Development and Assessment of a Spanish-Language Hearing Loss Toolkit for Self-Management
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of South Florida
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- Self-Efficacy for Chronic Health Condition Management (generic primary outcome)
Study Overview
Brief Summary
The objective of this application is to develop and evaluate Spanish-language hearing education materials for adults. Our hypothesis is that participants will demonstrate better understanding of their hearing loss and associated difficulties, and will be better able to identify options for self-management following delivery of culturally and linguistically appropriate patient education materials.
Detailed Description
There are documented disparities in hearing healthcare use between Hispanic/Latino adults and non-Hispanic/Latino Whites, despite similar hearing loss prevalence rates. It has been suggested that a lack of culturally competent interventions contributes to poor healthcare delivery and outcomes for those with limited English proficiency. The objective of this application is to develop and evaluate Spanish-language hearing education materials for adults. Our hypothesis is that participants will demonstrate better understanding of their hearing loss and associated difficulties, and will be better able to identify options for self-management following delivery of culturally and linguistically appropriate patient education materials. The rationale for the proposed research is that findings will contribute to the development and testing of novel interventions aimed at increasing hearing healthcare access and utilization in vulnerable populations in a subsequent R01 application.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 50 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Participants will include community-dwelling, Spanish-speaking (monolingual or bilingual) adults over age 50 who self-identify as Hispanic/Latino
- •Clinically-significant hearing loss defined as either greater than 25 decibels hearing leve (dB HL) thresholds at 2 or more frequencies from 250 - 8000 hertz (Hz) and/or significant self-reported hearing difficulties as defined by a score of greater than 8 on the Hearing Handicap Inventory - Screening measure for adults/elderly.
Exclusion Criteria
- •Individuals who are not fluent Spanish-speakers or who do not self-identify as Hispanic/Latino are not eligible to participate in this study.
Arms & Interventions
Experimental Group
This group will receive the Spanish-Language Hearing Loss Toolkit materials.
Intervention: Spanish-Language Hearing Loss Toolkit for Self-Management (Other)
Active Control Group
This group will receive standard of care Spanish language information from the American Speech-Language-Hearing Association (ASHA) Audiology Series
Intervention: American Speech-Language-Hearing Association (ASHA) Audiology Series Spanish Language Handouts (Other)
Outcomes
Primary Outcomes
Self-Efficacy for Chronic Health Condition Management (generic primary outcome)
Time Frame: Assessed 4-6 weeks post baseline assessment
Measured by the Self-Efficacy to Mange Chronic Disease Scale-Spanish language version. The Self-Efficacy to Mange Chronic Disease Scale is a 4-item scale with high internal consistency (α=0.93) that measures changes in self-efficacy following participation in a disease self-management program. Items are scored from 1-10 with higher scores indicating better condition self-management.
Self-Efficacy for Hearing Loss Management (disease-specific primary outcome)
Time Frame: Assessed 4-6 weeks post baseline assessment
Measured by the Partners in Health Scale-Audiology version. The original Partners in Health scale assesses management of chronic conditions and has been validated in several languages, including Spanish. Items are scored from 0-8 with higher scores indicating better self-management. The Partners in Health Scale-Audiology is an 11-item modified version of the original Partners in Health scale, and assesses the hearing loss-specific domains of actions, psychosocial behaviors, and knowledge.
Secondary Outcomes
- Hearing Loss Knowledge, Attitudes, and Behaviors(Assessed 4-6 weeks post baseline assessment)