Health Communication: NIHL and Tinnitus Prevention

健康传播：NIHL 和耳鸣预防

• 批准号: 6708991
• 负责人: William Hal MARTIN
• 金额: $ 30.32万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-12-01 至 2006-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6708991
• 关键词: Internet; behavioral /social science research tag; clinical research; cost effectiveness; disease /disorder prevention /control; elementary school; health behavior; health education; human subject; middle childhood (6-11); noise induced deafness; questionnaires; tinnitus

DESCRIPTION (provided by applicant): Noise-induced hearing loss (NIHL) and related tinnitus pose significant health risks to millions of Americans. Educational interventions, based upon health communication theory, have yet to be systematically applied to NIHL and tinnitus prevention. The purpose of this project is to design, implement and evaluate intervention strategies applying current health communication and behavior theory, to increase knowledge, change attitude and behavioral intention consistent with hearing loss prevention. The target population will be 4th grade school students in Oregon and SW Washington. Four single educational interventions (some established and some new innovations) will be compared to a non-intervention, control group. Also, health communication theory predicts that certain intervention strategies will be more effective than others. Health communication research demonstrates that paired-interventions, especially in the form of a "booster" separated in time from the initial program, will be more effective than a single-intervention approach. Once evaluation of the four interventions is complete, a second evaluation will be conducted using paired combinations of the most effective educational interventions. Subjects will receive pre- and post-intervention and follow-up questionnaires. Intervention 1: Classroom Presentation by Older-Peer Educators. High school students will present an NIHL and tinnitus prevention program. Intervention 2: Classroom Presentation by Health Professional Educators. School nurses will present an NIHL and tinnitus prevention program. Intervention 3: On-site Museum Experience. Students will visit a 12-component exhibition of noise-induced hearing loss and tinnitus prevention. The exhibit provides a novel and innovative method of communicating information to visitors, young and old. Intervention 4: Web-based Museum Experience. A web-based version of the above museum exhibit will be the vehicle to communicate information about noise-induced hearing loss and tinnitus prevention to fourth-grade students. Non-Intervention: Control groups matched for age, gender, socioeconomic and geographic (rural/ urban) factors will receive pre- and post-evaluation questionnaires without receiving an educational intervention. Results from the comparison of these interventions will be used to enhance delivery methods and vehicles for public education to increase awareness, change attitudes and behavioral intentions about the dangers of noise-induced hearing loss and tinnitus. The goal is to decrease the number of cases of preventable noise induced hearing loss and tinnitus, and to promote healthy hearing and good aural communication in the population.

描述（由申请人提供）：噪声引起的听力损失（NIHL）和相关的耳鸣对数百万美国人构成了重大健康风险。基于健康传播理论的教育干预措施尚未系统地应用于NIHL和耳鸣预防。 该项目的目的是设计，实施和评估应用当前健康沟通和行为理论的干预策略，以增加与预防听力损失一致的知识，变化态度和行为意图。目标人群将是俄勒冈州和SW华盛顿的四年级学生。将四项单一的教育干预措施（有些已建立和一些新的创新）与对照组进行了不干预小组的比较。同样，健康传播理论预测，某些干预策略将比其他策略更有效。健康沟通研究表明，配对的干预措施，尤其是以与初始程序分离的“助推器”形式的形式，将比单一干预方法更有效。一旦完成了四种干预措施，将使用最有效的教育干预措施的配对组合进行第二次评估。受试者将收到干预前和后的后续问卷。干预1：老年人教育者的课堂演讲。高中生将介绍NIHL和耳鸣预防计划。干预2：卫生专业教育者的课堂演讲。学校护士将介绍NIHL和耳鸣预防计划。干预3：现场博物馆经验。学生将参观12部分噪声引起的听力损失和预防耳鸣的展览。展览提供了一种新颖而创新的方法，可以将信息传达给年轻人和老年人。干预4：基于网络的博物馆经验。上述博物馆展览的基于网络的版本将是向四年级学生传达有关噪声引起的听力损失和耳鸣的信息的工具。非干预：与年龄，性别，社会经济和地理（农村/城市）因素相匹配的对照组将获得评估前和评估后的问卷，而无需接受教育干预。这些干预措施比较的结果将用于增强公共教育的交付方法和车辆，以提高人们对噪声引起的听力损失和耳鸣的危险的认识，改变态度和行为意图。目的是减少可预防的噪声引起的听力损失和耳鸣的病例的数量，并促进人群中健康的听力和良好的听觉通信。