TEST OF HEARING HEALTH EDUCATION PROGRAMS FOR FARM AND RURAL YOUTH

农村青少年听力健康教育项目试点

• 批准号: 8817920
• 负责人: MARJORIE E MCCULLAGH
• 金额: $ 26.44万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-12-01 至 2018-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8817920
• 关键词: 20 year old; Adolescent; Affect; Age; Agricultural Workers; Agriculture; American; Categories; Child; Communities; Control Groups; Discipline of Nursing; Education; Effectiveness; Emotional; Employment; Exposure to; Failure; Family; Family member; Farming environment; Firearms; Future; Goals; Guidelines; Health; Health education; Healthy People 2020; Hearing; Hearing Tests; High Prevalence; Human Resources; Injury; Intention; Internet; Intervention; Life; Michigan; Noise; Noise-Induced Hearing Loss; Nomads; Performance; Persons; Population; Prevalence; Primary Prevention; Problem behavior; Program Sustainability; Quality of life; Randomized Controlled Trials; Risk; Rural; Safety; Schools; Testing; Tinnitus; United States Occupational Safety and Health Administration; Universities; Walking; Youth; base; compare effectiveness; control trial; cost; design; experience; hazard; hearing impairment; high risk; improved; innovation; peer; prevent; programs; public health relevance; safety education; self esteem; social; success

DESCRIPTION (provided by applicant): Farm and rural youth have frequent exposure to hazardous noise on the farm and recreationally, and have an increased prevalence of noise-induced hearing loss. An estimated 2 million children and adolescents younger than 20 years of age are exposed to farm noise hazards as farm residents, farm family workers, hired workers, children of migrant or seasonal workers, or farm visitors. This noise exposure begins from an early age, and is compounded by frequent exposure to recreational noise (e.g., ATVs and firearms). Farm youth also have an increased prevalence of noise-induced hearing loss, a permanent and irreversible condition negatively impacting quality of life of the affected person, as well as their family members. Although primary prevention offers the best opportunity for success, farm and rural youth are rarely served by an Occupational Safety and Health Administration-mandated or other hearing conservation program. Although previous tests of limited educational programs to promote hearing conservation among small groups of farm youth have demonstrated short-term increases in hearing protector use (or intent to use), their impact on this population has been limited by program reach and sustainability. The purpose of this project is to test innovative hearing health education programs delivered to a large target group and to determine the effectiveness and sustainability of these programs in promoting hearing health among farm and rural youth. Specifically, this project includes: a) an interactive Safety Days program alone, b) an interactive Safety Days program followed by an Internet-based booster, and c) a no-intervention control. This test is designed to determine the most effective and sustainable approach to hearing health education among farm and rural youth. Only with effective and sustainable hearing health education programs can use of hearing conservation strategies is increased to prevent noise-induced hearing loss and other negative effects of high noise exposure, and improve quality of life in this high-risk and underserved group. This project will involve a partnership between the University Of Michigan School Of Nursing and a major farm and rural youth safety education organization to accomplish project aims. This randomized-controlled trial of innovative community- based interventions is designed to determine the most effective and sustainable approach to increase youths' use of hearing protection strategies. Results of this study will be used to inform future RTP studies to protect the health and safety of farm and rural youth. Consistent use of hearing conservation strategies is expected to reduce rates of noise-induced hearing loss and other negative effects of high noise exposure, and improve quality of life in this high-risk and underserved group.

描述（由申请人提供）：农场和农村青年经常在农场和娱乐场所接触有害噪音，噪音引起的听力损失的患病率增加。估计有200万20岁以下的儿童和青少年作为农场居民、农场家庭工人、雇佣工人、移民或季节性工人的子女或农场游客暴露于农场噪音危害。这种噪音暴露从很小的时候就开始了，并且由于经常暴露于娱乐性噪音（例如，ATV和火器）。农场青年的噪音性听力损失患病率也在增加，这是一种永久性和不可逆转的疾病，对受影响者及其家庭成员的生活质量产生负面影响。虽然初级预防提供了成功的最佳机会，但农场和农村青年很少得到职业安全和健康管理局授权的或其他听力保护计划的服务。虽然以前的测试有限的教育计划，以促进听力保护的小团体的农场青年已经证明短期增加听力保护器的使用（或意图使用），他们对这一人群的影响受到了计划的覆盖面和可持续性的限制。该项目的目的是测试向大型目标群体提供的创新听力健康教育计划，并确定这些计划在促进农场和农村青年听力健康方面的有效性和可持续性。具体而言，该项目包括：a）单独的交互式安全日计划，B）交互式安全日计划，随后是基于互联网的助推器，以及c）无干预控制。该测试旨在确定在农场和农村青年中进行听力健康教育的最有效和可持续的方法。只有通过有效和可持续的听力健康教育计划，才能增加听力保护策略的使用，以防止噪声性听力损失和高噪声暴露的其他负面影响，并提高这一高危和服务不足群体的生活质量。该项目将涉及密歇根大学护理学院和一个主要的农场和农村青年安全教育组织之间的伙伴关系，以实现项目目标。这项基于社区的创新干预措施的随机对照试验旨在确定最有效和可持续的方法，以增加青少年对听力保护策略的使用。这项研究的结果将被用来通知未来的RTP研究，以保护农场和农村青年的健康和安全。持续使用听力保护策略有望降低噪声性听力损失的发生率和高噪声暴露的其他负面影响，并改善这一高风险和服务不足群体的生活质量。