Tribal Community-Based Prevention of Noise-Induced Hearing Loss and Tinnitus

基于部落社区的噪声性听力损失和耳鸣预防

• 批准号: 7230054
• 负责人: William Hal MARTIN
• 金额: $ 19.43万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7230054
• 关键词: Address; Adult; Affect; African American; Age; American Indians; Applications Grants; Area; Asian Americans; Asians; Attention; Attitude; Behavioral; Belief; Centers for Disease Control and Prevention (U.S.); Collaborations; Communication; Communities; Community based prevention; Consensus; Data Quality; Data Reporting; Development; Ear; Educational Intervention; Effectiveness; Effectiveness of Interventions; Elderly; Exhibits; Exposure to; Feedback; Focus Groups; Future; General Population; Goals; Grant; Health; Health Communication; Health Educators; Health Professional; Health Sciences; Health Services; Health behavior; Hearing; Hearing Impaired Persons; Hearing Tests; Hearing problem; Heart Diseases; Image; Incidence; Individual; Industry; Internet; Intervention; Knowledge; Life; Measures; Methods; Minority; Modality; Museums; Native Americans; Noise; Noise-Induced Hearing Loss; Northwest Tribe; Occupational; Occupational Noise; Online Systems; Oregon; Participant; Population; Prevention; Prevention Research; Prevention intervention; Process; Program Effectiveness; Protocols documentation; Public Health; Purpose; Questionnaires; Reaction; Recruitment Activity; Reliance; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Science; Scientist; Screening procedure; Source; Specialist; Students; Surveys; System; Target Populations; Time; Tinnitus; Training; Translating; Tribal School; Tribes; Universities; Vision; Visit; Voice; base; cancer prevention; design; experience; hearing impairment; high school; innovation; insight; member; multidisciplinary; oral communication; programs; prototype; simulation; social; sound; teacher; therapy design; transmission process; tribal community; tribal health; tribal member; virtual

DESCRIPTION (provided by applicant): Native Americans are 2-4 times likely to have hearing loss compared to white, African American, or Asian Americans. Hearing impairment has great cultural significance to Native Americans due to the reliance on oral communication and the transmission of knowledge held by elders. Noise-induced hearing loss (NIHL) and related tinnitus are significant health risks for the general population and Native Americans are likely to be at-risk because of ways of life and situational noise exposures. A partnership including the Northwest Portland Area Indian Health Board and Oregon Health & Science University scientists will identify health communication strategies that are culturally acceptable, feasible, and sustainable for Native American communities and that will ultimately reduce the incidence of noise-induced hearing loss and related tinnitus. The target populations are 4th, 7lh and 10lh grade students, tribal school teachers, adults exposed to occupational noise, and adults from the general population, from two Northwest tribes. Four interventions will be evaluated by these tribal representatives: 1. The Dangerous Decibels Z museum exhibition at the Oregon Museum of Science and Industry, 2. A web-based Virtual Exhibit of activities, simulations and NIHL prevention information, 3. An interactive, inquiry-based classroom presentation on NIHL prevention, and 4. An automated system that educates, tests hearing function and provides tailored feedback on risk behaviors. While these modalities differ in their effectiveness, each provides a complementary means of delivery of prevention information, and has its own strengths and limitations. We hypothesize that these modalities will be accepted by tribal people, and are generally suitable with cultural adaptation. Questionnaires will be used to assess reactions to the communication process of each intervention, as opposed to measuring shifts in knowledge, attitudes, and beliefs. Focus groups will assess social and cultural issues of the interventions that may or may not need adapting for tribal settings. The findings will be analyzed by tribal community members and OHSU investigators and presented to the tribal communities. The partners will use the results to develop a strategy for future, community-based NIHL prevention research using modified or possibly new interventions with the goals of behavioral changes regarding hazardous noise exposures and to reduce the incidence of preventable noise-induced hearing loss and tinnitus.

描述（由申请人提供）：与白人，非裔美国人或亚裔美国人相比，美洲原住民的听力损失可能是2-4倍。由于依靠口头交流和长者的知识传播，听力障碍对美洲原住民具有巨大的文化意义。噪声引起的听力损失（NIHL）和相关耳鸣是普通民众的重大健康风险，因为生活方式和情境噪声暴露，可能会处于危险中。包括西北波特兰地区印度卫生委员会和俄勒冈州健康与科学大学科学家在内的合作伙伴关系将确定对美洲原住民社区在文化上可接受，可行和可持续性的健康传播策略，这最终将减少噪声引起的听力损失和相关耳鸣的发生率。目标人群是来自两个西北部落的4年级，7LH和10LH级学生，部落学校老师，成年人接触职业噪音的成年人以及一般人口的成年人。 Four interventions will be evaluated by these tribal representatives: 1. The Dangerous Decibels Z museum exhibition at the Oregon Museum of Science and Industry, 2. A web-based Virtual Exhibit of activities, simulations and NIHL prevention information, 3. An interactive, inquiry-based classroom presentation on NIHL prevention, and 4. An automated system that educates, tests hearing function and provides tailored feedback on risk behaviors.尽管这些方式在其有效性上有所不同，但每种方式都提供了提供预防信息的补充手段，并具有其自身的优势和局限性。我们假设这些方式将被部落人民接受，并且通常适合文化适应。与衡量知识，态度和信念的转变相对，问卷将用于评估对每种干预措施的沟通过程的反应。焦点小组将评估可能需要或不需要适应部落环境的干预措施的社会和文化问题。这些发现将由部落社区成员和OHSU调查人员分析，并向部落社区提交。合作伙伴将使用结果为未来的，基于社区的NIHL预防研究制定策略，并使用经过修改或可能的新干预措施，其行为改变了危险噪声暴露的目标，并减少了可预防的噪声引起的听力损失和耳鸣的发生率。