360 Participants Needed

Listener Training for Parkinson's Disease

Recruiting at 1 trial location
SY
SB
Overseen ByStephanie Borrie, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Utah State University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve communication for people with Parkinson's disease by training their primary communication partners to better understand speech affected by dysarthria, a speech disorder. The trial will test whether listeners can be trained to understand the speech of those with this condition, potentially making everyday conversations easier and more effective. Participants needed for the study are those diagnosed with Parkinson's disease and a speech disorder known as hyperkinetic dysarthria. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance daily communication for those with Parkinson's.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this listener training is safe for improving communication in Parkinson's disease?

Research shows that listener training might help people with Parkinson's disease communicate more effectively. Although specific safety data for listener training is unavailable, it involves practicing listening skills. Such activities are generally considered very safe because they don't involve medications or physical treatments. Previous studies have shown that it can improve speech understanding, suggesting that people handle it well. Overall, no reports of negative effects have emerged, making it a promising and safe way to improve communication.12345

Why are researchers excited about this trial?

Researchers are excited about the Listener Training approach for Parkinson's disease because it focuses on improving communication through a novel method: training listeners rather than focusing solely on the speech of those with the condition. Unlike traditional therapies that primarily aim to enhance the speech clarity of patients with dysarthria, this treatment empowers listeners to better understand altered speech patterns. By shifting the focus from the speaker to the listener, this method could provide a fresh avenue for improving everyday interactions for people with Parkinson’s disease, potentially leading to significant improvements in their quality of life.

What evidence suggests that listener training is effective for improving communication in Parkinson's disease?

Research shows that listener training can significantly help people with Parkinson's disease communicate more effectively. Earlier studies demonstrated that this training improved speech comprehension by up to 20% for those with dysarthria, a common speech issue in Parkinson's. This improvement surpasses typical results from other methods. In this trial, participants in the experimental condition will receive listener training, which teaches communication partners to better understand speech affected by dysarthria. Overall, these findings suggest that listener training could be a promising way to enhance everyday conversations for people with Parkinson's disease.12356

Who Is on the Research Team?

SB

Stephanie Borrie, PhD

Principal Investigator

Utah State University

KL

Kaitlin Lansford, PhD

Principal Investigator

Florida State University

SY

Sarah Yoho Leopold, PhD

Principal Investigator

Utah State University

Are You a Good Fit for This Trial?

This trial is for people with Parkinson's disease who have speech difficulties (dysarthria). It focuses on improving how well they are understood by training their main conversation partners. Participants must be diagnosed with Parkinson's and experience communication challenges.

Inclusion Criteria

I have been diagnosed with Parkinson's disease.
I have been diagnosed with a speech disorder known as hyperkinetic dysarthria.
Primary language is English

Exclusion Criteria

I have significant memory or thinking problems.
Primary language other than English
I am under 18 years old.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Listeners receive training to improve understanding of dysarthric speech from patients with Parkinson's Disease

4 weeks
Weekly sessions

Follow-up

Participants are monitored for retention of intelligibility improvements and other communication benefits

4 weeks
1 visit (in-person), 1 visit (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Listener Training
Trial Overview The study tests 'Listener Training' to see if it helps improve understanding of speech in those with dysarthria from Parkinson's. The trial randomly assigns participants to receive this training or not, measuring the effectiveness through repeated measures.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Experimental ConditionExperimental Treatment1 Intervention
Group II: Control conditionPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Utah State University

Lead Sponsor

Trials
48
Recruited
5,200+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Florida State University

Collaborator

Trials
234
Recruited
41,100+

Published Research Related to This Trial

In a study of 25 individuals with early Parkinson's disease, auditory cues improved gait characteristics such as step velocity and step length, but initially increased step time variability, indicating a potential trade-off in gait stability.
After 3 years, the same participants showed improved responses to auditory cues, with better step velocity and length, and reduced variability, suggesting that introducing auditory cues may be more beneficial as the disease progresses.
Auditory Cueing for Gait Impairment in Persons With Parkinson Disease: A Pilot Study of Changes in Response With Disease Progression.Lirani-Silva, E., Lord, S., Moat, D., et al.[2020]
A wearable biofeedback device was developed to help patients with Parkinsonism improve their speech intensity outside of clinical settings, addressing a common challenge in speech therapy.
The study showed that patients were able to transfer significant improvements in their speech from the clinic to everyday situations while using the device, indicating its potential effectiveness for ongoing treatment.
A microcomputer-based wearable biofeedback device to improve transfer of treatment in parkinsonian dysarthria.Rubow, R., Swift, E.[2019]
Patients with early Parkinson's disease showed significant difficulties in divided attention when processing competing auditory inputs compared to age- and gender-matched controls, indicating a specific attentional impairment associated with the disease.
The study also found a right ear advantage in auditory processing, where speech messages were not only better discriminated but also processed more quickly by the right ear, suggesting lateralized processing in auditory attention.
Is there a divided attention deficit in patients with early Parkinson's disease?Sharpe, MH.[2021]

Citations

Listener Training for Improved Intelligibility of People With ...Listener training offers a promising avenue for improving communication for people with dysarthria due to Parkinson's disease by offsetting ...
Listener Training for Parkinson's DiseaseListener training offers a promising avenue for improving communication for people with dysarthria due to Parkinson's disease by offsetting the ...
Professor Awarded $2.6M NIH Grant to Study Listener ...In previous studies, Borrie and Lansford have documented up to 20% intelligibility improvement following listener training. This exceeds the 5- ...
Perceptual Training to Improve Listeners' Ability ...This project, utilizing advanced explanatory models, will permit identification of speaker and listener parameters, and their interactions, that allow ...
Educational Information Improves Listener Attitudes Toward ...This study presents preliminary evidence that educational material can positively influence listener impressions of speakers with hypokinetic dysarthria.
Speech and Swallowing in Parkinson's Disease - PMCActive training and practice listening to dysarthric speech – with knowledge regarding the “target” message – may be an appropriate therapeutic technique for ...
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