ClinicalTrials.gg
CompletedNCT07247253Updated Dec 1, 2025

Intervention Efficacy of ALD for Children With Dyslexia

An interventional study of Use of a real assistive listening device (FM system) in class. and Use of a Sham assistive listening device (FM system) in Dyslexia, sponsored by Education University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 7 Years to 11 Years. Per ClinicalTrials.gov, last updated 2025-12-01.

Sponsored by Education University of Hong Kong · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 8 years 1 month after the study started (first participant enrolled Jun 2017, registered Jul 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
71
Allocation
Randomized
Ages
7 Years to 11 Years
Sex
All
01

Study summary

This double-blind, randomized controlled crossover trial aimed to evaluate the efficacy of providing assistive listening devices (ALDs) in improving specific abilities among Chinese children diagnosed with dyslexia. The primary purpose was to determine whether using ALDs in the classroom setting over the course of one academic year (10 months) leads to significant improvements in literacy abilities compared to using sham (placebo) devices. The study specifically sought to answer the question: Does intervention with real ALDs, as opposed to sham devices, result in superior gains in literacy skills, measured by the change from baseline to 10 months post-intervention initiation? Furthermore, the trial investigated potential treatment benefits on several secondary outcomes, including the neural representation of speech (specifically the consistency of auditory brainstem response to speech sounds), auditory processing abilities, speech and language abilities, phonological awareness, and teachers' perceptions of the children's listening performance in class. The core objective was thus to assess the therapeutic impact of ALDs on literacy development and related auditory and neural functions in this pediatric dyslexic population within their educational environment.

02

Conditions studied

  • Dyslexia

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Keywords

  • Dyslexia
  • Assistive listening devices
  • RCT
  • Chinese
03

In context

Dyslexia

127 studies on the registry are indexed under Dyslexia; 27 are open to participants now.

This study's enrollment of 71 is close to the median of 71 across 106 interventional studies indexed under Dyslexia.

Browse Dyslexia studies →

Lead sponsor

Education University of Hong Kong is the lead sponsor of 35 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
7 Years to 11 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

  • aged seven to eleven years;
  • diagnosed with dyslexia;
  • registered normal IQs (scores > 85);
  • displayed normal hearing, with air-conduction thresholds of smaller than or at 25 dB hearing level (HL) for pure tones at octave intervals from 250 Hz to 8000 Hz, with an air-bone gap of \< 10 dB for pure tones ranging from 500 Hz to 4000 Hz;
  • have not reported current or prior neurological disorders;
  • have obtained written ;
  • committed to completing the entire study; and
  • Chinese who speak Cantonese as the first language.

Exclusion criteria

Exclusion Criteria:

  • with known neurological disorders
  • with hearing loss
  • have not provided written
  • non native Cantonese speaker
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
71 participants (actual)

Study arms

  • Experimental
    Real ALD

    Real ALD arm used real ALD (assistive listening device)

    Device: Use of a real assistive listening device (FM system) in class.

  • Sham comparator
    Sham ALD

    Sham ALD arm uses sham ALD (assistive listening device)

    Device: Use of a Sham assistive listening device (FM system)

Interventions

  • DeviceUse of a real assistive listening device (FM system) in class.

    The Real ALD arm used the real FM system in class.

  • DeviceUse of a Sham assistive listening device (FM system)

    Use the Sham FM system in class for one year.

06

What researchers measure

Primary outcomes

  1. Phonological and orthographic processing - wording reading ability

    Word reading ability was assessed by counting the number of Chinese character being read correctly in a passage in one minute.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  2. Phonological and orthographic processing - rapid automatized naming

    A page of randomized letters was presented. The child was required to read the letters row by row as quickly as possible. The number of correctly named letters was counted in one minute.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  3. Orthographic knowledge

    Orthographic knowledge was assessed by distinguishing real words from nonwords in 20 trials. Percent correct was marked.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  4. Grammar knowledge

    Grammar knowledge was measured by a sentence reconstruction task. There were 20 items, and the percent correct was marked.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  5. Morphological awareness

    Morphological awareness was assessed by a homophone identification task. The percent correct on 20 test items was marked.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  6. Reading comprehension

    A short passage was presented to the kid. The kid was required to answer ten questions based on the understanding of the passage. The percent correct was marked.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  7. Consistency of ABR to sound

    Consistency of ABR to sound was assessed with this test: \- An electrophysiological recording protocol that has been employed reliably in previous studies was adopted.16 In brief, the stimuli consisted of 170 ms /ba/, /da/, and /ga/ syllables synthesized with a 50 ms formant transition. In this transition, the first, second, and third formants were dynamic; the fundamental frequency, fourth formant, and fifth formant were stable throughout the process. The stimuli were presented at 80 dB SPL to the right ear monaurally via insert earphones. The polarities of the stimuli alternate at a rate of 4.35 Hz. ABR was captured using a vertical Ag-AgCI electrode montage (Cz active, forehead ground, ipsilateral earlobe reference) in combination with the SmartEP (Intelligence Hearing Systems). A bandpass filter of 70 Hz to 2000 Hz was employed, and a total of 6,000 artifact-free responses (3,000 for each polarity) were obtained for each of the three sounds. Responses from even-numbered events thro

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

Secondary outcomes

  1. Tone perception ability

    Tone perception ability was assessed with the Hong Kong Cantonese Tone Identification Test (CANTIT)17. \- The test consisted of a computerized picture-pointing task. After the target word has been presented auditorily, the subject must select an answer among four choices.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  2. Speech-perception-in-noise ability

    Speech-perception-in-noise ability was assessed with the Cantonese Hearing in Noise Test (CHINT)18. \- The test was software-driven and the assessor judged and input the subject's correct or incorrect response for each trial. During the test, speech spectral noise was presented at 70 dB SPL at zero degree azimuth. The presentation level of the target sentence was presented in an adaptive manner (i.e., the presentation of the next target sentence would be decreased by 2 dB for a correct repetition of the current target sentence and vice versa).

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  3. Oral language ability

    Language ability was assessed with the Hong Kong Cantonese Oral Language Assessment Scale (HKCOLAS). * HKCOLAS consisted of six subscales: Hong Kong Cantonese grammar, textual comprehension, word definition, lexical-semantic relations, narrative, and expressive nominal vocabulary. * The score of each subscale ranges from 1 to 19. The higher the score, the better the performance.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  4. Articulation

    Articulation was assessed with the Hong Kong Cantonese Articulation test (HKCAT)20. \- HKCAT consisted of four subscales: consonants, vowels, codas, and tone. The subjects were required to name some pictures.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

  5. Phonological awareness

    Phonological awareness was assessed with a combined test of phoneme rhyme production and phoneme onset deletion.

    Time frame: At enrollment, 10-months after the use of first intervention (real or sham FM system), and 10-months after the use of intervention (sham or real FM system).

07

Study locations

1 site
  • The Education University of Hong Kong
    Hong Kong, Hong Kong
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 Jun 2017 to primary completion in Oct 2018, 16 months.

Of 62 non-industry interventional studies with no phase under Dyslexia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 57. This study's 16 months is below that.

Counting every sponsor, half of 69 studies reached it within 24 months; a quarter within 9 and three quarters within 57.

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

Registered
Jul 15, 2025
First posted
Nov 25, 2025
StartActual
Jun 1, 2017
Primary completionActual
Oct 31, 2018
CompletionActual
Oct 31, 2018
Last update
Dec 1, 2025
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 Dec 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07247253
Lead sponsor
Education University of Hong Kong
Collaborators
Health and Medical Research Fund
Responsible party
KAM Chi Shan Anna (Associate Professor, Education University of Hong Kong) — Principal investigator
First posted
Nov 25, 2025
Start date
Jun 1, 2017
Primary completion
Oct 31, 2018
Completion
Oct 31, 2018
Last update
Dec 1, 2025

Oversight

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

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