AChild - Austrian Children With Hearing Impairment - Longitudinal Database

Hearing Impaired Children Clinical Trial

Official title:

AChild - Austrian Children With Hearing Impairment - Longitudinal Database

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04317456
• Other study ID #: AChild
• Status: Recruiting
• Start date: September 1, 2019
• Est. completion date: August 2025

Study information

• Verified date: March 2022
• Source: Johannes Kepler University of Linz
• Contact: Daniel Holzinger, PhD
• Phone: 00437327897
• Email: daniel.holzinger[@]bblinz.at
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

There is high variability in outcomes in children with hearing impairment. Existing literature focus mainly on subpopulations (children with hearing aids, children with CI) and is usually not epidemiological. Often children with additional needs (intellectual disability, visual impairment, autism spectrum disorder, complex syndromes) are excluded from the studies. This subgroup of children makes up around 1/3 of the population of children with hearing impairment.

What factors contribute to the unexplained variance in language development in children with hearing loss? (including children with additional needs, multilingual) There is a lack of European epidemiological studies that evaluate the effects of Newborn Hearing Screening and early intervention.

Description:

Aims:

• to collect population based data on children born in Upper Austria with a significant hearing impairment and to describe this population in detail regarding audiological, etiological (including geno- and phenotypical correlations), neurodevelopmentally, psychological, psychiatrically and linguistically with a special interest is in children with additional needs

• collecting child development outcomes (language, communication, psychosocial) and family outcomes (quality of life, stress)

• to investigate possible effects of the Newborn Hearing Screening, early intervention and specific parent behaviors targeted in early intervention

• collecting developmental trajectories of the total sample and subgroups of the sample (particularly audiological, etiological and cognitive). This data should help identify red flags

• investigating predictors of developmental trajectories regarding the child and the intervention (e.g. time and

Hypothesis:

• It is expected that .2% of the total population of preschool children have a sensorineural hearing loss (bilateral and unilateral)

• a significantly higher prevalence of intellectual disabilities (up to 20%), visual impairment, autism spectrum disorder and motor impairment

• it is expected that for at least 50% of the children, there is a genetic explanation for the hearing impairment and 30% out of them are expected to be syndromal

• it is expected that there is a higher proportion of children with psycho-social problems (especially peer problems and behavioral-/emotional problems)

• Due to a change in the environmental conditions over the past two decades, better child outcomes, compared to previous ones are expected. Nevertheless around 30-50% of the children are expected to not be reaching their nonverbal cognitive potential.

• expected intervention effects, particularly for provision with and use of hearing technology family-child interaction self-efficacy and wellbeing of the family regulated media use

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 450
• Est. completion date: August 2025
• Est. primary completion date: June 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 72 Months

Eligibility

Inclusion Criteria:

• with significant sensorineural hearing impairment or permanent congenital conductive deafness; profound hearing impairment above frequency of 0.5, 1, 2 and 4 kHz of = 25 dB

• unilateral or bilateral

• diagnosed before the age of 6 years

• including children with multiple disabilities

• including children with another language than German (including sign language)

• including children with auditory neuropathy spectrum disorder (ANS)

• including children with behavioral problems and psychiatric disorders

Exclusion Criteria:

• children who were older than 6 years when they were diagnosed

• who's families do not agree to participate in the study

• with temporary conductive deafness

Related Conditions & MeSH terms

• Deafness
• Hearing Impaired Children
• Hearing Loss

Intervention

Device:
• Hearing Aids and Hearing Implants
Hearing Aids and Hearing Implants (age at first fitting and implantation and aided audibility)

Behavioral:
• Family Centred Early Intervention
Family Centred Early Intervention

Locations

Country	Name	City	State
Austria	Johannes Kepler University	Linz

Sponsors (1)

Lead Sponsor	Collaborator
Johannes Kepler University of Linz

Country where clinical trial is conducted

Austria, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Vocabulary Expressive of the Child	Questionnaire used for this Outcome is: SET 3-5	5 years
Primary	Vocabulary Receptive of the Child	Questionnaire used for this Outcome is: PPVT-4	5 years
Primary	Grammar Expressive of the Child	Questionnaire used for this Outcome is: LOGIK_S Expressive Grammatik	5 years
Primary	Language Receptive of the Child	Questionnaire used for this Outcome is: TROG-D	5 years
Primary	Language Receptive of the Child (ÖGS)	Questionnaire used for this Outcome is: RDLS ÖGS	5 years
Primary	Social Communication of the Child	Questionnaire used for this Outcome is: CCC-2	5 years
Primary	Symbolic Behaviour of the Child	Questionnaire used for this Outcomes is: CSBS	5 years
Primary	Psychosocial Development of the Child	Questionnaire used for this Outcome is: SDQ	5 years
Primary	Emotional and Behaviour Problems of the Child	Questionnaire used for this Outcome is: CBCL	5 years
Primary	Quality of Life of the Child	Questionnaire used for this Outcome is: AUQUEI	5 years
Primary	Family Stress	Questionnaire used for this Outcome is: EBI (Elternbelastungsinventar)	5 years
Primary	Parental Self-Efficacy	Questionnaire used for this Outcome is: SPISE-R	5 years
Primary	Non-Verbal Development	Questionnaire used for this Outcome is: SON	5 years
Secondary	Executive Functioning of the Child	The questionnaire used for this Outcome is: VIEF (Verhaltens - Inventar Exekutiver Funktionen)	5 years
Secondary	Adaptive Skills of the Child	The questionnaire used for this Outcome is: Vineland-2	5 years
Secondary	Visual successive memory and attention	The questionnaire used for this Outcome is: KNOX cube test	5 years
Secondary	Phonological working memory	The questionnaire used for this Outcome is: Mottier test	5 years
Secondary	Mental Health	The questionnaire used for this Outcome is: SDQ 4-16 (Strength and Difficulties Questionnaire)	5 years
Secondary	Media use	The questionnaire used for this Outcome is: Kinder und Medien Fragebogen	5 years