Speech therapy to improve lip-reading for people who use hearing aids
Efficacité de la rééducation Orthophonique de la Lecture Labiale Des Patients appareillés Auditifs : étude SCED
Institut Pasteur · NCT07028658
This will see if speech therapy for lip-reading improves visual speech recognition in adults with moderate-to-severe hearing loss who wear hearing aids.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 8 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Institut Pasteur (industry) |
| Locations | 1 site (Paris) |
| Trial ID | NCT07028658 on ClinicalTrials.gov |
What this trial studies
This observational single-case experimental design offers targeted speechreading training twice weekly to adults with post-lingual moderate-to-severe hearing loss who have been using hearing aids for at least six months. Participants continue wearing their hearing aids and complete baseline and repeated measures of viseme recognition and speech intelligibility, including testing in noisy environments. The study excludes people with prior speech therapy for their hearing loss, neurodegenerative disease, recent brain injury, or uncorrected visual impairment that affects lip reading. Individual trajectories will be compared over time to determine whether lip-reading rehabilitation produces measurable improvements.
Who should consider this trial
Good fit: Adults (18+) with post-lingual moderate-to-severe unilateral or bilateral hearing loss who have used hearing aids at least 8 hours per day for over six months, score >80% intelligibility in quiet, and report difficulty hearing in noise.
Not a fit: People who have already had speech therapy for hearing loss, those with significant uncorrected visual impairment, or those with neurodegenerative disease or recent brain injury are unlikely to benefit or are excluded.
Why it matters
Potential benefit: If successful, patients may gain improved ability to understand speech visually and in noisy settings, reducing everyday communication difficulties.
How similar studies have performed: Previous research has shown some benefit from speechreading training for improving visual speech perception, but results are mixed and larger controlled studies are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient aged 18 or older * Affiliated with a social security system * Moderate to severe bilateral post-lingual hearing loss, fitted with hearing aids for more than 6 months * Wearing hearing aids for a minimum of 8 hours/day on average over the past month * Intelligibility in quiet \> 80% correct responses at 60 dB (Lafon cochlear list) * Difficulty in noisy environments rated \> 6 on a 0-10 EVA scale * French language comprehension level of at least B1 CEFR (Common European Framework of Reference for Languages) * Willing to participate in speech therapy rehabilitation at a rate of 2 sessions per week Exclusion Criteria: * Patient who has already undergone speech therapy rehabilitation as part of their hearing loss treatment * Diagnosis of neurodegenerative disease or history of brain injury (traumatic brain injury, stroke, tumor, meningitis, etc.) * Uncorrected vision or visual impairment affecting lip reading (e.g. AMD, glaucoma, unoperated cataract, etc.) * Presence of severe tinnitus (score \> 56) on the Tinnitus Handicap Inventory (THI) questionnaire * Significant cognitive impairment (CODEX C or D) or Montreal Cognitive Assessment (MOCA) score \< 23
Where this trial is running
Paris
- Cabinet d'orthophonie — Paris, France (RECRUITING)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Hearing Loss, Bilateral or Unilateral