Efficacy of hearing conservation education programs for youth and young adults: a systematic review.

Efficacy of hearing conservation education programs for youth and young adults: a systematic review.
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DOI:
10.1186/s12889-018-6198-7
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发表时间:
2018-11-22
期刊:
影响因子:
4.5
通讯作者:
McCullagh MC
McCullagh MC
中科院分区:
医学2区
文献类型:
--
作者:
Khan KM;Bielko SL;McCullagh MC

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许多青少年和年轻人都经历过高噪音暴露,而且由于缺乏听力健康教育而变得更加复杂。尽管听力健康教育计划的必要性显而易见,但这些计划对青少年的功效尚不清楚。我们评估了针对青少年和年轻人的各种听力保护计划的有效性文献,并分析了它们的优点和局限性。纳入了 2001 年至 2018 年期间在同行评审英文期刊上发表的研究,报告了针对青少年的听力保护或听力损失预防项目的结果,这些研究采用随机对照试验、准实验设计、实验设计或定性研究。研究是通过搜索选定的文献数据库(即 PubMed、Google Scholar、NIOSH Toxline 和 Scopus)找到的。评估确定的出版物的相关性,并从被认为相关的研究中提取数据。总共纳入了 10 项研究。这些研究中几乎没有发现听力保护教育计划有效性的证据。指出了一些方法学局限性,包括缺乏严格的研究设计、功效不足以及应用不适当的统计分析。观察到在程序(例如智能手机应用程序、手机短信和计算机)中使用了一些技术,但有关这些工具有效性的结论受到研究数量少和样本量小的限制。针对青少年和年轻人的教育性听力保护计划的研究数量很少。大多数研究都没有报告该计划的功效,并且由于其多种方法学限制,很难从这些研究中得出公共卫生结论。虽然在听力保护教育计划中使用技术带来了希望,但其有效性尚未得到研究。
Many youth and young adults experience high noise exposure compounded by lack of access to hearing health education. Although the need for hearing health education programs is evident, the efficacy of these programs for youth is unclear. We evaluated the literature for efficacy of various hearing conservation programs aimed at youth and young adults, and analyzed their strengths and limitations. Studies reporting results of hearing conservation or hearing loss prevention programs with youth or young adults, using randomized controlled trials, quasi-experimental designs, experimental design, or qualitative research, and published in peer-reviewed journals in English between 2001 and 2018 were included. Studies were found through searches of selected literature databases (i.e., PubMed, Google Scholar, NIOSH Toxline, and Scopus). Identified publications were assessed for relevance, and data were extracted from the studies deemed relevant. A total of 10 studies were included. Very little evidence of efficacy of hearing conservation educational programs was found in these studies. Several methodological limitations including lack of rigorous study designs, inadequate power, and application of inappropriate statistical analysis were noted. Some use of technology in programs (e.g., smartphone apps, mobile phone text messages, and computers) was observed, but conclusions as to the effectiveness of these tools were limited by the small number of studies and small sample sizes. The number of studies of educational hearing conservation programs for youth and young adults was low. The efficacy of the program was not reported in most studies, and it is difficult to draw public health conclusions from these studies due to their multiple methodological limitations. While use of technology in hearing conservation educational programs offers promise, its effectiveness has not been studied.
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