Hearing Healthcare Assessment in Rural Communities (HHARC)
Matthew Bush, MD
Summary
Adult hearing loss in is the third most common chronic health condition in the United States. Adults living in rural areas face a higher risk of experiencing hearing loss, and more difficulty receiving testing and treatment than adults in urban settings. The goal of this clinical trial is to develop and test a community-based hearing healthcare patient navigation program in rural Kentucky. The main question this study aims to answer is: -Can the number of rural adults receiving diagnostic hearing tests be increased?
Description
Investigators will pilot test the rural hearing health care patient navigation program (N=500 patients from 10 rural clinics). The program will be evaluated with the following outcome: number of participants obtaining a diagnostic audiogram within past 12 months after enrollment among rural adults
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Age 18 years or older * Able to speak, understand, and read English. * Patient of a participating primary care clinic Exclusion Criteria: -Under 18
Interventions
- BehavioralPatient Navigation Program for Hearing Health Care
Patients presenting for routine office visits will be invited to participate in the study and informed consent procedures and study enrollment will be conducted by a research assistant. Participants will then undergo baseline assessment. Following baseline measures, participants who screen positive for hearing loss will be contacted by the Patient Navigator (PN) to begin the intervention. The navigator will contact participants every 2 weeks to focus on addressing key aspects of Hearing Health Care (HHC): education, screening, diagnosis, and treatment. PNs will assist the patient to undergo a formal audiogram with the 12 months following enrollment. Each PN session will likely last between 10-30 minutes. Post-intervention data collection also administered by a trained interviewer, will occur following a diagnostic audiogram with an audiologist or at 12 months following enrollment.
Locations (9)
- One Cross Medical ClinicCampbellsville, Kentucky
- United Clinics of KentuckCampton, Kentucky
- Blount Rural Health CenterElkton, Kentucky
- North Fork Valley Community HealthHazard, Kentucky
- Primary Care Centers of Eastern KentuckyHazard, Kentucky
- Estill Medical ClinicIrvine, Kentucky