TY - JOUR
T1 - Interventional Audiology to Address Hearing Health Care Disparities
T2 - Oyendo Bien Pilot Study
AU - Marrone, Nicole
AU - Ingram, Maia
AU - Somoza, M.
AU - Jacob, Daisey Sánchez
AU - Sanchez, Adriana
AU - Adamovich, Stephanie
AU - Harris, Frances P.
N1 - Funding Information:
The authors thank the participants as well as several key people who contributed to the implementation of the pilot and sustained programs, including: Alicia Sander, Cecilia Navarro, Rosie Piper, Patty Molina, Susan Kunz, M.P.H., and Ed Sicurello, Jill de Zapien, Scott Carvajal, Ph.D., and Sonia Colina, Ph.D. Research in this publication was supported by the University of ArizonaFoundation, a SERTOMACommunity Grant, the James S. and Dyan Pignatelli/ UniSource Clinical Program in Audiologic Rehabilitation for Adults, and the National Institute on Deafness and Other Communication Disorders of the National Institutes of Health (R21/R33 DC013681, N. Marrone). The content is solely the responsibility of the authors and does not necessarily represent the official views of theNational Institutes ofHealth.
Publisher Copyright:
© Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Interventional audiology, specifically community-based outreach, can connect people with the hearing health care system. Community-based participatory research methods were applied in two phases of research to: (1) investigate the needs of families affected by hearing loss in a rural Arizona community on the U.S.-Mexico border; and (2) evaluate an outreach program on hearing health. The needs assessment included interviews with persons with hearing loss and focus groups with family members and the greater community. The needs assessment revealed that despite perceived severity of hearing loss, help-seeking for audiologic care was limited due to barriers, stigma, and low self-efficacy. Results informed development of a community-based pilot study conducted as part of an academic-community partnership between audiology, public health, and community health workers of a federally qualified health center. An outreach program, Oyendo Bien (hearing wellness), a 5-week, Spanish-language health education program for older adults (n = 21) incorporated communication strategies and behavioral change techniques. Postprogram focus groups revealed increased self-efficacy and decreased stigma. After 1 year, 7 of 9 participants with hearing loss contacted for follow-up had sought some form of hearing-related health care. Future research should further investigate interventional audiology approaches to address health disparities.
AB - Interventional audiology, specifically community-based outreach, can connect people with the hearing health care system. Community-based participatory research methods were applied in two phases of research to: (1) investigate the needs of families affected by hearing loss in a rural Arizona community on the U.S.-Mexico border; and (2) evaluate an outreach program on hearing health. The needs assessment included interviews with persons with hearing loss and focus groups with family members and the greater community. The needs assessment revealed that despite perceived severity of hearing loss, help-seeking for audiologic care was limited due to barriers, stigma, and low self-efficacy. Results informed development of a community-based pilot study conducted as part of an academic-community partnership between audiology, public health, and community health workers of a federally qualified health center. An outreach program, Oyendo Bien (hearing wellness), a 5-week, Spanish-language health education program for older adults (n = 21) incorporated communication strategies and behavioral change techniques. Postprogram focus groups revealed increased self-efficacy and decreased stigma. After 1 year, 7 of 9 participants with hearing loss contacted for follow-up had sought some form of hearing-related health care. Future research should further investigate interventional audiology approaches to address health disparities.
KW - Health Belief Model
KW - Hispanic/Latino
KW - Interventional audiology
KW - community health workers
KW - community-based participatory research
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U2 - 10.1055/s-0037-1601575
DO - 10.1055/s-0037-1601575
M3 - Article
AN - SCOPUS:85019400883
VL - 38
SP - 198
EP - 211
JO - Seminars in Hearing
JF - Seminars in Hearing
SN - 0734-0451
IS - 2
M1 - 00734
ER -