Hearing Loss Clinical Trial
— EMPSICOTOfficial title:
Evaluation of the Changes in Cochlear Implant Patients Care Pathway With the Use of Telemonitoring
Following a sufficient delay after the cochlear implantation and initial implant activation, the patient will return to the hospital for follow-up visits for equipment maintenance and auditory performance evaluation only once per year. This frequency might appear either insufficient, in which case an additional patient check-up will be arranged, or excessive if patient performances and implant adjustments are stable. Using at-home testing tool for remote hearing performance monitoring can thus appear advantageous for both patients and clinicians, allowing to avoid an unnecessary journey to the implantation reference center for the first and to diminish a number of unscheduled medical appointments for the second.
Status | Recruiting |
Enrollment | 78 |
Est. completion date | June 20, 2025 |
Est. primary completion date | June 20, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years and older |
Eligibility | Inclusion Criteria: - Subjects-users of uni- or bilateral cochlear implants (Cl24RE, series 400, 500 and 600) and Cochlear Nucleus processor CP1000 or CP1150 during one year minimum - Subjects who have already renewed their processor at least once - Subjects implanted for more than 5 years - Over 20 years old - Subjects with Apple or Android smartphones compatible with Remote Check Exclusion criteria: - Associated physical (visual, motor...) or severe cognitive (dementia, specific language development troubles) making impossible the use of smartphone software and the conduction of hearing tests - Patients unable to give oral informed consent - Patients residing in geographical zones with limited internet access - Subjects deprived of liberty by juridical or administrative decision - Patients subjected to legal protection measures (guardianship or curatorship) - Subjects for whom French is not a native language |
Country | Name | City | State |
---|---|---|---|
France | University Hospital Montpellier | Montpellier |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Montpellier | Cochlear, Foundation maladies rares, France, Groupement Interrégional de Recherche Clinique et d'Innovation, University Hospital, Toulouse |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patients with at least one unscheduled follow-up visit | Annual percentage of patients-cochlear implant users having at least one unscheduled appointment at the reference center | 24 months from the start of the study | |
Secondary | Scheduled and unscheduled visits during 1 year | The number of scheduled and unscheduled (avoidable and unavoidable) visits during 1 year | 24 months from the start of the study | |
Secondary | Compliance measures | The compliance will be measured by the number of Remote Check assessments in one year after the start of remote monitoring. Assessments performed within the timeframe and after the deadline will be identified. | 24 months from the start of the study | |
Secondary | Equipment failures and dysfunctions | The number and the type of failures/dysfunctions identified by Remote Check | 24 months from the start of the study | |
Secondary | Time spent in MyCochlear for each patient | Clinician login time spent on each subject's file on MyCochlear data base during the year of follow up | 24 months from the start of the study | |
Secondary | Patient satisfaction | Patient satisfaction measured by the questionnaire validated in French language: "the Service User Technology Acceptability (SUTAQ)". Score will be assessed by 5 options from "Strongly disagree" (worse outcome), "Disagree somewhat", "Neither agree nor disagree", "agree somewhat" to "strongly agree" (better outcome) | 24 months from the start of the study | |
Secondary | Patient's Quality of Life | Patient's quality of life score linked to deafness will be measured by the questionnaire Speech, Spatial and Qualities of Hearing scale (Sp-SSQ12) validated in french. Score will run from 0 (worse outcome) to 10 (better outcome) | 24 months from the start of the study |
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