Administration Method of Cognitive Screening in Older Individuals With Hearing Loss

Study Overview
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Brief Summary
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The objectives of the current project aim to determine whether a more controlled amplification method or a visual administration has an effect on hearing impaired older individuals' cognitive test scores.

Detailed Description
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Aim 1 is to create a visually administered condition of a cognitive test and to validate this condition in comparison to the auditory administration. Data will be collected from younger individuals with normal hearing. Each younger individual is tested using both visual and auditory condition and the scores are compared across the two conditions. It is anticipated that the scores will not be significantly different between the two conditions. Aim 2 is to examine the test condition effect on cognitive testing results in older individuals with hearing loss. The three test conditions include auditory unamplified, auditory amplified, and visual. Each older individual will be tested using two different test conditions. It is predicted the auditory amplified and visual administrations will alleviate the cognitive load associated with hearing difficulty and lead to improved performance on the test.

Official Title
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The Impact of Test Administration Method on Cognitive Screening Results in Older Individuals With Hearing Loss

Conditions
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Hearing Loss, Sensorineural, Cognitive Impairment

Intervention / Treatment
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* Other: Auditory amplified
* Other: Visual
* Other: Auditory unamplified


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have sensorineural hearing loss Have normal or corrected-to-normal vision Exclusion Criteria: Have conductive hearing loss; Have history of otologic or neurologic disorders Have dementia Non-native speakers of English

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Auditory Amplified-Visual<br>This arm is designed to test the contrast between auditory amplified and visual conditions. | Other: Auditory amplified<br>* The cognitive test will be administered using a computer-based signal processing to amplify the instruction. The presentation level is customized to the individual's hearing thresholds.<br>Other: Visual<br>* The cognitive test will be administered visually by using timed computer slides.<br>|
| Experimental: Auditory Amplified-Unamplified<br>This arm is designed to test the contrast between auditory amplified and unamplified conditions. | Other: Auditory amplified<br>* The cognitive test will be administered using a computer-based signal processing to amplify the instruction. The presentation level is customized to the individual's hearing thresholds.<br>Other: Auditory unamplified<br>* The cognitive test will be administered by using a generic presentation level that simulates a normal conversational level.<br>|
| Experimental: Auditory Unamplified-Visual<br>This arm is designed to test the contrast between auditory unamplified and visual conditions. | Other: Visual<br>* The cognitive test will be administered visually by using timed computer slides.<br>Other: Auditory unamplified<br>* The cognitive test will be administered by using a generic presentation level that simulates a normal conversational level.<br>|
| Other: Younger control group<br>This arm is designed to validate the visual version by comparing to the auditory version in a group of younger normal hearing controls. | Other: Visual<br>* The cognitive test will be administered visually by using timed computer slides.<br>Other: Auditory unamplified<br>* The cognitive test will be administered by using a generic presentation level that simulates a normal conversational level.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognitive Screening Results (Montreal Cognitive Assessment) | The cognitive screening test of Montreal Cognitive Assessment (MoCA) was administered to 4 groups with different administration method conditions (see arms/groups table). MoCA is s standardized cognitive screening tool for mild cognitive impairment and dementia. The total score was used as outcome measure of this study and this score ranges from 0-30, with higher score being better performance. | The outcome measure was assessed immediately after the test. This applies to both conditions for all the arms. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Auditory Working Memory Performance | Older individuals were presented with lists of words and instructed to repeat them back. After each word list, they had to recall the words. | The outcome measure will be assessed immediately after the test. |