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CompletedNCT03260062PEARLSUpdated May 7, 2021

Parent-Child Early Approaches to Raising Language Skills (PEARLS) Intervention

An interventional study of Parent-Child Early Approaches to Raising Language Skills and Standard Care Speech therapy in Deafness, Bilateral, sponsored by University of Miami. Completed at 1 site in United States. Open to participants aged 12 Months to 48 Months. Per ClinicalTrials.gov, last updated 2021-05-07.

Sponsored by University of Miami · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Apr 2016, registered Aug 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
12 Months to 48 Months
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 29 studies in Hearing Loss, Bilateral with a site in United States — 11 open to participants now, 13 under way, 1 of them phase 3. Hearing Loss, Bilateral · United States.

Enrollment
19th of 24
15 · median 34
Started
2016
the only one that year
No phase
19 of 29
6 open now
Registered
7th of 29
by date

Among the 29 studies in Hearing Loss, Bilateral with a site in United States, this one is the 19th largest by enrollment of the 24 interventional ones, is the only one that started in 2016, is one of 19 with no phase, and was the 7th registered.

By phase

29 studies; the count open now beside each. This study's row is marked.

No phasethis study19 · 6 open
Observational5 · 2 open
Phase 1/22 · 1 open
Phase 22 · 1 open
Phase 31 · 1 open

By the year they started

First in 2001; this study’s year is marked. 1 started in 2016.

Size and results

Median enrollment 34 across the 24 interventional studies, 67 across the 5 observational. Of the 16 that completed or were terminated, 12 (75%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 29 studies in Hearing Loss, Bilateral with a site in United States, or all of them as a file.
02

Study summary

The purpose of this research study is to develop and evaluate a parent training program, which aims to improve language. The study is being conducted to see if teaching parents positive parenting techniques and behavior strategies will improve the rate of language development in children with cochlear implants when compared to standard speech therapy (e.g., auditory-verbal therapy).

03

Conditions studied

  • Deafness, Bilateral

Keywords

  • cochlear implants
  • language development
  • parenting intervention
  • maternal sensitivity
  • facilitative language techniques
04

Who can participate

Ages eligible
12 Months to 48 Months
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. children who are severely to profoundly deaf and a cochlear implant candidate,
  2. children who are 12 to 48 months,
  3. English or Spanish as primary language spoken at home,
  4. families educating their children in spoken language,
  5. children who pass the cognitive screening, scoring 75 or above on the screening measure

Exclusion criteria

Exclusion Criteria:

  1. parents who do not consent to being videotaped,
  2. children with moderate to severe developmental delays (as assessed using the Battelle Developmental Inventory (BDI-2) 2nd Edition for children ages 0 to 24 months or the Leiter International Performance Scale-Revised),
  3. children with significant syndromes (e.g., CHARGE, autism, cerebral palsy) or severe brain abnormalities,
  4. families who do not receive their auditory-verbal therapy from University of Miami (UM). Further, children who have already completed the BDI-2 within the past year as part of their Early Steps (Florida Early Intervention) program will not have it re-administered.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    PEARLS

    Participants in this arm will receive 10 1-hour weekly sessions of the PEARLS intervention

    Behavioral: Parent-Child Early Approaches to Raising Language Skills

  • Active comparator
    Control

    Participants in this arm will receive 10 1-hour weekly sessions of the standard of care LSL Speech Therapy

    Other: Standard Care Speech therapy

Interventions

  • BehavioralParent-Child Early Approaches to Raising Language Skills

    The PEARLS intervention will teach parents evidence-based language strategies and sensitive parenting (e.g., warmth, respect for autonomy, linguistic stimulation) to promote language development in young deaf children with cochlear implants (CI).

  • OtherStandard Care Speech therapy

    Families will participate in auditory-verbal therapy, which is the standard speech therapy with children with hearing loss.

06

What researchers measure

Primary outcomes

  1. Change in parental sensitivity

    Parent sensitivity (warmth, positive regard, respect for child autonomy) will be coded from video-taped parent-child interactions during two play activities. Sensitivity will be coded on a 1 to 7 Likert scale, with higher scores indicating higher sensitivity.

    Time frame: Baseline, Week 10

Secondary outcomes

  1. Change in use of higher-level versus lower-level language strategies

    Parents use of higher level language strategies (open-ended questions, parallel talk, expansion) during video-taped parent-child interactions will be coded. Parent interactions will be transcribed and the number of specific language strategies will recorded.

    Time frame: Baseline, Week 10

  2. Change in parental involvement and self-efficacy

    Parent involved self-efficacy will be measured using the Scale for Parental Involvement and Self-Efficacy (SPISE) for young children with hearing loss. SPISE has a total score ranging from 23 to 161 with the higher score indicating more parent involvement and higher self-efficacy.

    Time frame: Baseline, Week 10

  3. Change in Auditory Skills

    Children's auditory skills will be measured using the Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). IT-MAIS has a total score ranging from 0-40 with the higher score indicating better auditory skills.Auditory Integration Scale (IT-MAIS). Higher scores indicated better auditory skills

    Time frame: Baseline, Week 10

07

Study locations

1 site
  • Don Soffer Clinical Research Building
    Miami, Florida 33136, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Apr 2021, 60 months.

Of 27 interventional studies with no phase under Hearing Loss, Bilateral, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 60. This study's 60 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2017
First posted
Aug 24, 2017
StartActual
Apr 11, 2016
Primary completionActual
Apr 2021
CompletionActual
Apr 2021
Last update
May 7, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03260062
Responsible party
Ivette Cejas (Associate Professor, University of Miami) — Principal investigator
First posted
Aug 24, 2017
Start date
Apr 11, 2016
Primary completion
Apr 2021
Completion
Apr 2021
Last update
May 7, 2021

Study contacts

Ivette Cejas, PhD
principal investigator · University of Miami

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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