<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20220918055979N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-11-12</date_registration>
      <primary_sponsor>University of social welfare and rehabilitation sciences</primary_sponsor>
      <public_title>The combined effect of the behavioral rehabilitation of auditory attention and transcranial current stimulation in children with hearing loss</public_title>
      <acronym></acronym>
      <scientific_title>The combined effect of the behavioral rehabilitation of auditory attention and transcranial direct current stimulation on improving speech perception in noise in children with hearing loss aged 8-11 years old</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-12-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/66018</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: for random allocation, 8 blocks of 6 AABBCC, AABCBC, AACBCB, ABCABC, BABCAC, ACBBCA will be prepared and placed in envelopes. In order of entry of the parents, one of the envelopes was selected at random and based on the obtained block, 6 patients will be assigned to three groups, Blinding description: In each clinical trial design, three groups can influence the results of the study. Experiments, researcher, evaluator or analyst. In this study, by randomly selecting participants in two experimental and control groups and applying independent variables to both groups, which are in one sham and play the role of placebo.
Also, the analyst is not aware of the sham of the intervention in the group and they become practically blind.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Hearing Loss. Condition 2: Auditory processing disorder.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Group A- Conventional behavioral auditory attention training will be provided together with transcranial direct current stimulation (tDCS), for 30 seconds, the current intensity of 1 mA will be applied (sham) during 10 sessions (3 sessions per week). Intervention 2: Intervention group: Group B-Transcranial direct current stimulation (tDCS)  will be provided during 10 sessions (3 sessions per week). In each session for 20minutes, the current intensity of 1/5 mA will be applied to the participants. Intervention 3: Intervention group: Group C- Combined Method (Conventional behavioral auditory attention training online with transcranial direct electrical stimulation)-Conventional behavioral auditory attention training will be provided together with transcranial direct current stimulation (tDCS), for 20minutes, the current intensity of 1/5 mA will be applied during 10 sessions (3 sessions per week).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is We will publish it if necessary</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Nayiere Mansouri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>kodakyar Ave, daneshjo Blvd, Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 914 454 6572</telephone>
        <email>mansoorynayiere@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Nayiere Mansouri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>kodakyar Ave, daneshjo Blvd, Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 914 454 6572</telephone>
        <email>mansoorynayiere@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children with moderate to severe sensorineural  hearing loss aged 8-11 years old
Permanent user of binaural hearing aids for at least three years
Equal or better than 30 dB HL aided hearing thresholds
An abnormal score in the BKB-SIN and at least one of the TEA-ch and/or mSAAT tests
right-handed
In the age range of 8-11years
Normal or corrected vision
Complete the consent form to participate in the training program
Normal findings in otoscopy and tympanometry
Working memory capacity of at least 3 units in direct didit span test
The standard IQ score or better than 85 score in  Persian version of the revised Wechsler Intelligence Test for Children (R-WISC)
The ability to cooperate in carrying out the tests foreseen in the research</inclusion_criteria>
      <agemin>8 years</agemin>
      <agemax>11 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Unwillingness to cooperate in each stage of the research
Obvious developmental and behavioral problems based on the evaluation results recorded in the children's medical record
A history of obvious neurological and cognitive diseases and head trauma
Auditory neuropathy based on OAE and ABR indicators (according to children's hearing records)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>H90.3</hc_code>
      <hc_code>H93.25</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Sensorineural hearing loss, bilateral</hc_keyword>
      <hc_keyword>Central auditory processing disorder</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Group A- Conventional behavioral auditory attention training will be provided together with transcranial direct current stimulation (tDCS), for 30 seconds, the current intensity of 1 mA will be applied (sham) during 10 sessions (3 sessions per week)</i_keyword>
      <i_keyword>Intervention group: Group B-Transcranial direct current stimulation (tDCS)  will be provided during 10 sessions (3 sessions per week). In each session for 20minutes, the current intensity of 1/5 mA will be applied to the participants.</i_keyword>
      <i_keyword>Intervention group: Group C- Combined Method (Conventional behavioral auditory attention training online with transcranial direct electrical stimulation)-Conventional behavioral auditory attention training will be provided together with transcranial direct current stimulation (tDCS), for 20minutes, the current intensity of 1/5 mA will be applied during 10 sessions (3 sessions per week).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Bamford-Kowal-Bench Sentence Test Score. Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: The percentage of correctly expressed target words - the amount of SNR Loss based on the calculation formula.</prim_outcome>
      <prim_outcome>Consonant-Vowel In Noise Test Score. Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: according to percentage of correct answers.</prim_outcome>
      <prim_outcome>Sustained attention score in the test of everyday attention for children (TEA- ch) score. Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: according to the number of correct answers.</prim_outcome>
      <prim_outcome>Monaural Selective Auditory Attention Test Score. Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: Calculation of the percentage of correct repetition of the target words.</prim_outcome>
      <prim_outcome>Word In Noise Test Score. Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: Calculation of 50% of words in different signal-to-noise ratios.</prim_outcome>
      <prim_outcome>Components of Electroencephalography (EEG). Timepoint: Before the intervention - after the intervention - one month after the end of the intervention. Method of measurement: With EEGLab software.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>University of social welfare and rehabilitation sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-10-19</approval_date>
        <contact_name>Ethics committee of University of Social Welfare and Rehbilitation Sciences (USWR)</contact_name>
        <contact_address>kodakyar Ave., daneshjo Blvd.,Evin Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
