Improving Access and Affordability of Adult Hearing Healthcare: Effectiveness of Community-based Interventions in West Central and South Alabama
University of Alabama, Tuscaloosa
Summary
This project will address quality of care issues associated with hearing loss in adults who have mild-to-moderate hearing loss and who have no access to hearing healthcare. Through the use of three different interventions involving over-the-counter hearing aids, it will lead to options that will increase access and affordability of hearing healthcare for adults with mild-to-moderate hearing loss.
Description
The design for this study is outlined below according to each Aim. Aim 1: To identify the effectiveness of over-the-counter hearing aids (OTC HAs) for decreasing hearing handicap and improving speech perception in adults with no access to hearing health care. Aim 2: To implement an adult aural rehabilitation (AR) program for those without access to hearing health care to improve OTC HA benefit, promote OTC HA use and lead to increased quality of life (QOL). Aim 1 will assess the effectiveness of OTC HAs for our participant population and Aim 2 will implement an AR program. With Aim 1, heari…
Eligibility
- Age range
- 40+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Mild-to-moderate hearing loss * Live in West Central or South Alabama * 40 years of age or older Exclusion Criteria: • Medical conditions resulting in severe cognitive impairment (e.g., stroke, head injury, senile dementia or Alzheimer's disease)
Interventions
- BehavioralHearing Evaluation
Behavioral thresholds for pure tones will be conducted along with speech perception measures.
- DeviceOver-the-Counter Hearing Aid (OTC HA) Fitting and Orientation
Study participants will be fitted with binaural OTC HAs in addition to receiving information on how to use and care for their devices.
- BehavioralFour Weeks of Aural Rehabilitation
Participants will receive four weeks of information sessions to help them adjust to their over-the-counter hearing aid and their hearing loss.
- DeviceProvision of Over-the-Counter Hearing Aids
Study participants will receive binaural OTC HAs. Participants will fit their OTC HAs based on manufacturer guidelines without the help of an audiologist.
Location
- The University of AlabamaTuscaloosa, Alabama