019
• Primary Completion: February 16, 2020
• Study Completion: February 16, 2020
• Last Updated: December 31, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)