Understanding listening effort in cochlear implant users

Listening Effort in Cochlear Implant Users

Not applicable Interventional University of Minnesota · NCT06516575

This study tests how much effort people with cochlear implants need to understand speech compared to those with normal hearing, using speech tests and measuring pupil size to see how hard they are working to listen.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment450 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorUniversity of Minnesota Academic / other
Locations1 site (Minneapolis, Minnesota)
Trial IDNCT06516575 on ClinicalTrials.gov

What this trial studies

This study investigates the listening effort experienced by individuals with cochlear implants when processing speech. It employs speech recognition testing in a controlled environment to assess how different sentence manipulations affect listening effort. The research also utilizes pupillometry to monitor changes in pupil size as a physiological indicator of cognitive load during listening tasks. By examining both normal-hearing individuals and cochlear implant users, the study aims to differentiate the effects of hearing loss from the challenges of signal degradation.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 to 75 with normal hearing development or those with at least 6 months of cochlear implant experience.

Not a fit: Patients with significant eye diseases affecting pupil dilation or those unable to maintain gaze may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved strategies for enhancing communication and reducing fatigue in cochlear implant users.

How similar studies have performed: While there have been studies on listening effort, this specific approach using pupillometry in cochlear implant users is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

To be eligible for this study, a participant must:

* Be an adult between the age of 18 to 75 years
* Have had normal hearing and speech/language development as a young child
* For younger NH listeners: have normal audiometric thresholds below 25 dB HL at frequencies between 250 and 8000 Hz
* for cochlear implant listeners: at least 6 months experience with a cochlear implant
* For older (55+ years) age-matched listeners with no cochlear implant: normal audiometric thresholds below 25 dB HL at frequencies between 250 and 2000 Hz and thresholds below 35 dB HL (hearing level) between 4000 and 8000 Hz
* For cochlear implant listeners: be able to recognize spoken words in English at a rate of at least 50%
* Be a competent speaker of north American English
* Lack language-learning or other cognitive disabilities
* Lack of auditory neuropathy spectrum disorder

Exclusion Criteria:

* unable to fix gaze position
* eye disease preventing typical changes in pupil dilation
* lack of perceptual and productive fluency in English

Where this trial is running

Minneapolis, Minnesota

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Auditory PerceptionAbnormalHearing Loss, SensorineuralHearing Losscochlear implantslistening effort
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.