Comparison of BAHA and CROS Hearing Aid in Single-Sided Deafness
People with single-sided deafness (SSD) have significant hearing loss in one ear and normal or near normal hearing in the other ear. Those living with SSD experience several communication difficulties, particularly when listening to speech in the presence of background noise. This problem is worse in situations where the noise is on the side of the good ear and the speech is on the side of the poor ear.
The Bone-Anchored Hearing Aid (BAHA) and the Contralateral Routing of Signals (CROS) hearing aid are two devices designed to improve hearing in people who have significant hearing loss in one ear only. The BAHA is a surgically implanted device which also includes an external processor; sounds from the poor ear are transmitted to the good ear through skull vibrations. The CROS does not involve surgery; instead a hearing aid is fitted behind each ear, and the sounds on the side of the poor ear are wirelessly transmitted to the good ear.
The majority of previous studies comparing the BAHA to the CROS have used older CROS models with basic technology and a wire along the neck to send sounds from the poor ear to the good ear. There is a lack of studies comparing newer digital wireless CROS hearing aids to the BAHA. The current research will compare the effect of the BAHA and CROS hearing aid on speech perception scores when listening to speech in quiet and in noise. The research will also investigate patients' reported benefits with each device during everyday situations. In order to compare the BAHA and CROS, individuals who already have been implanted with a BAHA will be given a trial period with a new wireless digital CROS hearing aid.
The research hypothesis states that the CROS hearing aid will be as equally beneficial or greater than the BAHA in improving hearing and patient benefit. If the findings support the hypothesis that the CROS offers just as much benefits as the BAHA, or is an even better alternative, more patients may choose to avoid surgery and decide to receive a CROS hearing aid instead.
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Comparison of BAHA and CROS Hearing Aid in Single-Sided Deafness|
- Change in Speech-in-noise (QuickSIN) test scores [ Time Frame: The QuickSIN will be administered unaided (no device) during the first visit to the clinic, and will be administered again at the end of a two-week trial with the CROS and at the end of a two-week use of the BAHA. ] [ Designated as safety issue: No ]The QuickSIN is a speech in noise test. Participants are asked to repeat sentences while listening in multi-talker background noise.
- Bern Benefit in Single-Sided Deafness Questionnaire (BBSS) [ Time Frame: Will be administered at the end of a two-week trial with the CROS and at the end of a two-week use of the BAHA. ] [ Designated as safety issue: No ]The BBSS is a 10-item questionnaire that measures participants' perceived benefit from their BAHA or CROS hearing aid. The items examine different situations in which participants score the benefit derived from their device with ratings that range from -5 ("Much Easier Without the Aid") to +5 ("Much Easier With the Aid").
- Speech Spatial Qualities Questionnaire (SSQ) [ Time Frame: Will be administered at the end of a two-week trial with the CROS and at the end of a two-week use of the BAHA. ] [ Designated as safety issue: No ]The Speech Spatial Qualities Questionnaire describes 49 scenarios in which participants may experience difficulty hearing. For both the BAHA and CROS, participants will be asked to rate their perceived hearing ability for all scenarios on a 10-point scale, ranging from "Not at all" to "Perfectly".
|Study Start Date:||January 2013|
|Study Completion Date:||October 2013|
|Primary Completion Date:||October 2013 (Final data collection date for primary outcome measure)|
Experimental: CROS hearing aid
Patients who have been implanted with a BAHA over the past three years will be given a two-week trial period with a CROS hearing aid. The CROS uses two hearing aids that fit behind each ear. The hearing aid fitted on the side of the poor ear houses a microphone and a transmitter. The hearing aid fitted on the normal ear side houses a receiver that is connected to an open ear tip. Sounds on the side of the poor ear are picked up by the microphone and transmitted to the opposite normal ear, overcoming the head shadow effect that presents with unilateral deafness.
Device: CROS hearing aid
BAHA users will be fitted with the CROS hearing aid for a two-week trial period. Their hearing abilities with the CROS hearing aid will be compared to their hearing abilities with their BAHA over a two-week period.
Other Name: Unitron Tandem 4 CROS hearing aid
Users of BAHA will be given a 2-week trial period with the Unitron Tandem CROS hearing aid. Participants will be randomly assigned to wear either their BAHA for two weeks or the trial CROS for two weeks. There will be a total of three visits made to the clinic.
During each visit:
- Participants' hearing will be tested (either with the BAHA, the CROS, or without wearing any device).
- Speech perception ability will be tested in quiet and in noise conditions (either while wearing the BAHA, the CROS, or no device).
- Participants will be asked to complete two standardized questionnaires on the perceived benefits that the BAHA or the CROS provides.
In addition, participants will be asked to fill out a short diary form every day, for a two-week period, to report the situations in which they wore the device.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01715948
|Canada, Nova Scotia|
|School of Human Communication Disorders|
|Halifax, Nova Scotia, Canada, B3J 1Y6|
|Principal Investigator:||Manohar Bance, FRCS||Capital Health, Canada|
|Principal Investigator:||Rachel Caissie, Ph.D.||Dalhousie University|
|Principal Investigator:||Jennifer Finbow, B.Sc.||Dalhousie University|