التفاصيل البيبلوغرافية
| العنوان: |
The Baltimore HEARS Pilot Study: An Affordable, Accessible, Community-Delivered Hearing Care Intervention. |
| المؤلفون: |
Nieman, Carrie L., Marrone, Nicole, Mamo, Sara K., Betz, Joshua, Choi, Janet S., Contrera, Kevin J., Thorpe Jr., Roland J., Gitlin, Laura N., Tanner, Elizabeth K. |
| المصدر: |
Gerontologist; Dec2017, Vol. 57 Issue 6, p1173-1186, 14p, 1 Diagram, 5 Charts, 2 Graphs |
| مصطلحات موضوعية: |
AUDIOMETRY, MENTAL depression, HEALTH services accessibility, HEALTH status indicators, HEARING disorders, LONGITUDINAL method, MINORITIES |
| مستخلص: |
Purpose of the Study: Age-related hearing loss negatively affects health outcomes, yet disparities in hearing care, such as hearing aid use, exist based on race/ethnicity and socioeconomic position. Recent national efforts highlight reduction of hearing care disparities as a public health imperative. This study a) describes a community engagement approach to addressing disparities, b) reports preliminary outcomes of a novel intervention, and c) discusses implementation processes and potential for wide-scale testing and use. Design and Methods: This was a prospective, randomized control pilot, with a 3-month delayed treatment group as a waitlist control, that assessed feasibility, acceptability, and preliminary efficacy of a community-delivered, affordable, and accessible intervention for older adults with hearing loss. Outcomes were assessed at 3 months, comparing immediate and delayed groups, and pooled to compare the cohort's pre- and 3-month post-intervention results. Results: All participants completed the study (n = 15). The program was highly acceptable: 93% benefited, 100% would recommend the program, and 67% wanted to serve as future program trainers. At 3 months, the treated group (n = 8) experienced fewer social and emotional effects of hearing loss and fewer depressive symptoms as compared to the delayed treatment group (n = 7). Pooling 3-month post-intervention scores (n = 15), participants reported fewer negative hearing-related effects (effect size = -0.96) and reduced depressive symptoms (effect size = -0.43). Implications: The HEARS (Hearing Equality through Accessible Research & Solutions) intervention is feasible, acceptable, low risk, and demonstrates preliminary efficacy. HEARS offers a novel, low-cost, and readily scalable solution to reduce hearing care disparities and highlights how a community-engaged approach to intervention development can address disparities. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
