Societal Merit of Intervention on Hearing Loss Evaluation
SMILE
1 other identifier
observational
156
1 country
5
Brief Summary
The primary objective of this study is to determine the (long term) effect of intervention with a CI in adult participants with progressive postlingual moderate/severe-to-profound sensorineural hearing loss on societal related outcomes (participation; communication profile; autonomy; cognition; listening effort; work; productivity loss; income; medical consumption; third party quality of life; quality of life, and capability). The secondary objective is to determine the effect of CI waiting time between referral and CI surgery on the same societal related outcomes, in the adults with postlingual moderate/severe-to-profound sensorineural hearing loss.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jun 2020
Longer than P75 for all trials
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 29, 2020
CompletedFirst Submitted
Initial submission to the registry
August 25, 2022
CompletedFirst Posted
Study publicly available on registry
September 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2025
CompletedSeptember 1, 2022
August 1, 2022
5.3 years
August 25, 2022
August 30, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Participation
Sub-scales ('family role', 'Social life and relationships' and 'work and education') of The Impact on Participation and Autonomy questionnaire (IPA).There are 4 response options for each of the 32 items about participation and autonomy. These response options range from 'very good' (score=0) to 'bad' (score =4). There are 3 response options for the items about problem experiences. These range from 'no problem' (score=0) to 'big problem'(score=2). The scores of the 32 options will be summarized per sub-scale.
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
Secondary Outcomes (17)
Change in Autonomy
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
Change in Communication profile
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
Change in Work experience and status
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
Change in Work capabilities
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
Change in Productivity Costs Questionnaire
T0 (baseline), T1 (pre-operative, if waiting time > 6 months), T2 (1 year post CI surgery), T3 (2 years post CI surgery), T4 (3 years post CI surgery)
- +12 more secondary outcomes
Other Outcomes (4)
Change in Audiological outcomes Tone thresholds
Pre-surgery and 1 year post-surgery
Change in Audiological outcomes speech perception score unaided by using NVA lists and CVC words/phonemes.
Pre-surgery and 1 year post-surgery
Change in Audiological outcomes speech perception score aided by using NVA lists and CVC words/phonemes.
Pre-surgery and 1 year post-surgery
- +1 more other outcomes
Eligibility Criteria
People with moderate-severe to profound hearing loss who are referred to a tertiary hospital for potentially receiving a cochlear implant.
You may qualify if:
- Adults (potentially) eligible for CI according to the Dutch quality standard for CI (Veldnorm CI 2013) and willing to participate. Participants are divided in 2 age categories (under and over 65 years old)
You may not qualify if:
- People with a complex syndrome with multiple problems.
- Incapable of performing paid or unpaid labor, due to non-hearing related factors
- Prelingual onset of deafness.
- Children 0 - 18 years old.
- Non-native Dutch speakers.
- Patients suffering from a psychiatric disorder
- Any condition that may hamper a complete insertion of the electrode array or a normal rehabilitation with the cochlear implant (severe otosclerosis or neurologic deficits)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Radboudumc
Nijmegen, Gelderland, 6525 GA, Netherlands
Maastricht UMC+
Maastricht, Limburg, 6229 HX, Netherlands
Amsterdam UMC
Amsterdam, North Holland, 1117, Netherlands
Leids UMC
Leiden, South Holland, 2333 ZA, Netherlands
UMC Utrecht
Utrecht, 3584 CX, Netherlands
Related Publications (3)
Beckers L, Nijmeijer H, Mylanus E, Huinck W. Investigating the association between pre-implantation cognitive performance and one-year post-implantation speech perception outcomes in adult cochlear implant recipients using the repeatable battery for the assessment of neuropsychological status for hearing impaired individuals (RBANS-H). Cochlear Implants Int. 2025 Dec 22:1-12. doi: 10.1080/14670100.2025.2601419. Online ahead of print.
PMID: 41431315DERIVEDNijmeijer HGB, Philpott N, van der Wilt GJ, Donders ART, George E, Boerboom R, Frijns JHM, Kaandorp M, Huinck WJ, Mylanus EAM. Changes in participatory and societal outcomes during the waiting period for cochlear implantation - an observational study. Eur Arch Otorhinolaryngol. 2025 Feb;282(2):753-764. doi: 10.1007/s00405-024-08981-7. Epub 2024 Sep 26.
PMID: 39327291DERIVEDNijmeijer HGB, Huinck WJ, Kramer SE, Donders ART, van der Wilt GJ, Mylanus EAM. Changes on clinical and participatory outcomes in people with severe-to-profound hearing loss after cochlear implantation: protocol of a multicentre prospective observational cohort study - Societal Merit of Intervention on Hearing Loss Evaluation (SMILE). BMJ Open. 2023 Jun 27;13(6):e072689. doi: 10.1136/bmjopen-2023-072689.
PMID: 37369408DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Emmanuel Mylanus
Radboud University Medical Center
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 25, 2022
First Posted
September 1, 2022
Study Start
June 29, 2020
Primary Completion
October 1, 2025
Study Completion
December 1, 2025
Last Updated
September 1, 2022
Record last verified: 2022-08