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Trial registered on ANZCTR
Registration number
ACTRN12624001139561p
Ethics application status
Submitted, not yet approved
Date submitted
7/08/2024
Date registered
20/09/2024
Date last updated
20/09/2024
Date data sharing statement initially provided
20/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The HearChoice trial: A patient decision support intervention to address decision-making in hearing healthcare
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Scientific title
The HearChoice trial: an evaluation of the clinical effectiveness of a patient decision support intervention on help-seeking and decisional conflict in adults with hearing loss
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Secondary ID [1]
312312
0
NHMRC 2021 Hearing Health Evidence Based Support Service grant identification number: 2015748.
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Universal Trial Number (UTN)
U1111-1309-5316
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hearing loss
334067
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Condition category
Condition code
Ear
330733
330733
0
0
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Deafness
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Public Health
330749
330749
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
HearChoice: an online, modular, patient decision-support intervention for adults with hearing loss. Participants will independently access HearChoice via their smartphone, tablet, or computer web browser by following a link. HearChoice is designed to provide a step-by-step guide to decision-making about hearing healthcare, including background information about hearing loss, the importance of management, and guidance about options. HearChoice is presented using written text, images, interactive quizzes, and videos. HearChoice is designed so that participants can work through it at their own pace, and they may spend as little or long as they choose using HearChoice. Time spent on HearChoice will be monitored using website analytics. HearChoice will be made available to the participants for 3 months after they consent to participate, as we anticipate participants may wish to access the intervention more than once.
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Intervention code [1]
328786
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Behaviour
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Comparator / control treatment
Hearing Loss Option Grid: hearing technology options. Participants will independently access the option grid via their smartphone, tablet, or computer web browser by following a link. The option grid is designed to provide a framework for decision-making about technology-based hearing management options, presented using written text. Participants will be allowed to review the option grid at their own pace, and they may spend as little or long as they choose using the option grid. Time spent on the option grid will be monitored using website analytics. The option grid will be made available to the participants for 3 months after they consent to participate, in line with what we plan to do for the HearChoice intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Decisional conflict
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Assessment method [1]
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Decisional conflict scale (traditional version; statement format; 16 items)
O'Connor (1995); https://doi.org/10.1177/0272989X9501500105
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Timepoint [1]
338496
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Baseline, any time up to 5 days post intervention, 3 months post intervention. The primary timepoint is any time up to 5 days post intervention.
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Secondary outcome [1]
436157
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Preparedness for decision making
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Assessment method [1]
436157
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Preparation for Decision Making Scale (Graham et al., 1995)
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Timepoint [1]
436157
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any time up to 5 days post intervention, 3 months post intervention
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Secondary outcome [2]
436158
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Readiness for hearing healthcare (readiness to take action)
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Assessment method [2]
436158
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Ida Institute Line 1 Visual Analogue scale
https://idainstitute.com/tools/motivation_tools/line/
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Timepoint [2]
436158
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [3]
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Self-efficacy
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Assessment method [3]
436159
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Ida Institute Line 2 Visual Analogue Scale
https://idainstitute.com/tools/motivation_tools/line/
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Timepoint [3]
436159
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [4]
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Hearing-related quality of life
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Assessment method [4]
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10-item Revised Hearing Handicap Inventory – Screening (RHHI-S)
Cassarly et al., 2020; https://doi.org/10.1097%2FAUD.0000000000000746
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Timepoint [4]
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Baseline, 3 months post intervention.
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Secondary outcome [5]
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Benefit: hearing aids or other devices - administered only to participants who obtained a hearing aid or other device
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Assessment method [5]
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For participants who have obtained a device only: Glasgow Hearing Aid Benefit Profile Part 2
Gatehouse (1999); https://doi.org/10.1055/s-0042-1748460
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Timepoint [5]
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3 months post intervention
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Secondary outcome [6]
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Economic benefit
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Assessment method [6]
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Subset of items from the World Health Organisation Health and Work Performance Questionnaire
Kessler et al. (2003); https://doi.org/10.1097/01.jom.0000052967.43131.51
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Timepoint [6]
436179
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Baseline, 3 months post intervention
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Secondary outcome [7]
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Intervention evaluation
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Assessment method [7]
436181
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Items investigating satisfaction with intervention designed specifically for this study
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Timepoint [7]
436181
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any time up to 5 days post intervention, 3 months post intervention
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Secondary outcome [8]
436182
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Use of online intervention
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Assessment method [8]
436182
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Monitor clicks and time spent on different sections using website analytics
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Timepoint [8]
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Any time intervention is accessed
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Secondary outcome [9]
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Empowerment: knowledge, self-efficacy, skills, control, participation
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Assessment method [9]
438845
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5-item Empowerment Audiology Questionnaire - overall score
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [9]
438845
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [10]
438846
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Empowerment: knowledge
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Assessment method [10]
438846
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5-item Empowerment Audiology Questionnaire - knowledge item
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [10]
438846
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [11]
438848
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Empowerment: self-efficacy
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Assessment method [11]
438848
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5-item Empowerment Audiology Questionnaire - self-efficacy item
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [11]
438848
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [12]
438849
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Empowerment: skills
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Assessment method [12]
438849
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5-item Empowerment Audiology Questionnaire - skills item
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [12]
438849
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [13]
438850
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Empowerment: control
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Assessment method [13]
438850
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5-item Empowerment Audiology Questionnaire - control item
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [13]
438850
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [14]
438851
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Empowerment: participation
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Assessment method [14]
438851
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5-item Empowerment Audiology Questionnaire - participation item
Bennett et al., 2024; https://doi.org/10.1097/AUD.0000000000001449
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Timepoint [14]
438851
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Baseline, any time up to 5 days post intervention, 3 months post intervention.
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Secondary outcome [15]
438853
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Intention to take action
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Assessment method [15]
438853
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Item asking users what action they intend to take regarding their hearing healthcare
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Timepoint [15]
438853
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any time up to 5 days post intervention, 1 month post intervention, 3 months post intervention
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Secondary outcome [16]
438854
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Action taken
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Assessment method [16]
438854
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Item asking users what action they have already taken regarding their hearing healthcare
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Timepoint [16]
438854
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any time up to 5 days post intervention, 1 month post intervention, 3 months post intervention
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Eligibility
Key inclusion criteria
=/>26 years of age
Currently residing in Australia
Subjective experience of hearing difficulty
English as a first spoken language or a good understanding of English
Access to computer, tablet or smartphone to navigate websites
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Minimum age
26
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Current user of hearing aid(s)
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealed via central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified randomisation using computerised sequence generation. Participants will be stratified according to age, perceived hearing difficulty, and gender.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Demographic and hearing characteristics of the intervention and control groups will be described at baseline.
Differences between groups will be evaluated at each timepoint using independent samples t-tests. The primary analysis will evaluate whether there is a difference between the intervention and control groups up to 5 days post intervention.
Analysis of variance will be used to compare change over time on each outcome measure between the intervention and control groups.
Additional analyses will be performed to explore the impact of demographic and hearing characteristics on each outcome over time between groups.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
640
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
316706
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Government body
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Name [1]
316706
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National Health and Medical Research Council
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Address [1]
316706
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Country [1]
316706
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
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Country
Australia
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Secondary sponsor category [1]
319398
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None
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Name [1]
319398
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Address [1]
319398
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Country [1]
319398
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Other collaborator category [1]
283100
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University
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Name [1]
283100
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University of Queensland
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Address [1]
283100
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Country [1]
283100
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Australia
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Other collaborator category [2]
283101
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University
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Name [2]
283101
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Macquarie University
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Address [2]
283101
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Country [2]
283101
0
Australia
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Other collaborator category [3]
283102
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Government body
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Name [3]
283102
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National Acoustic Laboratories
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Address [3]
283102
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Country [3]
283102
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315484
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Curtin University Human Research Ethics Committee
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Ethics committee address [1]
315484
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https://www.curtin.edu.au/students/essentials/higher-degree-by-research/ethics-safety/human/
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Ethics committee country [1]
315484
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Australia
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Date submitted for ethics approval [1]
315484
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06/08/2024
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Approval date [1]
315484
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Ethics approval number [1]
315484
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Summary
Brief summary
The purpose of this study is to test the effectiveness of a new online patient decision-support intervention for adults with hearing difficulties: HearChoice. HearChoice is a tool designed to help people understand what they can do to manage hearing difficulties and choose what option is best for them. HearChoice will help users understand what hearing loss is, why it's important to get help, what options are available to manage it, and how to get help. The goal of HearChoice is to help more people get the best help available for their hearing difficulties.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Melanie Ferguson
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Address
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enAble Institute, Curtin University, GPO Box U1987, Perth WA 6845, Australia
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Country
134838
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Australia
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Phone
134838
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+61 8 9266 3600
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Fax
134838
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Email
134838
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[email protected]
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Contact person for public queries
Name
134839
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Melanie Ferguson
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Address
134839
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enAble Institute, Curtin University, GPO Box U1987, Perth WA 6845, Australia
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Country
134839
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Australia
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Phone
134839
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+61 8 9266 3600
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Fax
134839
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Email
134839
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[email protected]
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Contact person for scientific queries
Name
134840
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Melanie Ferguson
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Address
134840
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enAble Institute, Curtin University, GPO Box U1987, Perth WA 6845, Australia
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Country
134840
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Australia
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Phone
134840
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+61 8 9266 3600
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Fax
134840
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Email
134840
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
De-identified item-level data for demographic information and each outcome measure
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When will data be available (start and end dates)?
Data will be made available upon completion of publication of the full program of research, and will be available for 5 years.
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Available to whom?
Anyone who wishes to access it
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Available for what types of analyses?
For any purpose for which the researchers have gained ethical approval
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How or where can data be obtained?
Links to data will be published in peer-reviewed publications and on the ANZCTR.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF