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Not yet recruitingNCT07933991Updated Nov 12, 2026

Effects of Auditory Fatigue on Central Auditory Processing in Adults With Normal Hearing

An interventional study of 60-Minute Auditory Fatigue Listening Task in Auditory Fatigue and Central Auditory Processing, sponsored by Istanbul Nisantasi University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Istanbul Nisantasi University · Not applicable, Interventional, and Basic science

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 40 Years
Sex
All
01

Where this study stands

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

Among 333 studies in Fatigue with a site in Turkey — 50 open to participants now, 56 under way, none of them phase 3. Fatigue · Turkey.

Planned enrollment
104th of 253
60 · median 60
Started
2026
with 41 others
No phase
250 of 333
37 open now
Primary completion
2027-10
later than 54 of 55 live
Registered
333rd of 333
by date

Among the 333 studies in Fatigue with a site in Turkey, this one is the 104th largest by planned enrollment of the 253 interventional ones that give a count, is one of 42 that started in 2026, is one of 250 with no phase, reaches primary completion later than 54 of the 55 other live ones, and was the 333rd registered.

Fatigue

2,232 studies on the registry are indexed under Fatigue; 428 are open to participants now.

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Open to participants now

50 of the 333 studies in Fatigue with a site in Turkey are open now. Recruiting first, the newest first:

45 more — sign in →

All 50 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 240 Fatigue studies recruiting now, 111 (46%) set no upper age limit and 99 (41%) stop at 75 or younger; 23 take children under 18; 73 take healthy volunteers.

This study: 18 Years to 40 Years · all sexes · healthy volunteers too.

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02

Study summary

This study aims to investigate how auditory fatigue caused by a prolonged and demanding listening task affects central auditory processing abilities in adults with normal hearing. Central auditory processing refers to how the brain processes and interprets sounds, including the ability to recognize differences in sound timing and patterns.

A total of 60 adults aged 18-40 years will participate. Participants will be divided into two groups based on their occupational listening demands. One group will include 30 individuals working in professions that require frequent and sustained verbal communication, such as simultaneous interpreters, speech and language therapists, special education teachers, and psychologists. The comparison group will include 30 individuals whose occupations do not require intensive and continuous verbal communication.

All participants will undergo hearing assessments and central auditory processing tests before and after a 60-minute listening task involving Turkish speech materials presented with background noise from multiple speakers. Participants will also rate their perceived auditory fatigue, listening effort, and task demands before and after the listening task.

The study will examine changes in auditory processing performance following the listening task and determine whether these changes differ between the two occupational groups. The findings may help researchers and clinicians better understand how auditory fatigue influences auditory processing test results.

Read the detailed description

Central auditory processing involves the neural mechanisms responsible for analyzing and interpreting auditory information beyond peripheral hearing sensitivity. Temporal resolution and temporal pattern recognition are important components of central auditory processing and can be assessed using behavioral auditory tests.

Prolonged listening under demanding conditions may increase listening effort and the use of cognitive resources, potentially contributing to auditory fatigue. Although previous research has investigated listening effort and fatigue in relation to speech perception, cognitive demands, and subjective experiences, evidence regarding the effects of experimentally induced acute auditory fatigue on behavioral central auditory processing performance remains limited.

This study is designed as a non-randomized, quasi-experimental, pretest-posttest investigation involving two groups with different occupational listening demands. The study will include 60 adults aged 18-40 years with normal peripheral hearing, with 30 participants in each group.

The first group will consist of individuals employed in occupations requiring sustained verbal communication, active speech listening, and auditory attention, including simultaneous interpreters, speech and language therapists, special education teachers, and psychologists conducting regular client consultations. The comparison group will consist of individuals whose occupational responsibilities do not require intensive and continuous verbal communication. The groups will be matched as closely as possible in terms of age, sex, and educational level.

Before the experimental listening task, participants will undergo otoscopic examination, tympanometry, pure-tone audiometry, and speech audiometry to assess peripheral hearing status and determine eligibility.

Central auditory processing performance will be assessed using three behavioral tests:

  • Gaps-in-Noise Test (GIN), assessing temporal resolution.
  • Frequency Pattern Test (FPT), assessing temporal pattern recognition based on frequency patterns.
  • Duration Pattern Test (DPT), assessing temporal pattern recognition based on duration patterns.

Participants will also complete Visual Analog Scale (VAS) assessments of perceived auditory fatigue, listening effort, and task demands.

Following baseline assessments, all participants will complete a standardized 60-minute experimental listening task developed using Turkish Hearing in Noise Test (HINT-TR) speech materials presented with multi-talker babble noise. The task is intended to induce acute auditory fatigue under controlled listening conditions.

Immediately after the listening task, the GIN, FPT, and DPT assessments will be repeated. Subjective auditory fatigue, listening effort, and perceived task demands will also be reassessed using VAS measures.

The primary analyses will examine changes in central auditory processing performance before and after the listening task and evaluate whether these changes differ between occupational groups. Group, time, and group-by-time interaction effects will be investigated using mixed-design repeated-measures analysis of variance when statistical assumptions are satisfied. Associations between changes in subjective measures and behavioral auditory processing performance will also be examined using appropriate correlation analyses.

All participants will undergo the same standardized assessment procedures and experimental listening protocol. Familiarization procedures and standardized testing conditions will be used to reduce potential measurement variability and practice effects.

The study is expected to contribute to understanding the relationship between experimentally induced auditory fatigue and central auditory processing performance and may provide useful information for interpreting behavioral central auditory processing assessments in clinical and research settings.

03

Conditions studied

  • Auditory Fatigue
  • Central Auditory Processing

Browse trials for

Keywords

  • Listening-Related Fatigue
  • Listening Effort
  • Temporal Auditory Processing
  • Gaps-in-Noise Test
  • Frequency Pattern Test
  • Duration Pattern Test
  • Speech-in-Noise Listening
  • Occupational Listening Demands
  • HINT-TR
04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adults aged between 18 and 40 years.
  • Willingness to participate in the study and provision of written .
  • Completion of the online participation form.
  • Sufficient proficiency in Turkish to understand instructions and complete the auditory assessments.
  • Bilaterally normal otoscopic findings.
  • Normal middle ear function as determined by tympanometric assessment.
  • Normal hearing thresholds on pure-tone audiometry.
  • For the high occupational listening demands group: Current employment as a simultaneous interpreter, speech and language therapist, special education teacher, or psychologist, with regular occupational responsibilities requiring sustained verbal communication, active speech listening, and auditory attention. Psychologists must actively conduct client consultations.
  • For the comparison group: Current employment in occupations that do not require intensive and sustained verbal communication or continuous active speech listening.

Exclusion criteria

Exclusion Criteria:

  • Presence of peripheral hearing loss.
  • Active external or middle ear pathology.
  • History of a known neurological disorder that may affect central auditory processing performance.
  • Any condition that may prevent reliable completion of the auditory assessments or experimental listening protocol.
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
Basic science
Allocation
Non-randomized
Intervention model
Single group
Masking
Double (Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    High Occupational Listening Demands

    This arm will include 30 adults aged 18-40 years with normal peripheral hearing who work in occupations requiring sustained verbal communication, active speech listening, and auditory attention. Participants will include simultaneous interpreters, speech and language therapists, special education teachers, and psychologists conducting regular client consultations. All participants will complete a standardized 60-minute experimental auditory fatigue listening task. Central auditory processing performance will be assessed using the Gaps-in-Noise Test (GIN), Frequency Pattern Test (FPT), and Duration Pattern Test (DPT) before and after the listening task. Perceived auditory fatigue, listening effort, and task demands will also be evaluated using Visual Analog Scales (VAS).

    Behavioral: 60-Minute Auditory Fatigue Listening Task

  • Experimental
    Non-Intensive Occupational Listening Demands

    This arm will include 30 adults aged 18-40 years with normal peripheral hearing whose occupations do not require intensive and sustained verbal communication or continuous active speech listening. Participants will be selected to achieve comparable age, sex, and educational characteristics between occupational groups where possible. All participants will complete the same standardized 60-minute experimental auditory fatigue listening task administered to the high occupational listening demands group. Central auditory processing performance will be assessed using the Gaps-in-Noise Test (GIN), Frequency Pattern Test (FPT), and Duration Pattern Test (DPT) before and after the listening task. Perceived auditory fatigue, listening effort, and task demands will also be evaluated using Visual Analog Scales (VAS).

    Behavioral: 60-Minute Auditory Fatigue Listening Task

Interventions

  • Behavioral60-Minute Auditory Fatigue Listening Task

    All participants will complete a standardized 60-minute experimental listening task designed to induce acute auditory fatigue. The task will involve sustained listening to Turkish Hearing in Noise Test (HINT-TR) speech materials presented with multi-talker babble noise. The same listening protocol will be administered to participants in both occupational groups under standardized conditions. The intervention will be performed once, following baseline auditory assessments. Immediately after the task, central auditory processing performance will be reassessed using the GIN, FPT, and DPT. Subjective auditory fatigue, listening effort, and perceived task demands will also be evaluated using Visual Analog Scales (VAS) before and after the intervention.

06

What researchers measure

Primary outcomes

  1. Gaps-in-Noise Test (GIN)

    Temporal resolution will be assessed using the Gaps-in-Noise (GIN) Test. The outcome will be the change in gap detection threshold, measured in milliseconds (ms), calculated as the post-intervention threshold minus the baseline threshold. Lower thresholds indicate better temporal resolution. Changes will be compared between the two occupational groups.

    Time frame: Baseline (before the listening task) and immediately after the 60-minute listening task, during the same study visit.

  2. Frequency Pattern Test (FPT)

    Temporal pattern recognition based on frequency variations will be assessed using the Frequency Pattern Test (FPT). Performance will be expressed as the percentage of correctly identified frequency patterns, ranging from 0% to 100%. The outcome will be calculated as the post-intervention percentage minus the baseline percentage. Higher percentages indicate better performance. Changes will be compared between occupational groups.

    Time frame: Baseline (before the listening task) and immediately after the 60-minute listening task, during the same study visit.

  3. Duration Pattern Test (DPT)

    Temporal pattern recognition based on sound duration will be assessed using the Duration Pattern Test (DPT). Performance will be expressed as the percentage of correctly identified duration patterns, ranging from 0% to 100%. The outcome will be calculated as the post-intervention percentage minus the baseline percentage. Higher percentages indicate better performance. Changes will be compared between occupational groups.

    Time frame: Baseline (before the listening task) and immediately after the 60-minute listening task, during the same study visit.

Secondary outcomes

  1. Perceived Auditory Fatigue (VAS)

    Perceived auditory fatigue will be assessed using a 100-mm Visual Analog Scale (VAS) before and immediately after the experimental listening task. Participants will rate their perceived level of auditory fatigue on a continuous scale ranging from 0 mm (no auditory fatigue at all) to 100 mm (extreme auditory fatigue). Higher scores indicate greater perceived auditory fatigue. The outcome will be calculated as the post-intervention VAS score minus the baseline VAS score, expressed in millimeters (mm). Positive change scores indicate an increase in perceived auditory fatigue following the listening task.

    Time frame: Baseline (before the listening task) and immediately after the 60-minute listening task, during the same study visit.

  2. Perceived Listening Effort (VAS)

    Perceived listening effort will be assessed using a 100-mm Visual Analog Scale (VAS) before and immediately after the experimental listening task. Participants will rate their perceived level of listening effort on a continuous scale ranging from 0 mm (no listening effort at all) to 100 mm (extremely high listening effort). Higher scores indicate greater perceived listening effort. The outcome will be calculated as the post-intervention VAS score minus the baseline VAS score, expressed in millimeters (mm). Positive change scores indicate an increase in perceived listening effort following the listening task.

    Time frame: Baseline (before the listening task) and immediately after the 60-minute listening task, during the same study visit.

07

Study locations

1 site
  • Istanbul Nisantasi University, NeoTech Campus Audiometry Laboratory
    Istanbul, Istanbul, Turkey (Türkiye)
    • Büşra Özbay Sekibağ, MSc., Aud. · Contactbusra.ozbay@nisantasi.edu.tr · 902122101010
    • Burak Ömür Çakır, Prof. of Otolaryngology · Principal investigator
    • Büşra Özbay Sekibağ, MSc., Aud. · Sub investigator
08

References and documents

Publications

  • Hornsby BWY, Camarata S, Cho SJ, Davis H, McGarrigle R, Bess FH. Development and Validation of a Brief Version of the Vanderbilt Fatigue Scale for Adults: The VFS-A-10. Ear Hear. 2023 Sep-Oct 01;44(5):1251-1261. doi: 10.1097/AUD.0000000000001369. Epub 2023 Apr 27. PubMed 37185656 ↗
  • Francis AL, Love J. Listening effort: Are we measuring cognition or affect, or both? Wiley Interdiscip Rev Cogn Sci. 2020 Jan;11(1):e1514. doi: 10.1002/wcs.1514. Epub 2019 Aug 5. PubMed 31381275 ↗
  • Hornsby BW, Naylor G, Bess FH. A Taxonomy of Fatigue Concepts and Their Relation to Hearing Loss. Ear Hear. 2016 Jul-Aug;37 Suppl 1(Suppl 1):136S-44S. doi: 10.1097/AUD.0000000000000289. PubMed 27355763 ↗
  • McGarrigle R, Munro KJ, Dawes P, Stewart AJ, Moore DR, Barry JG, Amitay S. Listening effort and fatigue: what exactly are we measuring? A British Society of Audiology Cognition in Hearing Special Interest Group 'white paper'. Int J Audiol. 2014 Jul;53(7):433-40. doi: 10.3109/14992027.2014.890296. Epub 2014 Mar 27. PubMed 24673660 ↗
  • Pichora-Fuller MK, Kramer SE, Eckert MA, Edwards B, Hornsby BW, Humes LE, Lemke U, Lunner T, Matthen M, Mackersie CL, Naylor G, Phillips NA, Richter M, Rudner M, Sommers MS, Tremblay KL, Wingfield A. Hearing Impairment and Cognitive Energy: The Framework for Understanding Effortful Listening (FUEL). Ear Hear. 2016 Jul-Aug;37 Suppl 1:5S-27S. doi: 10.1097/AUD.0000000000000312. PubMed 27355771 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with researchers outside the study team. Study data will be coded and securely stored in accordance with the approved research protocol and applicable data protection regulations. Only authorized members of the research team will have access to individual-level data. Study findings may be published in aggregate form without identifying individual participants.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Oct 2027, 11 months later.

Of 936 non-industry interventional studies with no phase under Fatigue, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 27. This study's planned 11 months is close to that.

Counting every sponsor, half of 989 studies reached it within 11 months; a quarter within 5 and three quarters within 27.

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

Registered
Nov 6, 2026
First posted
Nov 12, 2026
StartEst.
Nov 2026
Primary completionEst.
Oct 2027
CompletionEst.
Nov 2027
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07933991
Lead sponsor
Istanbul Nisantasi University
Collaborators
Istanbul Aydın University
Responsible party
Büşra Özbay Sekibağ (Principal investigator, Istanbul Nisantasi University) — Principal investigator
First posted
Nov 12, 2026
Start date
Nov 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Nov 12, 2026

Study contacts

Büşra Özbay Sekibağ, MSc., Aud.
Contact
busra.ozbay@nisantasi.edu.tr
90212 210 10 10

Oversight

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

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