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Auditory Rehabilitation and Cognition in Alzheimer Patients

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Il collegamento viene salvato negli appunti
StatoAttivo, non reclutamento
Sponsor
University Hospital, Tours

Parole chiave

Astratto

Alzheimer disease is a neurodegenerative disease. Recent studies suggest that subjects with hearing loss are more likely to develop Alzheimer's disease. Hearing loss can be consecutive to presbycusis and/or to central auditory dysfunction.
Standard audiometric measures with pure tone and speech intelligibility allow the diagnosis of presbycusis. However, to demonstrate central auditory dysfunction, specific audiometric tests as noisy and/or dichotic tests, are needed.
Actually, no consensus exists to investigate hearing loss in people with Alzheimer's disease; therefore hearing loss may be an early manifestation of Alzheimer's disease. Until now, investigations and clinical procedure related to the diagnosis of Alzheimer's disease ignored the hearing ability of the patient. However, the major part of care management and investigations implies the patient's communication ability with caregivers. Hearing loss may be one of the most unrecognized deficit in subjects with Alzheimer's disease. Auditory rehabilitation with hearing aids could benefit to the patient to decrease cognitive decline but this management must be investigate during longitudinal studies in order to demonstrate their efficiency and need to be compared with a placebo.

Date

Ultimo verificato: 10/31/2019
Primo inviato: 03/15/2016
Iscrizione stimata inviata: 12/19/2016
Primo pubblicato: 12/22/2016
Ultimo aggiornamento inviato: 11/03/2019
Ultimo aggiornamento pubblicato: 11/04/2019
Data di inizio effettiva dello studio: 03/30/2017
Data di completamento primaria stimata: 03/29/2020
Data stimata di completamento dello studio: 05/29/2020

Condizione o malattia

Alzheimer's Disease
Hearing Loss

Intervento / trattamento

Device: Patients treated with hearing aids

Device: Patients treated with placebo device

Fase

-

Gruppi di braccia

BraccioIntervento / trattamento
Experimental: Patients treated with hearing aids
Patients fitted with functional hearing aids (Phonak Audéo BR)
Device: Patients treated with hearing aids
Phonak Audéo B-R (Target V 5.0)
Placebo Comparator: Patients treated with placebo device
Patients fitted with non-functional hearing aids
Device: Patients treated with placebo device
Phonak Audéo B-R (Target V 5.0) without amplification

Criteri di idoneità

Età idonea per lo studio 65 Years Per 65 Years
Sessi idonei allo studioAll
Accetta volontari sani
Criteri

Inclusion Criteria:

- Alzheimer patient

- Mini Mental state examination= 15-25 or mild cognitive impairment

- Over 65 yo

- Sensorineural hearing loss with pure tone average over 30 dB

- Language: French

- Able to sign the consent

- Affiliated to the French social security

Exclusion Criteria:

- Conductive hearing loss

- Retrocochlear hearing loss

- History of neurological disorders with consequences in hearing loss (vascular accident; brain surgery, cerebral tumors, head trauma with loss consciousness)

- patient included in another study

- French no spoken

- chronic used of drugs or alcohol

Risultato

Misure di esito primarie

1. Changing score in Cognitive functions measured with Alzheimer's Disease Assessment Scale-cognitive scale [Change before and one year after the fitting with device]

French scale validated by the french society of geriatry

Misure di esito secondarie

1. air and bone auditory thresholds (dB HL) measured at 500, 1000, 2000, 3000 and 4000 Hz [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

Tonal audiometry

2. Speech recognition threshold (dB HL) measured by speech audiometry [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

Speech audiometry

3. Speech Discrimination Test (%) measured by speech audiometry [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

Speech audiometry

4. Dichotic test measured with audiometry [From 1 to 90 days prior the fitting with device]

Speech audiometry

5. Amplification with hearing aids or placebo devices measured by tonal and speech audiometry (dB HL) [6 months after the fitting with device, 12 months after the fitting with device]

Audiometry

6. Devices tolerance measured with number of hours per day with hearing aids [6 months after the fitting with device, 12 months after the fitting with device]

Audiometry

7. Objective auditory thresholds measured with auditory brainstem responses (ms) [6 months after the fitting with device, 12 months after the fitting with device]

in case of uncooperative patients or to confirm tonal audiometry

8. Objective auditory thresholds measured by Auditory steady state responses (in dB eHL) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

in case of uncooperative patients or to confirm tonal audiometry

9. Mini Mental State Examination (30 items, total score from 0-30) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

10. Hearing Handicap Inventory for Elderly measured by questionnaire (10 items, total score from 0-40) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

11. Hearing loss impact scale in adults measured by 2 questionnaire (Abbreviated Profile of Hearing Aid Benefit, 24 items) and Impact of hearing loss in adults (20 items, total score from 0-200) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

12. Quality of life-Alzheimer disease scale measured by questionnaire (total score from 13-52) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

13. Assessing caregiver burden measured by Zarit scale (22 items, total score from 0-88) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

14. Depression in the elderly measured by Geriatric depression scale (30 items, total score from 0-30) [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

15. Executive functions measured by trail making test [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

16. Working memory and processing speed measured by Wechsler Adult Intelligence Scale [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

17. Speech comprehension measured by Beauregard tests [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

18. Hearing aids tolerance measured by Glagow hearing-aid benefit questionnaire [From 1 to 90 days prior the fitting with device, 6 months after the fitting with device, 12 months after the fitting with device]

French validated version

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