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Gerontologist. 2017 Nov 10;57(6):1173-1186. doi: 10.1093/geront/gnw153.

The Baltimore HEARS Pilot Study: An Affordable, Accessible, Community-Delivered Hearing Care Intervention.

Author information

1
Department of Otolaryngology-HNS, Johns Hopkins School of Medicine, Baltimore, Maryland.
2
The Johns Hopkins Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland.
3
Department of Speech, Language, & Hearing Sciences, University of Arizona, Tucson.
4
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
5
Department of Community Public Health, Johns Hopkins School of Nursing, Baltimore, Maryland.
6
Center for Innovative Care in Aging, Johns Hopkins School of Nursing, Baltimore, Maryland.
7
Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
8
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Abstract

Purpose of the Study:

Age-related hearing loss negatively affects health outcomes, yet disparities in hearing care, such as hearing aid use, exist based on race/ethnicity and socioeconomic position. Recent national efforts highlight reduction of hearing care disparities as a public health imperative. This study a) describes a community engagement approach to addressing disparities, b) reports preliminary outcomes of a novel intervention, and c) discusses implementation processes and potential for wide-scale testing and use.

Design and Methods:

This was a prospective, randomized control pilot, with a 3-month delayed treatment group as a waitlist control, that assessed feasibility, acceptability, and preliminary efficacy of a community-delivered, affordable, and accessible intervention for older adults with hearing loss. Outcomes were assessed at 3 months, comparing immediate and delayed groups, and pooled to compare the cohort's pre- and 3-month post-intervention results.

Results:

All participants completed the study (n = 15). The program was highly acceptable: 93% benefited, 100% would recommend the program, and 67% wanted to serve as future program trainers. At 3 months, the treated group (n = 8) experienced fewer social and emotional effects of hearing loss and fewer depressive symptoms as compared to the delayed treatment group (n = 7). Pooling 3-month post-intervention scores (n = 15), participants reported fewer negative hearing-related effects (effect size = -0.96) and reduced depressive symptoms (effect size = -0.43).

Implications:

The HEARS (Hearing Equality through Accessible Research & Solutions) intervention is feasible, acceptable, low risk, and demonstrates preliminary efficacy. HEARS offers a novel, low-cost, and readily scalable solution to reduce hearing care disparities and highlights how a community-engaged approach to intervention development can address disparities.

KEYWORDS:

Age-related hearing loss; Community engagement; Disparities; Hearing health care; Hearing loss; Implementation; Intervention development; Minority health

PMID:
27927734
PMCID:
PMC5881797
DOI:
10.1093/geront/gnw153
[Indexed for MEDLINE]
Free PMC Article

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