MCI Speech in Noise
Speech Perception in Noise as an Improved Marker for Neurocognitive Dysfunction
1 other identifier
observational
70
1 country
1
Brief Summary
The purpose of this study is to determine whether people with MCI (Mild Cognitive Impairment) and healthy comparison subjects differ with respect to their ability to hear soft sounds and how their brain understands and processes sound. The investigators are also evaluating, within those with MCI, whether the hearing tests are associated with neurocognitive functioning. The investigators are interested in learning whether changes in cognition in those with MCI can be detected using tests of how the brain processes sound. The investigators hypothesize that participants with MCI will score worse on both hearing tests and neurocognitive tests than participants without MCI. Participants are asked to complete multiple types of hearing tests, take a series of neurocognitive tests, and complete a few questionnaires.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started May 2024
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
October 17, 2023
CompletedFirst Posted
Study publicly available on registry
October 26, 2023
CompletedStudy Start
First participant enrolled
May 18, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 2, 2026
CompletedJanuary 13, 2026
January 1, 2026
2 years
October 17, 2023
January 12, 2026
Conditions
Outcome Measures
Primary Outcomes (4)
Hearing-in-Noise Test Performance
The performance for Hearing in Noise Tests (HINT) between energetic masking and 2-talker informational masking (IM). Performance will be measured by the lowest signal-to-noise ratio (volume at which sentences are presented compared to background noise volume) that can be heard by the participant.
1 time point (takes 15 minutes)
Triple Digit in Noise Test Performance
Performance for the behavioral Triple Digit (TDT) between energetic masking and 2-talker informational masking (IM). Performance will be measured by the lowest signal-to-noise ratio (volume at which digits are presented compared to background noise volume) that can be heard by the participant.
1 time point (takes 15 minutes)
Size of auditory neural response in background noise
The change in amplitude of neural response between energetic masking and 2-talker informational masking (IM).
1 time point (takes 45 minutes)
Timing of auditory neural response in background noise
The change in latency of neural response between energetic masking and 2-talker informational masking (IM).
1 time point (takes 45 minutes)
Study Arms (2)
MCI
Participants diagnosed with or suspected to have MCI
Control
Participants without MCI
Eligibility Criteria
The community in and around Lebanon, NH and patients from DHMC.
You may qualify if:
- Adults diagnosed with or suspected to have MCI (for MCI group) or are cognitively normal (for Control group)
- Absence of other risk factors that might affect CAP (Central Auditory Processing) performance (e.g., active ear infections, congenital developmental delay, severe hearing loss)
- Age 55-80
- Normal hearing sensitivity (\<40 dB HL Pure Tone Average (average of 500, 1000, 2000 Hz) thresholds bilaterally
- Normal middle ear function defined by tympanometry (0.3-2.0 ml)
- Native English speaker
You may not qualify if:
- Active ear infections or abnormal middle ear pathology
- Other health condition prohibiting the completion of the CAP test battery
- Mild to profound peripheral hearing loss (\>40 dB (decibel) HL (hearing loss) Pure Tone Average (average of 500, 1000, 2000 Hz) bilaterally
- Adults unable to consent
- Individuals who are not yet adults (infants, children, teenagers)
- Prisoners
- History of CNS (Central Nervous System) disorder that might severely impact cognitive function (e.g., Alzheimer's disease, Parkinson's disease, multiple sclerosis, neurosyphilis, intracranial tumors, history of significant head trauma with loss of consciousness (≥30 min), and cerebrovascular disease)
- Severe mental illness (e.g., schizophrenia, bipolar disorder)
- Current, uncontrolled medical condition that could affect cognition (e.g., hypertension)
- History of substance use disorder within the (other than nicotine/caffeine)
- Non-correctable severe hearing or vision loss
- Use of "Cognition Enhancing Drugs"
- Frequent, severe headaches (occasional headaches or migraines are fine)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dartmouth-Hitchcock Medical Centerlead
- Dartmouth Collegecollaborator
Study Sites (1)
Space Medicine Lab at Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Scientist
Study Record Dates
First Submitted
October 17, 2023
First Posted
October 26, 2023
Study Start
May 18, 2024
Primary Completion
May 1, 2026
Study Completion
May 2, 2026
Last Updated
January 13, 2026
Record last verified: 2026-01