Objective: This paper presents a comprehensive literature review of past works addressing Hearing Protection Devices (HPD) comfort and to put them into perspective regarding a proposed holistic multidimensional construct of HPD comfort. Design: Literature review. Study samples: Documents were hand searched and Internet searched using "PubMed", "Web of Science", "Google Scholar", "ProQuest Dissertations and Theses Professional", "Scopus" or "Google" search engines. While comfort constructs and measurement methods are reviewed for both earplugs and earmuff types, results and analyses are provided for the earplug type only. Results: This paper proposed a multidimensional construct of HPD comfort based on four dimensions: physical, functional, acoustical and psychological. Seen through the prism of the proposed holistic construct of HPD comfort, the main comfort attributes of earplugs have been identified for each comfort dimension. Conclusions: The observed lack of consensus on the definition of HPD comfort in the scientific community makes it difficult to prioritize the importance of comfort attributes yet necessary for future design of comfortable earplugs.
Considering the current state of knowledge and in order to decrease comfort measurements variability, it is advised to (i) use a multidimensional construct of comfort and derive a comfort index for each comfort dimensions, (ii) use exhaustive and valid questionnaires, (iii) quantify as much as triad characteristics as possible and use them as independent or control variables, and (iv) assess the quality of the earplug fitting and the attenuation efficiency.
Earplugs are a common form of protection for workers exposed to hazardous noise levels. Their comfort directly impacts the effective protection by influencing their consistent and correct use. Nevertheless, comfort definition may vary according to the studies. Thus, a previous review of the literature has shown that to improve our understanding of perceived comfort and to reduce measurement variability, it is advisable to consider comfort through a multidimensional construct (physical, acoustical, functional and psychological). On this basis, the COPROD questionnaire was developed. It is intended for people working in noisy environments. Nine earplug models were evaluated by 118 participants over a six-week period. This paper presents the successive analyses that were used to validate the structure of the questionnaire and confirm the relevance of the proposed dimensions and of the addressed items. First results suggest a preference for custom molded earplugs.
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