Interventional Audiology to Address Hearing Health Care Disparities: Oyendo Bien Pilot Study

Marrone, Nicole; Ingram, Maia; Somoza, María Luisa; Jacob, Daisey Sánchez; Sanchez, Adriana J.; Adamovich, Stephanie; Harris, Frances

doi:10.1055/s-0037-1601575

Cited by 33 publications

(30 citation statements)

References 49 publications

(68 reference statements)

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“…• embedded in community or local organizations, rather than hiring new CHWs specifically for research (23,24,26,27,31,33,35,36,42). This is largely because CHWs could incorporate intervention activities into their existing work after the conclusion of the study.…”

Section: Moore Et Al (36)mentioning

confidence: 99%

Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review

Coulter

Ingram

McClelland

et al. 2020

Front. Public Health

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Community health workers (CHWs) are increasingly involved as members of health intervention research teams. Given that CHWs are engaged in a variety of research roles, there is a need for better understanding of the ways in which CHWs are incorporated in research and the potential benefits. This scoping review synthesizes evidence regarding the kinds of health research studies involving CHWs, CHWs' roles in implementing health intervention research, their positionality on research teams, and how their involvement benefits health intervention research. The scoping review includes peer-reviewed health intervention articles published between 2008-2018 in the U.S. A search of PubMed, Embase and CINAHL identified a total of 3,129 titles and abstracts, 266 of which met the inclusion criteria and underwent full text review. A total of 130 articles were identified for a primary analysis of the research and the level of CHWs involvement, and of these 23 articles were included in a secondary analysis in which CHWs participated in 5 or more intervention research phases. The scoping review found that CHWs are involved across the spectrum of research, including developing research questions, intervention design, participant recruitment, intervention implementation, data collection, data analysis, and results dissemination. CHW positionality as research partners varied greatly across studies, and they are not uniformly integrated within all stages of research. The majority of these studies employed a community based participatory research (CBPR) approach, and CBPR studies included CHWs as research partners in more phases of research relative to non-CBPR studies. This scoping review documents specific benefits from the inclusion of CHWs as partners in health intervention research and identifies strategies to engage CHWs as research partners and to ensure that CHW contributions to research are well-documented.

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Section: Moore Et Al (36)mentioning

confidence: 99%

Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review

Coulter

Ingram

McClelland

et al. 2020

Front. Public Health

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“…Due to the proximity to the border with the Mexican State of Sonora, the participants recruited were 98% Hispanic/Latinx and the CHW demographic was also 93% Hispanic/Latinx. Marrone et al (2017) provides an in-depth description of the data collection setting.…”

Section: Methodsmentioning

confidence: 99%

“…The research program recruited participants and their communication partner(s) (dyads/triads), one with suspected hearing loss and one (or two) as their primary communication partner(s) (who may or may not also have hearing loss). Those dyads/triads who met the clinical trial eligibility requirements, including having at least one person with audiometrically confirmed hearing loss, were invited to participate in Oyendo Bien , a 5-week Spanish-language hearing health education program ( Marrone et al, 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions

et al. 2020

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Purpose The purpose of this study is to determine the sensitivities and specificities of different audiometric hearing screening criteria and single-item and multi-item hearing disability questionnaires among a group of Spanish-speaking adults in a rural community. Method Participants were 131 predominantly older (77% 65+ years) Hispanic/Latinx adults (98%). A structured Spanish-language interview and pure-tone threshold test data were analyzed for each participant. The sensitivities and specificities of three single questions and the Hearing Handicap Index for the Elderly–Screening (HHIE-S; Ventry & Weinstein, 1983 ) in Spanish, as well as three audiometric screening criteria, were evaluated in relation to the pure-tone threshold test for detecting hearing loss. Results Sensitivity and specificity of audiometric screening criteria varied, but the highest sensitivity was found for the criterion of > 25 dB HL at 1–4 kHz in either ear. The single self-perception question, “ ¿Cree usted que tiene pérdida de audición? ( Do you think you have a hearing loss?),” was shown to be the most sensitive self-report screening compared to other single-item questions and the HHIE-S. This single question was as sensitive as an audiometric screening to detect a moderate hearing loss (> 40 dB HL in either ear). Results from the Spanish HHIE-S indicated poor performance to detect hearing loss in this population, consistent with previous research. Conclusions Among older Spanish-speaking adults, self-reported hearing status had varying sensitivities depending on the question asked. However, of the tools evaluated, the self-perception question proved to be a more sensitive and specific tool than a multi-item screen. Objective audiometric testing (> 25 dB HL) resulted in the highest sensitivity to detect a mild hearing loss.

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“…Through a collaboration involving community members and experts from audiology, public health and translation, 37 – 39 the development of Oyendo Bien was guided by community-based participatory research principles 29 . The main principles of Oyendo Bien include: participation of communication partners, who are typically family members or friends; rehabilitation services facilitated by CHWs and audiologists; training in communication strategies for individuals with hearing loss and their communication partners; and an emphasis on peer support.…”

Section: Innovative Models: Adultsmentioning

confidence: 99%

“…The main principles of Oyendo Bien include: participation of communication partners, who are typically family members or friends; rehabilitation services facilitated by CHWs and audiologists; training in communication strategies for individuals with hearing loss and their communication partners; and an emphasis on peer support. Preliminary results from the Oyendo Bien pilot programme show positive outcomes, including adoption of communication strategies by individuals with hearing loss and their communication partners, improved quality of life and increased use of hearing care by those with hearing loss 39 …”

Section: Innovative Models: Adultsmentioning

confidence: 99%

Hearing care across the life course provided in the community

Suen

Bhatnagar

Emmett

et al. 2019

Bull. World Health Organ.

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Untreated hearing loss is recognized as a growing global health priority because of its prevalence and harmful effects on health and well-being. Until recently, little progress had been made in expanding hearing care beyond traditional clinic-based models to incorporate public health approaches that increase accessibility to and affordability of hearing care. As demonstrated in numerous countries and for many health conditions, sharing health-care tasks with community health workers (CHWs) offers advantages as a complementary approach to expand health-service delivery and improve public health. This paper explores the possibilities of task shifting to provide hearing care across the life course by reviewing several ongoing projects in a variety of settings – Bangladesh, India, South Africa and the United States of America. The selected programmes train CHWs to provide a range of hearing-care services, from childhood hearing screening to management of age-related hearing loss. We discuss lessons learnt from these examples to inform best practices for task shifting within community-delivered hearing care. Preliminary evidence supports the feasibility, acceptability and effectiveness of hearing care delivered by CHWs in these varied settings. To make further progress, community-delivered hearing care must build on established models of CHWs and ensure adequate training and supervision, delineation of the scope of practice, supportive local and national legislation, incorporation of appropriate technology and analysis of programme costs and cost–effectiveness. In view of the growing evidence, community-delivered hearing care may now be a way forward to improve hearing health equity.

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Interventional Audiology to Address Hearing Health Care Disparities: Oyendo Bien Pilot Study

Cited by 33 publications

References 49 publications

Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review

Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review

Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions

Hearing care across the life course provided in the community

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