ClinicalTrials.gg
RecruitingNCT06112860Updated Sep 4, 2026

OTC Hearing Aid and MCI

An interventional study of Over the counter hearing aid and Communication Strategies Information/Counseling in Hearing Loss, Mild Cognitive Impairment and Alzheimer Disease and Related Dementias (ADRD), sponsored by Northwestern University. Recruiting at 3 sites in United States. Open to participants aged 60 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Northwestern University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
60 Years to 90 Years
Sex
All
01

Study summary

The goal of this study is to better understand if, in patients with mild to moderate hearing loss who are also experiencing mild cognitive impairment (MCI) or Alzheimer's disease and related dementias (ADRD), Over-the-Counter (OTC) hearing aids:

  1. improve communication
  2. Whether the magnitude of benefit depends on the patient's level of cognitive disability,
  3. Whether alternative remediation (such as targeted communication strategies) offer similar benefits.

Participants and a communication partner will be randomized into an OTC first or Communication Strategies first arm, where participants will receive communication strategy information customized for those with cognitive impairment.

Read the detailed description

This is a single blind cross-over study comparing OTC Hearing Aids to communication strategies information/counseling and their impact on communication between a person who has hearing loss and MCI and a communication partner. Due to the nature of the study, it will not be possible to blind the participants to which arm they are in, but the scorers will be blinded.

02

Conditions studied

  • Hearing Loss
  • Mild Cognitive Impairment
  • Alzheimer Disease and Related Dementias (ADRD)

Keywords

  • Over-the-counter Hearing Aids
03

In context

Hearing Loss

796 studies on the registry are indexed under Hearing Loss; 193 are open to participants now.

This study's planned enrollment of 50 is above the median of 44 across 561 interventional studies indexed under Hearing Loss.

Browse Hearing Loss studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,423 studies on the registry; 198 are open to participants now.

Of its 105 completed or terminated interventional studies of FDA-regulated products, 78 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 90 Years
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

  • Over 60 years of age
  • Mild dementia or mild cognitive impairment. Diagnosis will be made at participating memory evaluation centers (see recruitment).
  • Mild to moderate bilateral hearing loss and no current hearing aid use.
  • A communication partner who is able and willing to participate in the study.
  • No vision impairment that would interfere with the ability to complete study tasks (i.e., legally blind, severe cataracts, or macular degeneration)
  • Able to provide own consent as evaluated by the Consent Assessment

Exclusion criteria

Exclusion Criteria:

  1. unstable or progressive medical conditions, or conditions which, in the opinion of the investigator(s) places the participant at unacceptable risk if he or she were to participate in the study.
  2. History of unresolved communication difficulties following another neurological problem (i.e., stroke or brain tumor), neurodevelopmental disorder (i.e., Down's syndrome), or head/neck cancer
  3. Positive history of major psychiatric disorder (i.e., schizophrenia, significant untreated depression)
  4. Co-enrolled in other intervention studies targeting hearing, language, or communication strategies.
  5. History or current fluctuating hearing loss
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Other
    OTC Hearing Aid First

    Participants will be provided a pair of OTC hearing aids (experimental) with typical directions and use for 4 weeks before outcome measures will be assessed. After which, participants will then receive the communication strategies information/counseling (control) and have outcome measures assessed after 4 weeks.

    Device: Over the counter hearing aid · Behavioral: Communication Strategies Information/Counseling

  • Other
    Communication Strategies First

    Participants will receive the communication strategies information/counseling intervention (control) first. Outcome measures will be assessed at 4 weeks. After which, participants will then be given a pair of OTC hearing aids (experimental) with typical directions and use for four weeks before having outcome measures assessed.

    Device: Over the counter hearing aid · Behavioral: Communication Strategies Information/Counseling

Interventions

  • DeviceOver the counter hearing aid

    An over the counter hearing aid is a device that provides amplification appropriate for individuals with mild to moderate hearing loss. Participants will receive the devices with typical directions and have one scheduled remote visit one week after receiving devices with an audiologist.

    Also known as: OTC hearing aid

  • BehavioralCommunication Strategies Information/Counseling

    Communication Strategies provide information meant to help an individual compensate for hearing loss. The information provides tips both for the individual with hearing loss and for those communicating. People who choose not to pursue hearing aids will typically be given communication strategies information to help them manage their hearing loss. Participants will receive the counseling information in the mail and then have a 1 week follow-up appointment with an audiologist.

    Also known as: Communication Strategies

06

What researchers measure

Primary outcomes

  1. Perception of Conversation Index - Dementia Alzheimer's Type (PCI-DAT)

    A questionnaire completed by the communication partner of the individual with MCI and hearing loss. On this scale, higher scores reflect more frequent and more problematic conversation difficulties; item possible scores range from 0 (not problematic) to 7 (.very problematic)

    Time frame: Baseline at enrollment, then after 4 weeks of using each intervention

Secondary outcomes

  1. Hearing Handicap Inventory for the Elderly (HHIE)

    Questionnaire has 25 items with subscales for social and emotional impacts and is scored from 0-100, with 100 representing least handicap.

    Time frame: Baseline at enrollment, then after 4 weeks of using each intervention

Other outcomes

  1. Conversation Analysis

    The Diapix conversation task where participant and communication partner find the differences in two very similar pictures by discussing them.

    Time frame: 4 weeks after first intervention

  2. Adherence

    Reported Use (hours per day)

    Time frame: 4 weeks after each intervention

  3. Usability

    We will use a modification of the Systematic Usability Scale to query the patient's experience with the OTC aids.

    Time frame: 4 weeks after OTC intervention

07

Study locations

1 of 3 sites recruiting
  • Northwestern University HA Lab
    Evanston, Illinois 60201, United States
    Recruiting
  • La Crosse Mayo Clinic
    La Crosse, Wisconsin 54601, United States
    Completed

    Not enrolling at this site.

  • UW Madison
    Madison, Wisconsin 53706, United States
    Completed

    Not enrolling at this site.

08

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

Started Jul 2024 (actual). Primary completion is estimated for Dec 2026, 29 months after the start.

Of 196 non-industry interventional studies with no phase under Hearing Loss, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 59. This study's planned 29 months is close to that.

Counting every sponsor, half of 321 studies reached it within 19 months; a quarter within 5 and three quarters within 42.

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

Registered
Oct 25, 2023
First posted
Nov 2, 2023
StartActual
Jul 23, 2024
Primary completionEst.
Dec 31, 2026
CompletionEst.
Mar 30, 2027
Last update
Sep 4, 2026
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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06112860
Responsible party
Pamela Souza (Professor, Otolaryngology; Communication Sciences and Disorders, Northwestern University) — Principal investigator
First posted
Nov 2, 2023
Start date
Jul 23, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 30, 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Kendra Marks
Contact
kendra.marks@northwestern.edu
8474670897
Pamela Souza, PhD
principal investigator · Northwestern University

Oversight

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

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