Test of Hearing Health Education Programs for Farm and Rural Youth



Status:Active, not recruiting
Conditions:Other Indications
Therapuetic Areas:Other
Healthy:No
Age Range:8 - 12
Updated:7/30/2016
Start Date:April 2015
End Date:November 2018

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Farm and rural youth have frequent exposure to hazardous noise on the farm and
recreationally, and have an increased prevalence of noise-induced hearing loss (NIHL). There
is a lack of programs to prepare this high-risk population to use hearing conservation
strategies. This randomly-controlled trial of innovative community-based interventions is
designed to compare effectiveness and sustainability of approaches to increase youths' use
of hearing conservation strategies. Consistent use of hearing conservation strategies is
expected to reduce rates of NIHL and other negative effects of high noise exposure, and
improve quality of life in this high-risk and underserved group.

Farm and rural youth have frequent exposure to hazardous noise on the farm and
recreationally, and have an increased prevalence of noise-induced hearing loss. An estimated
2 million children and adolescents younger than 20 years of age are exposed to farm noise
hazards as farm residents, farm family workers, hired workers, children of migrant or
seasonal workers, or farm visitors. This noise exposure begins from an early age, and is
compounded by frequent exposure to recreational noise (e.g., all-terrain vehicles and
firearms). Farm youth also have an increased prevalence of noise-induced hearing loss, a
permanent and irreversible condition negatively impacting quality of life of the affected
person, as well as their family members.

Although primary prevention offers the best opportunity for success, farm and rural youth
are rarely served by an Occupational Safety and Health Administration-mandated or other
hearing conservation program. Although previous tests of limited educational programs to
promote hearing conservation among small groups of farm youth have demonstrated short-term
increases in hearing protector use (or intent to use), their impact on this population has
been limited by program reach and sustainability.

The purpose of this project is to test innovative hearing health education programs
delivered to a large target group and to determine the effectiveness and sustainability of
these programs in promoting hearing health among farm and rural youth. Specifically, this
project includes: a) an interactive Safety Days program alone, b) an interactive Safety Days
program followed by an Internet-based booster, and c) a no-intervention control. This test
is designed to determine the most effective and sustainable approach to hearing health
education among farm and rural youth. Only with effective and sustainable hearing health
education programs can use of hearing conservation strategies be increased to prevent
noise-induced hearing loss and other negative effects of high noise exposure, and improve
quality of life in this high-risk and under-served group.

This project will involve a partnership between the University of Michigan School of Nursing
and a major farm and rural youth safety education organization to accomplish project aims.

This randomized-controlled trial of innovative community- based interventions is designed to
determine the most effective and sustainable approach to increase youths' use of hearing
protection strategies. Results of this study will be used to inform future
research-to-practice studies to protect the health and safety of farm and rural youth.
Consistent use of hearing conservation strategies is expected to reduce rates of
noise-induced hearing loss and other negative effects of high noise exposure, and improve
quality of life in this high-risk and underserved group.

Inclusion Criteria:

- enrollment in grade 4

- parental consent

- English speaking

- attending a Safety Days event included in the cluster sampling

Exclusion Criteria:

- (none)
We found this trial at
1
site
500 S State St
Ann Arbor, Michigan 48109
(734) 764-1817
University of Michigan The University of Michigan was founded in 1817 as one of the...
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mi
from
Ann Arbor, MI
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