Binaural listening and its effects on listening effort and development in Mandarin-speaking children with cochlear implants
Official title: Effects of Binaural Hearing on Listening Effort and Cognitive Development in Mandarin-speaking Children With Cochlear Implants
Run by Guangdong Provincial People's Hospital · NCT07509788 · Data updated 2026-11-12
This study will test whether listening with two ears (two cochlear implants or a cochlear implant plus a hearing aid) reduces mental effort and helps brain, social, and daily-life development in Mandarin-speaking children aged 6–18 who use cochlear implants compared with children with normal hearing.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 6 Years to 18 Years |
| Sex | All |
| Enrollment | 360 (estimated) |
| Sponsor | Guangdong Provincial People's Hospital Academic / other |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | October 1, 2030 |
| Study ends | October 1, 2030 |
| Registry record updated | April 15, 2026 |
| Trial ID | NCT07509788 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are Mandarin-speaking children aged 6–18 with normal or corrected vision who either use unilateral or bilateral cochlear implants with good speech perception (CAP-II ≥ 5) or are age-matched children with normal hearing, and who can cooperate with testing and whose parent/guardian can give consent.
✕Probably not a fit
Children with diagnosed neurological or psychiatric disorders, those unable to cooperate with testing, those without parental/guardian consent, or children outside the 6–18 age range are unlikely to benefit from or be eligible for this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational study comparing school-aged Mandarin-speaking children with cochlear implants to peers with normal hearing over three years. Participants complete hearing tests and measures of listening effort, cognitive development, social skills, and quality of life at repeated visits. The study compares children using one device versus binaural listening (bilateral CIs or CI plus hearing aid) to see whether reduced listening effort links to better developmental trajectories. No experimental treatments are given; researchers observe and measure real-world hearing and developmental outcomes.
Why it matters
Potential benefit: If successful, the results could clarify whether binaural hearing reduces listening effort and supports better cognitive, social, and daily functioning, helping clinicians and families make informed decisions about bilateral implantation or contralateral amplification.
How similar studies have gone: Prior research has shown binaural hearing can reduce listening effort and improve speech perception, but long-term links between listening effort and cognitive development in children remain relatively understudied.
Who can join: the full rules
Show full inclusion / exclusion criteria
CI Group Inclusion Criteria: 1. Aged 6-18 years 2. Normal vision, including corrected vision 3. Prelingual deafness with bilateral severe-to-profound sensorineural hearing loss, with unilateral or bilateral cochlear implantation 4. Good speech perception ability, with Categories of Auditory Performance-II (CAP-II) score of 5 or above 5. Cooperative with testing, with signed informed consent from parent or guardian Normal-Hearing Control Group Inclusion Criteria: 1. Aged 6-18 years 2. Normal vision, including corrected vision 3. Bilateral pure-tone average at 250, 500, 1000, 2000, and 4000 Hz of 30 dB HL or less 4. Cooperative with testing, with signed informed consent from parent or guardian Exclusion Criteria (All Groups): 1. Diagnosed neurological or psychiatric disorders 2. Absence of informed consent from parent or guardian 3. Other conditions deemed unsuitable for participation by the investigators
Where it's running
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Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Zhuoyi Chen MD
- Email: 18737552662@163.com
- Phone: +86 18737552662
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Improving speech in noise and sound localization for cochlear implant users
A new processing algorithm is tested to see if it helps people with bilateral cochlear implants understand speech in noisy environments and tell where sounds come from.
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How cochlear implants affect listening effort and understanding in everyday conversations
The researchers will test whether measuring listening effort with pupil tracking and using realistic speech tasks can explain and improve how adults with cochlear implants understand everyday conversations.
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Low-energy (LE) Bluetooth audio streaming with Nucleus 8 and Kanso 3 sound processors
This project will test whether low-energy (LE) Bluetooth audio streaming is accepted and works well for experienced adult cochlear implant users who use Nucleus 8 or Kanso 3 processors.
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Early use of a cochlear implant in the first year
This project will test whether adults newly fitted with a cochlear implant notice changes in simple sound perception and improved speech understanding during their first year of device use using take-home and lab listening tests.
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Reducing follow-up visits for cochlear implant patients using a new mapping strategy
This study is testing a new way to program cochlear implants to see if adults can have fewer follow-up visits while still feeling satisfied and hearing well.
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Evaluating remote programming for cochlear implants during follow-up
This study is testing if remote programming for cochlear implants can help people hear as well as traditional in-office programming while also gathering their feedback on the experience.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.