Can a Family-Doctor-Led hearing service outperform specialist clinics for seniors?
NCT ID NCT07782177
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This trial tests a new hearing-care service for adults aged 65 and older in Hong Kong, where family medicine doctors work with ENT nurses and audiologists to provide earlier assessments, hearing-aid fittings, and referrals when needed. About 500 participants will be randomly assigned to either this new service or the existing ENT clinic. Researchers will compare hearing function, quality of life, depression symptoms, satisfaction, and how quickly patients receive care, to see if the new model is a safe and cost-effective alternative.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A collaborative care model involving family medicine specialists, ENT nurses, and audiology services
- What this could lead to
- If successful, this model could improve access to hearing care for older adults, reduce wait times, and be adopted more widely in Hong Kong and beyond.
- What could go wrong
- The trial is a pilot, so results may not apply to all settings. The new service might not be as effective or cost-efficient as hoped, and patient satisfaction could vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population comprises adults aged 65 years or above presenting with hearing loss to either the new Family Medicine elderly hearing clinic at Tseung Kwan O South Family Medicine Clinic or the existing ENT elderly hearing clinic at specialist outpatient clinic at Tseung Kwan O Hospital, Hong Kong. Participants will have progressive bilateral hearing loss, hearing difficulty associated with earwax impaction, or a need for hearing-aid assessment or rehabilitation. Approximately 500 participants will be recruited: approximately 100 participants in the Family Medicine clinic cohort and 400 participants in the ENT clinic cohort. The study excludes patients with urgent or complex otologic conditions that require prompt specialist ENT evaluation.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 65 years or above. * Attending the Family Medicine elderly hearing clinic at Tseung Kwan O South Family Medicine Clinic or the ENT elderly hearing clinic at Specialist Outpatient Clinic at Tseung Kwan O Hospital. * Bilateral progressive hearing loss for more than 1 month without acute ear infection; or earwax impaction affecting hearing; or referred for hearing-aid assessment, prescription, fitting, or follow-up. * Able to provide written informed consent independently, or with caregiver support sufficient to facilitate completion of study questionnaires. * Adequate language proficiency, including Cantonese where applicable, to complete the validated study questionnaires. Exclusion Criteria: * Sudden sensorineural hearing loss. * Acute otitis, otorrhoea, or other acute ear infection requiring urgent assessment. * Tympanic-membrane perforation. * Suspected cholesteatoma or other serious middle-ear disease. * Other red-flag otologic presentations requiring urgent ENT specialist evaluation. * Severe cognitive impairment that, in the clinician's judgement, prevents meaningful informed consent or completion of study questionnaires.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Ear, Nose and Throat at United Christian Hospital and Tseung Kwan O Hospital
Hong Kong, Hong Kong
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