Promoting Hearing Loss Prevention in Audiology Practice

Author(s):  
David C. Byrne ◽  
Christa L. Themann ◽  
Deanna K. Meinke ◽  
Thais C. Morata ◽  
Mark R. Stephenson

An audiologist should be the principal provider and advocate for all hearing loss prevention activities. Many audiologists equate hearing loss prevention with industrial audiology and occupational hearing conservation programs. However, an audiologist’s involvement in hearing loss prevention should not be confined to that one particular practice setting. In addition to supervising occupational programs, audiologists are uniquely qualified to raise awareness of hearing risks, organize public health campaigns, promote healthy hearing, implement intervention programs, and monitor outcomes. For example, clinical audiologists can show clients how to use inexpensive sound level meters, noise dosimeters, or phone apps to measure noise levels, and recommend appropriate hearing protection. Audiologists should identify community events that may involve hazardous exposures and propose strategies to minimize risks to hearing. Audiologists can help shape the knowledge, beliefs, motivations, attitudes, and behaviors of individuals toward self-protection. An audiologist has the education, tools, opportunity, and strategic position to facilitate or promote hearing loss surveillance and prevention services and activities. This article highlights real-world examples of the various roles and substantial contributions audiologists can make toward hearing loss prevention goals.

2017 ◽  
Vol 45 (4) ◽  
pp. 531-544 ◽  
Author(s):  
Jaipreet Virdi

During the early twentieth century, otologists began collaborating with organizers of the New York League for the Hard of Hearing to build a bridge to “adjust the economic ratio” of deafness and create new research avenues for alleviating or curing hearing loss. This collegiality not only defined the medical discourse surrounding hearing impairment, anchoring it in hearing tests and hearing aid prescription, but, in so doing, solidified the notion that deafness was a “problem” in dire need of a “solution.” Public health campaigns thus became pivotal for spreading this message on local and national levels. This paper focuses on how, from the 1920s to 1950s, as otologists became more involved with social projects for the deaf and hard of hearing — advocating lip-reading, community work, and welfare programs — at the same time, they also mandated for greater therapeutic regulation, control of hearing aid distribution, and standardization of hearing tests. The seemingly paradoxical nature of their roles continued to reinforce the stigmatization of deafness: with widespread availability of effective help, the hearing impaired were expected to seek out therapeutic or technological measures rather than live with their affliction.


2013 ◽  
Vol 22 (1) ◽  
pp. 26-39 ◽  
Author(s):  
Su-Hyun Jin ◽  
Peggy B. Nelson ◽  
Robert S. Schlauch ◽  
Edward Carney

Purpose To examine the risk for noise-induced hearing loss (NIHL) in university marching band members and to provide an overview of a hearing conservation program for a marching band. Method Sound levels during band rehearsals were recorded and audiometric hearing thresholds and transient otoacoustic emission were measured over a 3-year period. Musician's earplugs and information about hearing loss were provided to the students. The hearing thresholds of other college students were tested as a partial control. Results There were no significant differences in hearing thresholds between the two groups. During initial testing, more marching band members showed apparent high-frequency notches than control students. Follow-up hearing tests in a subsequent year for the marching band members showed that almost all notches disappeared. Persistent standard threshold shift (STS) across tests was not observed in the band members. Conclusion Band members showed no evidence of STS or persistent notched audiograms. Because accepted procedures for measuring hearing showed a lack of precision in reliably detecting early NIHL in marching band members, it is recommended that signs of NIHL be sought in repeated measurements compared to baseline audiograms rather than in a single measure (a single notch). A hearing conservation program for this population is still recommended because of lengthy rehearsal times with high sound-level exposure during rehearsals.


2020 ◽  
Author(s):  
Min Zhang ◽  
Bei Zhu ◽  
Chunlan Yuan ◽  
Chao Chao ◽  
Jiaofeng Wang ◽  
...  

Abstract Background: Cultural differences in affective and cognitive intrinsic motivations could introduce challenges to global public health campaigns, which use cognitive or affective goals to evoke desired attitudes and proactive health-promoting actions. This study aimed to demonstrate cross-cultural differences in affective and cognitive intrinsic motivations, and discuss the potential value of this information in public health promotion.Methods: A cross-sectional survey, using cross-culturally validated need for affect (NFA) and need for cognition (NFC) scales, was carried out among 1166 Chinese participants and compared to published data from 980 American participants. Additionally, we assessed a highly prevalent symbolic geriatric health condition, hearing loss, in 500 community-dwelling seniors. MANOVA test and Hedge’s g statistic were employed to compare the NFA and NFC levels between individuals from different countries and between seniors with and without hearing loss. The relation of early healthcare seeking intention to NFA and NFC was also explored.Results: The primary Chinese sample demonstrated decreased NFA and NFC in contrast to their American peers. This difference was preserved in the senior sample. Moreover, seniors with hearing loss had even lower NFA and NFC than those without hearing loss. Intention for early healthcare seeking was low but was associated with intrinsic motivation.Conclusions: There was a general lack of affective and cognitive intrinsic motivation in Chinese individuals, particularly in seniors with hearing loss, compared with their American peers. These differences, point to a potential challenge in framing effective messages for some cultures in the geriatric public health domain. Ideally, recognizing and understanding this challenge will inspire consideration of novel persuasive strategies for these audiences.


2005 ◽  
Vol 42 (4s) ◽  
pp. 45 ◽  
Author(s):  
Stephen A. Fausti ◽  
Debra J. Wilmington ◽  
Patrick V. Helt ◽  
Wendy J. Helt ◽  
Dawn Konrad-Martin

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Zhang ◽  
Bei Zhu ◽  
Chunlan Yuan ◽  
Chao Zhao ◽  
Jiaofeng Wang ◽  
...  

Abstract Background Cultural differences in affective and cognitive intrinsic motivation could pose challenges for global public health campaigns, which use cognitive or affective goals to evoke desired attitudes and proactive health-promoting actions. This study aimed to identify cross-cultural differences in affective and cognitive intrinsic motivation and discuss the potential value of this information for public health promotion. Methods A cross-sectional survey using cross-culturally validated need for affect (NFA) and need for cognition (NFC) scales was carried out among 1166 Chinese participants, and the results were compared with published data from 980 American participants. Additionally, we assessed a highly prevalent symbolic geriatric health condition, hearing loss, in 500 Chinese community-dwelling seniors. The Chinese NFA scale was developed following the translation-back translation procedure, and the psychometric evaluation was performed by applying confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), correlation analysis and multigroup invariance test. MANOVA and Hedge’s g statistic were employed to compare the NFA and NFC levels between individuals from different countries and between Chinese seniors with and without hearing loss. The relation of early hearing intervention intention to NFA and NFC was also explored in the Chinese sample. Results A basic two-factor model of NFA adequately fit the sample data from Chinese and American cultures. The questionnaire demonstrated reasonable invariance of the factor structure and factor loadings across the groups. Those in the primary Chinese sample had lower NFA and NFC than their American peers. This difference held in the senior sample. Moreover, Chinese seniors with hearing loss had even lower NFA and NFC than those without hearing loss. Their early hearing intervention intention was low but was associated with intrinsic motivation. Conclusions The Need for Affect (NFA) construct may be generalized beyond its Western origins. There was a general lack of affective and cognitive intrinsic motivation in Chinese individuals, particularly in seniors with hearing loss, compared with their American peers. These differences point to a potential challenge in framing effective messages for some cultures in the geriatric public health domain. Ideally, recognizing and understanding this challenge will inspire the consideration of novel persuasive strategies for these audiences.


ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 56-56

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions


ASHA Leader ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 61-61

Access Audiology Highlights Hearing Loss Prevention, Watch for the 2013 SIG Coordinating Committee Elections, ASHA CE Courses Offer Transparency, Did You Know?, Students: Save on ASHA Membership, Certification to Replace Recognition in Clinical Specialty Program, Specialty Recognition in Neurophysiological Intraoperative Monitoring, Academic Accreditation Group Seeks Applicants, ASHA Awards Grants to State Associations, Use Pathways to Launch Your Research Career, Board of Ethics Decisions


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