NCT05245799

Brief Summary

The purpose of this study is to evaluate if the effects of in-person speech-language therapy with a novel digital storybook intervention platform (Hear Me Read) improves vocabulary, speech and language, and literacy outcomes in young children who are deaf or hard of hearing compared with in-person therapy alone.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

January 14, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 18, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

March 25, 2022

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2024

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

March 30, 2023

Status Verified

March 1, 2023

Enrollment Period

2 years

First QC Date

January 14, 2022

Last Update Submit

March 28, 2023

Conditions

Keywords

AppSpeech and LanguageTabletDigitalLiteracyHearing LossSpeech Therapy

Outcome Measures

Primary Outcomes (11)

  • Receptive One Word Picture Vocabulary Test

    The ROWPVT-4 is an individually administered assessment of how well persons can match a word that is heard to objects, actions, or concepts presented in full-color pictures. The examinee indicates the correct color picture that matches the word spoken by the examiner. Raw scores are reported as standard scores, percentile ranks, growth scale and age equivalents. Raw scores are from 0-100 with higher scores indicating better performance.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Sentence Comprehension

    The Sentence Comprehension (SC) subtest is used to evaluate the child's ability to interpret spoken sentences of increasing length and complexity. The child identifies a picture that matches the sentence read aloud by the examiner. Raw scores (min = 0; max = 22) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher scaled scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Word Structure

    The Word Structure (WS) subtest is used to evaluate the child's ability to (a) apply word structure rules to mark inflections, derivations, and comparison and (b) select and use appropriate pronouns to refer to people, objects, and possessive relationships. Raw scores (min = 0; max = 24) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Expressive Vocabulary

    The Expressive Vocabulary (EV) subtest is used to evaluate the child's ability to label images of people, objects, attributes, and actions. The child names an object, person, or activity portrayed in a picture. Raw scores (min = 0; max = 42) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Following Directions

    The Following Directions (FD) subtest is used to evaluate the child's ability to (a) interpret spoken directions of increasing length and complexity; (b) remember the names, characteristics, and order of mention of pictures; and (c) identify the targets from among several choices. Raw scores (min = 0; max = 24) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Recalling Sentences

    The Recalling Sentences (RS) subtest is used to evaluate the child's ability to listen to spoken sentences of increasing length and complexity and repeat the sentences without changing word meanings, inflections, derivations or comparisons, or sentence structure. Raw scores (min = 0; max = 45) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Basic Concepts

    The Basic Concepts (BC) subtest is used to evaluate the child's knowledge of concepts including direction/location/position, number/quantity, sequence, attributes, dimension/size, same/different, and inclusion/exclusion. Raw scores (min = 0; max = 24) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Word Classes

    The Word Classes (WC) subtest is used to evaluate the child's ability to perceive relationships between words that are related by semantic class features. Raw scores (min = 0; max = 20) are reported as standard scores, percentile ranks, growth scale and age equivalents. Higher standard scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3: Core Language Score

    The Core Language Score (CLS) is a measure of general language ability that quantifies overall language performance and is used to make decisions about the presence or absence of a language disorder. It is derived by summing the scaled scores from the subtests that best discriminate typical language performance from disordered language performance deriving a standardized composite score (min = 45; max = 155). Higher composite scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and Indices: Receptive Language Index

    The Receptive Language Index (RLI) is a measure of listening and auditory comprehension and is derived by summing the scaled scores from a combination of two or three receptive subtests. Scores are derived by summing the scaled scores from the subtests and deriving a standardized composite score (min = 45; max = 155). Higher composite scores represent better language outcomes.

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and Indices: Expressive Language Index

    The Expressive Language Index (ELI) is a measure of performance on three tests that probe expressive aspects of language including oral language expression. Scores are derived by summing the scaled scores from the subtests and deriving a standardized composite score (min = 45; max = 155). Higher composite scores represent better language outcomes.

    12- month intervention period

Secondary Outcomes (3)

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Phonological Awareness

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool- 3 and subtests: Preliteracy Rating Scale

    12- month intervention period

  • Clinical Evaluation of Language Fundamentals Preschool-3 Index: Early Literacy Index

    12- month intervention period

Study Arms (2)

Speech Language Therapy

ACTIVE COMPARATOR

Children who are deaf/hard of hearing will receive standard of care speech and language therapy with a speech language pathologist. Reading time is prescribed 20 min, 3x/week.

Behavioral: Speech Language Therapy

Speech Language Therapy + Digital Phase

EXPERIMENTAL

Children who are deaf/hard of hearing will receive standard of care speech and language therapy with a speech language pathologist with the addition of the digital app named, Hear Me Read, that will be used to achieve reading, speech and language goals through interactive digital storybook reading. Reading time is prescribed 20 min, 3x/week.

Behavioral: Speech Language TherapyBehavioral: Digital Software Application

Interventions

Children who are deaf/hard of hearing will receive typical speech and language therapy with a speech pathologist. Reading time is prescribed 20 min, 3x/week.

Speech Language TherapySpeech Language Therapy + Digital Phase

The Hear Me Read app is an IOS-based software application that enables parents and speech-language pathologists to partner together to help deaf/hard of hearing children (D/HH) achieve reading, speech and language goals through interactive digital storybook reading.

Also known as: Hear Me Read
Speech Language Therapy + Digital Phase

Eligibility Criteria

Age3 Years - 5 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Male and female children ages 3.0-5.11 (5 years and 11 months) at time of initial assessment and:
  • Bilateral Sensorineural or mixed hearing loss at least (PTA≥30dB)
  • Auditory neuropathy in both ears

You may not qualify if:

  • English not primary language
  • Standard score CLS \>2 SD from normal on CELF-P3

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

MeSH Terms

Conditions

Hearing LossDeafnessCommunication DisordersLiteracyAlzheimer DiseaseSpeechLanguage

Interventions

Speech Therapy

Condition Hierarchy (Ancestors)

Hearing DisordersEar DiseasesOtorhinolaryngologic DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsNeurobehavioral ManifestationsNeurodevelopmental DisordersMental DisordersCommunicationBehaviorDementiaBrain DiseasesCentral Nervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersVerbal Behavior

Intervention Hierarchy (Ancestors)

Rehabilitation of Speech and Language DisordersRehabilitationAftercareContinuity of Patient CarePatient CareTherapeutics

Study Officials

  • Prasanth Pattisapu, MD

    Nationwide Children's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 14, 2022

First Posted

February 18, 2022

Study Start

March 25, 2022

Primary Completion

March 31, 2024

Study Completion

December 31, 2024

Last Updated

March 30, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations