Daily Exposure Monitoring Intervention to Prevent Hearing Loss

每日暴露监测干预措施以预防听力损失

• 批准号: 8247999
• 负责人: PETER MACGARR RABINOWITZ
• 金额: $ 49.08万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8247999
• 关键词: Daily; Exposure; Monitoring; Intervention; Prevent

DESCRIPTION (provided by applicant): Noise-induced hearing loss (NIHL) continues to be one of the most common occupational disorders, even in OSHA compliant workplaces. Prevention of occupational hearing loss is a top priority of the National Occupational Research Agenda (NORA). This proposal is to continue the Daily Exposure Monitoring of Noise (DEMON) Study, a study of a unique intervention to prevent NIHL by use of an innovative technology (QuietDose) that records noise exposure levels inside of hearing protection on a continuous basis. In the first phase of the study, intervention subjects and controls have been recruited and regular downloading of noise exposures is occurring. The second phase of the DEMON study will continue to follow this unique cohort in order to determine the effectiveness of the intervention (in both a mandatory and voluntary use setting), better understand the dose response relationship between noise exposure and hearing loss (including the role of impulsive noise) and also compare the effective attenuation of hearing protection over time with "fit tests" done at a single point in time. PUBLIC HEALTH RELEVANCE: This research studies an innovative technology that may overcome critical barriers to the effective prevention of noise induced hearing loss including the problem of assessing the true noise exposures that workers are receiving, (how to assess the actual "fit" and performance of hearing protectors), understanding the damage risk relationship between noise exposure and hearing loss, (including the impact of impulsive noise exposures), and the problem of assessing the effectiveness of interventions to prevent hearing loss. In addition, it will use the unique opportunity of a worker cohort whose true occupational noise exposure can be determined on an individual level to explore the critical questions of delayed effects of noise on hearing loss. The results of this study could have major research to practice (r2p) implications for hearing conservation, creating important new opportunities for the prevention of noise-induced hearing loss.

描述（由申请人提供）：噪声性听力损失（NIHL）仍然是最常见的职业疾病之一，即使在符合OSHA的工作场所也是如此。预防职业性听力损失是国家职业研究议程（诺拉）的首要任务。该提案旨在继续进行每日噪声暴露监测（DEMON）研究，这是一项通过使用创新技术（QuietDose）来预防NIHL的独特干预研究，该技术可连续记录听力保护装置内的噪声暴露水平。在研究的第一阶段，干预对象和控制已被招募和定期下载的噪声暴露正在发生。DEMON研究的第二阶段将继续跟踪这一独特的队列，以确定干预措施的有效性（在强制和自愿使用环境中），更好地了解噪声暴露与听力损失之间的剂量反应关系（包括脉冲噪声的作用），并将听力保护随时间的有效衰减与在单个时间点进行的“适合测试”进行比较。 公共卫生关系：这项研究研究了一种创新技术，可以克服有效预防噪声性听力损失的关键障碍，包括评估工人所接受的真实噪声暴露的问题，（如何评估听力保护器的实际“适合”和性能），了解噪声暴露与听力损失之间的损害风险关系，（包括脉冲噪声暴露的影响），以及评估干预措施预防听力损失的有效性的问题。此外，它将利用一个工人群体的独特机会，其真实的职业噪声暴露可以在个人层面上确定，以探讨噪声对听力损失的延迟影响的关键问题。这项研究的结果可能会对听力保护产生重大的研究实践（r2p）影响，为预防噪声性听力损失创造重要的新机会。