Hearing Impairment, Strategies, and Outcomes in Emergency Departments
| Status: | Recruiting |
|---|---|
| Conditions: | Other Indications, Other Indications, Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 3/23/2019 |
| Start Date: | March 18, 2019 |
| End Date: | February 28, 2020 |
| Contact: | Joshua Chodosh, MD MSHS |
| Email: | Joshua.Chodosh@va.gov |
| Phone: | (310) 478-3711 |
Aim 1: Establish the feasibility of screening for hearing loss in the ED Aim 2: Determine the
acceptability of the screening procedure (among the ED population) Aim 3: Derive a
preliminary estimate of the effect size of primary outcomes Aim 4: Identify the evidence that
decision makers in VAMCs, ED and Audiology Services need to commit to this approach
acceptability of the screening procedure (among the ED population) Aim 3: Derive a
preliminary estimate of the effect size of primary outcomes Aim 4: Identify the evidence that
decision makers in VAMCs, ED and Audiology Services need to commit to this approach
The goal of this study is to test whether providing hearing assistance devices to older age
hearing impaired patients in the ED setting will improve in-ED understanding and preparation
for discharge. The proposed intervention, the Hearing Impairment, Strategies and Outcomes in
VA Emergency Departments (HearVA-ED) will be conducted in the Emergency Departments of the
Manhattan and Brooklyn VAs of the New York Harbor Healthcare System and will recruit hearing
impaired ED patients who are 60 years and older and have been admitted to the ED with a low
acuity triage score indicating a high likelihood of discharge home. The investigators will
identify hearing impairment by using the Hearing Handicap Inventory for the Elderly survey
(HHIE-S). The investigators will randomize consenting patients who fail the screening to
either receipt of a simple hearing assistance device (a "PockeTalkerTM") during their ED stay
or usual care. The investigators will test whether the provision of a PockeTalkerTM is
feasible in this environment (by measuring the amount of device use), whether providing the
device improves self-reported quality of hearing and understanding during the ED stay, and
whether use of the device improves the quality of preparation for post-discharge care. If
this randomized controlled trial demonstrates beneficial effects for in-ED use of a simple
hearing assistance device for hearing impaired patients, this strategy can be disseminated
throughout the VA healthcare system.
hearing impaired patients in the ED setting will improve in-ED understanding and preparation
for discharge. The proposed intervention, the Hearing Impairment, Strategies and Outcomes in
VA Emergency Departments (HearVA-ED) will be conducted in the Emergency Departments of the
Manhattan and Brooklyn VAs of the New York Harbor Healthcare System and will recruit hearing
impaired ED patients who are 60 years and older and have been admitted to the ED with a low
acuity triage score indicating a high likelihood of discharge home. The investigators will
identify hearing impairment by using the Hearing Handicap Inventory for the Elderly survey
(HHIE-S). The investigators will randomize consenting patients who fail the screening to
either receipt of a simple hearing assistance device (a "PockeTalkerTM") during their ED stay
or usual care. The investigators will test whether the provision of a PockeTalkerTM is
feasible in this environment (by measuring the amount of device use), whether providing the
device improves self-reported quality of hearing and understanding during the ED stay, and
whether use of the device improves the quality of preparation for post-discharge care. If
this randomized controlled trial demonstrates beneficial effects for in-ED use of a simple
hearing assistance device for hearing impaired patients, this strategy can be disseminated
throughout the VA healthcare system.
Inclusion Criteria:
- English or Spanish speaking
- Emergency severity index criterion of 4 or 5 (low acuity)
- Hearing Handicap Impairment Evaluation Screen greater than or equal to 24
- Capacity to consent to participate in research
Exclusion Criteria:
- Inability to consent to participate in research
- Emergency severity index criterion of 1-3 (high acuity)
- Hearing Handicap Impairment Evaluation Screen less than 24
- Inability to speak English or Spanish
We found this trial at
1
site
New York, New York 10010
Principal Investigator: Joshua Chodosh, MD MSHS
Phone: 212-686-7500
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