Community Health Workers and Teleaudiology as a Culturally-relevant Approach to Improving Access to Hearing Health Care
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Arizona
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Self-efficacy: The Self-Efficacy for Situational Communication Management Questionnaire
Study Overview
Brief Summary
The purpose of this study is to test the feasibility of a teleaudiology intervention with assistance from Community Health Workers to improve access to hearing health care.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Bilateral hearing loss within the fitting range of study hearing aids
Exclusion Criteria
- •Medically unqualified to receive hearing aids
- •Current hearing aid user
- •Cognitively impaired
Arms & Interventions
Experimental group
Participants randomized to the experimental group will receive hearing aid fitting and verification services via teleaudiology with local, hands-on support from a Community Health Worker.
Intervention: Community Health Workers and Teleaudiology as a Culturally-Relevant Approach to Improving Access to Hearing Health Care (Behavioral)
Control Group
Participants randomized to the control group will receive hearing aid fitting and verification services via teleaudiology with local, hands-on support from a non-Community Health Worker (undergraduate student in Speech, Language, and Hearing Sciences).
Intervention: Community Health Workers and Teleaudiology as a Culturally-Relevant Approach to Improving Access to Hearing Health Care (Behavioral)
Outcomes
Primary Outcomes
Self-efficacy: The Self-Efficacy for Situational Communication Management Questionnaire
Time Frame: Baseline, 2 weeks, 6 weeks, and 12 weeks after hearing aid fitting
The Self-Efficacy for Situational Communication Management Questionnaire (Jennings, 2005; Jennings et al, 2014) measures self-perceived hearing ability and hearing self-efficacy, or a participant's beliefs in their ability to manage communication with acquired hearing loss. The SESMQ contains 20 situations that are rated on two scales, hearing ability and perceived self-efficacy. Participants respond on a Likert scale from 0 (not well at all) to 10 (very well) to how well they can hear and how well they can manage in each situation. Total scores on each scale range from 0-200, with higher scores representing better perceived self-efficacy and better hearing ability. The two scales are scored and reported separately. We will evaluate the differences in SESMQ scores between experimental and control groups at 2-weeks post hearing aid fitting. Analyses will utilize baseline data and follow-up analyses will occur for 6-week and 12-week timepoints.
Secondary Outcomes
- Hearing aid benefit(Baseline, 6 weeks, and 14 weeks after hearing aid fitting)
- Satisfaction with teleaudiology service delivery(2 weeks after hearing aid fitting)
- Average hours of hearing aid usage per day(2 weeks, 6 weeks, 14 weeks after hearing aid fitting)
- Qualitative outcomes via semi-structured interviews(14 weeks after hearing aid fitting)
- Subjective hearing aid benefit(2 weeks, 6 weeks, 14 weeks after hearing aid fitting)
Investigators
Laura Coco
Principal Investigator
University of Arizona