Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol

Introduction Hearing loss is one of the leading potentially modifiable risk factors for dementia. There is growing evidence suggesting that treating hearing loss with hearing aids could be a relatively low-cost intervention in reducing cognitive decline and the risk of dementia in the long term. How...

Full description

Saved in:
Bibliographic Details
Main Authors: Inge Stegeman, Adriana L Smit, Denise Fuchten, Irene M C Huenges Wajer, Koen S Rhebergen
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e074176.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850205291483758592
author Inge Stegeman
Adriana L Smit
Denise Fuchten
Irene M C Huenges Wajer
Koen S Rhebergen
author_facet Inge Stegeman
Adriana L Smit
Denise Fuchten
Irene M C Huenges Wajer
Koen S Rhebergen
author_sort Inge Stegeman
collection DOAJ
description Introduction Hearing loss is one of the leading potentially modifiable risk factors for dementia. There is growing evidence suggesting that treating hearing loss with hearing aids could be a relatively low-cost intervention in reducing cognitive decline and the risk of dementia in the long term. However, given the current constraints of the limited evidence, it is premature to draw definitive conclusions about the effect of hearing aids on cognitive functioning. More long-term randomised studies examining this effect would be recommended. Prior to embarking on large-scale lengthy randomised controlled trials (RCTs), it is imperative to determine the viability of such studies. Therefore, the purpose of the current study is to assess the feasibility of a RCT that investigates the effect of hearing aids on cognitive functioning in elderly hearing impaired individuals.Methods and analysis In this randomised controlled feasibility trial, 24 individuals aged 65 years or older with mild to moderate hearing loss (≥35–<50 dB pure tone average (0.5–4 kHz) unilateral or bilateral) will be included and randomised towards a hearing aid intervention or no intervention. At baseline and at 6-month follow-up, a test battery consisting of cognitive tests and questionnaires will be administered to both groups. The primary outcome of the study is the willingness of hearing impaired individuals to be randomised for hearing amplification in a study regarding cognition. The secondary outcomes are the feasibility of the test battery and the therapy compliance of hearing aid use.Ethics and dissemination This research protocol was approved by the Institutional Review Board of the University Medical Centre Utrecht (NL80594.041.22, V.3, January 2023). The trial results will be made accessible to the public in a peer-reviewed journal.Trial registration number ISRCTN84550071.
format Article
id doaj-art-5a1c4aaff1b34b9cb239825fac7e53a7
institution OA Journals
issn 2044-6055
language English
publishDate 2023-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-5a1c4aaff1b34b9cb239825fac7e53a72025-08-20T02:11:08ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-074176Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocolInge Stegeman0Adriana L Smit1Denise Fuchten2Irene M C Huenges Wajer3Koen S Rhebergen4University Medical Center Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The NetherlandsDepartment of Translational Neuroscience, UMC Utrecht Brain Center, Utrecht, The NetherlandsDepartment of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The NetherlandsUMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, The NetherlandsDepartment of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The NetherlandsIntroduction Hearing loss is one of the leading potentially modifiable risk factors for dementia. There is growing evidence suggesting that treating hearing loss with hearing aids could be a relatively low-cost intervention in reducing cognitive decline and the risk of dementia in the long term. However, given the current constraints of the limited evidence, it is premature to draw definitive conclusions about the effect of hearing aids on cognitive functioning. More long-term randomised studies examining this effect would be recommended. Prior to embarking on large-scale lengthy randomised controlled trials (RCTs), it is imperative to determine the viability of such studies. Therefore, the purpose of the current study is to assess the feasibility of a RCT that investigates the effect of hearing aids on cognitive functioning in elderly hearing impaired individuals.Methods and analysis In this randomised controlled feasibility trial, 24 individuals aged 65 years or older with mild to moderate hearing loss (≥35–<50 dB pure tone average (0.5–4 kHz) unilateral or bilateral) will be included and randomised towards a hearing aid intervention or no intervention. At baseline and at 6-month follow-up, a test battery consisting of cognitive tests and questionnaires will be administered to both groups. The primary outcome of the study is the willingness of hearing impaired individuals to be randomised for hearing amplification in a study regarding cognition. The secondary outcomes are the feasibility of the test battery and the therapy compliance of hearing aid use.Ethics and dissemination This research protocol was approved by the Institutional Review Board of the University Medical Centre Utrecht (NL80594.041.22, V.3, January 2023). The trial results will be made accessible to the public in a peer-reviewed journal.Trial registration number ISRCTN84550071.https://bmjopen.bmj.com/content/13/12/e074176.full
spellingShingle Inge Stegeman
Adriana L Smit
Denise Fuchten
Irene M C Huenges Wajer
Koen S Rhebergen
Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
BMJ Open
title Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
title_full Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
title_fullStr Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
title_full_unstemmed Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
title_short Assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals: a study protocol
title_sort assessing the feasibility of a randomised controlled trial examining the effect of hearing aids on cognitive decline in elderly individuals a study protocol
url https://bmjopen.bmj.com/content/13/12/e074176.full
work_keys_str_mv AT ingestegeman assessingthefeasibilityofarandomisedcontrolledtrialexaminingtheeffectofhearingaidsoncognitivedeclineinelderlyindividualsastudyprotocol
AT adrianalsmit assessingthefeasibilityofarandomisedcontrolledtrialexaminingtheeffectofhearingaidsoncognitivedeclineinelderlyindividualsastudyprotocol
AT denisefuchten assessingthefeasibilityofarandomisedcontrolledtrialexaminingtheeffectofhearingaidsoncognitivedeclineinelderlyindividualsastudyprotocol
AT irenemchuengeswajer assessingthefeasibilityofarandomisedcontrolledtrialexaminingtheeffectofhearingaidsoncognitivedeclineinelderlyindividualsastudyprotocol
AT koensrhebergen assessingthefeasibilityofarandomisedcontrolledtrialexaminingtheeffectofhearingaidsoncognitivedeclineinelderlyindividualsastudyprotocol