[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100478735":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":33,"centralContacts":41,"locations":50,"responsibleParty":68,"collaborators":70,"id":77,"slug":78,"hasResults":79,"nctId":80,"briefTitle":81,"officialTitle":82,"acronym":24,"eligibilityCriteria":83,"healthyVolunteers":84,"sex":85,"minAge":86,"maxAge":87,"enrollmentInfo":88,"targetDuration":24,"studyType":91,"phases":92,"briefSummary":94,"conditions":95,"keywords":97,"overallStatus":52,"whyStopped":24,"lastUpdateSubmitDate":106,"lastUpdatePostDateStruct":107,"startDateStruct":110,"completionDateStruct":112,"leadSponsor":114,"locationsCount":115},{"fullName":5,"class":6},"University of Arkansas","OTHER",[8,15],{"label":9,"type":6,"description":10,"interventionNames":11},"Sequence 1","Standard School Screening: All counties in Sequence 1 will receive standard hearing screening in the control period, Year 1.\n\nStandard Referral: All counties in Sequence 1 will receive standard referral in control period, Years 1, 2, and 3, based on the updated timeline.\n\nEnhanced mHealth screening component: Counties randomized to Sequence 1 will receive the enhanced mHealth screening in Years 2, 3, 4, and 5, based on the updated timeline.\n\nSpecialty telemedicine referral component: Counties randomized to Sequence 1 will receive the specialty telemedicine referral component in addition to the enhanced mHealth screening in Years 4 and 5, based on the updated timeline.",[12,13,14],"Other: Standard School Screening and Referral","Other: Enhanced mHealth Screening","Other: Specialty Telemedicine Referral",{"label":16,"type":6,"description":17,"interventionNames":18},"Sequence 2","Standard Hearing Screening: All counties in Sequence 2 will receive standard hearing screening in the control period, Years 1 and 2.\n\nStandard Referral: All counties in Sequence 2 will receive standard referral in control period, Years 1, 2, 3, and 4, based on the updated timeline.\n\nEnhanced mHealth screening component: Counties randomized to Sequence 2 will receive the enhanced mHealth screening in Years 3, 4, and 5, based on the updated timeline.\n\nSpecialty telemedicine referral component: Counties randomized to Sequence 2 will receive the specialty telemedicine referral component in addition to the enhanced mHealth screening in Year 5, based on the updated timeline.",[12,13,14],[20,25,29],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"Standard School Screening and Referral","Counties in the control condition will use standard hearing screening and standard referral by school district. Standard referral is typically a letter home from the school to parents\u002Fcaregivers of children who refer screening.",[9,16],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Enhanced mHealth Screening","The enhanced screening protocol will consist of an mHealth-based hearing screen combined with tympanometry.",[9,16],{"type":6,"name":30,"description":31,"armGroupLabels":32,"otherNames":24},"Specialty Telemedicine Referral","The specialty telemedicine referral will include a lay-friendly smartphone or tablet that connects to tools necessary for an ear and hearing evaluation. If a child requires referral from hearing screening, a school nurse\u002Fteacher will complete the established protocol for the specialty telemedicine referral and send details asynchronously to an audiologist for consultation.",[9,16],[34,38],{"name":35,"affiliation":36,"role":37},"Matt Bush, MD, PhD, MBA","University of Kentucky","PRINCIPAL_INVESTIGATOR",{"name":39,"affiliation":40,"role":37},"Susan Emmett, MD, MPH","University of Arkansas Medical Sciences",[42,46],{"name":39,"role":43,"phone":44,"phoneExt":24,"email":45},"CONTACT","501-603-1212","sdemmett@uams.edu",{"name":47,"role":43,"phone":48,"phoneExt":24,"email":49},"Samantha Robler, AuD,PhD","907-434-0433","skrobler@uams.edu",[51],{"facility":36,"status":52,"city":53,"state":54,"zip":55,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":64},"RECRUITING","Lexington","Kentucky","40536","United States","US",{"type":59,"coordinates":60},"Point",[61,62],-84.47772,37.98869,{"lat":62,"lon":61},[65],{"name":66,"role":43,"phone":67,"phoneExt":24,"email":24},"Matt Bush, MD, PhD","859-562-3120",{"type":69,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR",[71,72,74],{"name":36,"class":6},{"name":73,"class":6},"Duke University",{"name":75,"class":76},"National Institutes of Health (NIH)","NIH","100478735","school-screening-and-telemedicine-specialty-referral-to-address-childhood-hearing-loss-in-rural-kentucky-100478735",false,"NCT05513833","School Screening and Telemedicine Specialty Referral to Address Childhood Hearing Loss in Rural Kentucky","Appalachian Specialty Telemedicine Access for Referrals (STAR) Trial","Inclusion Criteria:\n\n* Enrolled in school in one of the 14 participating counties\n* Initial entry into elementary school\n* Eligible regardless of age, gender, race, or ethnicity\n\nExclusion Criteria:\n\n• N\u002FA",true,"ALL","3 Years","11 Years",{"count":89,"type":90},18000,"ESTIMATED","INTERVENTIONAL",[93],"NA","This trial will evaluate a multilevel intervention (STAR model) that combines mobile health (mHealth) hearing screening tools with telemedicine technology for specialty care access in rural Kentucky schools. An initial version of the model was used in rural Alaska where telemedicine-based specialty referral improved both proportion of children receiving follow-up and time to follow-up. The refined STAR model will utilize an enhanced mHealth screening protocol that includes tympanometry for the detection of middle ear disease. The STAR model will also include a specialty telemedicine referral process in schools for children who refer school screening.",[96],"Hearing Loss",[98,99,100,101,102,103,104,105],"Rural","hearing","loss","telemedicine","telehealth","school","disparities","screening","2026-05-04",{"date":108,"type":109},"2026-05-06","ACTUAL",{"date":111,"type":109},"2022-09-01",{"date":113,"type":90},"2027-06-30",{"name":5,"class":6},1]