Test of the Health Promotion Model as a Causal Model of Workers?? Use of Hearing Protection

Lusk, Sally L.; Ronis, David L.; Kerr, Madeleine J.; Atwood, Jan R.

doi:10.1097/00006199-199405000-00005

Cited by 52 publications

(58 citation statements)

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“…the belief in one's ability to effectively select and use hearing protectors to prevent hearing loss. [22] The HBM served as the backbone for this work. Other HPMs also proved relevant to this effort, and are briefly described in the methods section where they were applied.…”

Section: Hpmsmentioning

confidence: 99%

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Hearing loss prevention for carpenters: Part 1 - Using health communication and health promotion models to develop training that works

Stephenson

2011

Noise Health

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In phase 1 of a large multiyear effort, health communication and health promotion models were used to develop a comprehensive hearing loss prevention training program for carpenters. Additionally, a survey was designed to be used as an evaluation instrument. The models informed an iterative research process in which the authors used key informant interviews, focus groups, and early versions of the survey tool to identify critical issues expected to be relevant to the success of the hearing loss prevention training. Commonly held attitudes and beliefs associated with occupational noise exposure and hearing losses, as well as issues associated with the use or non-use of hearing protectors, were identified. The training program was then specifically constructed to positively shape attitudes, beliefs, and behavioral intentions associated with healthy hearing behaviors - especially those associated with appropriate hearing protector use. The goal was to directly address the key issues and overcome the barriers identified during the formative research phase. The survey was finalized using factor analysis methods and repeated pilot testing. It was designed to be used with the training as an evaluation tool and thus could indicate changes over time in attitudes, beliefs, and behavioral intentions regarding hearing loss prevention. Finally, the training program was fine tuned with industry participation so that its delivery would integrate seamlessly into the existing health and safety training provided to apprentice carpenters. In phase 2, reported elsewhere in this volume, the training program and the survey were tested through a demonstration project at two sites.

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Section: Hpmsmentioning

confidence: 99%

“…My coworkers usually wear hearing protectors when they need to work in noisy areas. [22] Self-efficacy…”

Section: Appendix 1: Final Apprentice Carpenter Survey: Content Areasmentioning

confidence: 99%

Hearing loss prevention for carpenters: Part 1 - Using health communication and health promotion models to develop training that works

Stephenson

2011

Noise Health

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“…The most reliable predictors of hearing loss are the percentage of time that hearing protection is worn [35] and the proper fit of the protection [36]. However, the effectiveness of hearing protection programs is hindered by poor compliance in the use of hearing protection devices due to communication difficulties, comfort issues, individuals' attitudes about protecting themselves from noise-induced hearing loss, and individuals' perceptions about how others who do not use hearing protection will view them if they choose to use hearing protection [37][38][39]. Failure to use hearing protection for just 30 minutes during the workday reduces the protective device's effectiveness in preventing hearing loss by 50 percent [40].…”

Section: Hearing Conservation and Preventionmentioning

confidence: 99%

Hearing health and care: The need for improved hearing loss prevention and hearing conservation practices

Fausti¹,

Wilmington²,

Helt³

et al. 2005

JRRD

105

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Hearing loss affects 31 million Americans, particularly veterans who were exposed to harmful levels of noise during military functions. Many veterans also receive treatment with ototoxic medications, which may exacerbate preexisting hearing loss. Thus, hearing loss is the most common and tinnitus the third most common service-connected disability among veterans. Poor implementation of hearing protection programs and a lack of audiometric testing during medical treatment leave veterans vulnerable to unrecognized and untreated hearing loss until speech communication is impaired. Individualized audiometric testing techniques, including assessment of high frequencies, can be used in clinical and occupational settings to detect early hearing loss. Antioxidants also may alleviate cochlear damage caused by noise and ototoxicity. Ultimately, hearing loss prevention requires education on reducing occupational and recreational noise exposure and counseling on the risks and options available to patients. Technological advances will improve monitoring, allow better noise engineering controls, and lead to more effective hearing protection.

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“…(24) Noise variability has been thought to influence workers’ self-reported use of hearing protection. In studies conducted by Lusk et al, (13,25) blue-collar factory workers who were constantly exposed to high noise levels reported greater frequency of HPD use than skilled trade workers who moved in and out of high noise areas.…”

Section: Introductionmentioning

confidence: 96%

Indicators of Hearing Protection Use: Self-Report and Researcher Observation

Griffin

Neitzel

Daniell

et al. 2009

Journal of Occupational and Environmental Hygiene

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Hearing protection devices (HPD) are commonly used to prevent occupational noise-induced hearing loss. There is a large body of research on hearing protection use in industry, and much of it relies on workers’ self-reported use of hearing protection. Based on previous studies in fixed industry, worker self-report has been accepted as an adequate and reliable tool to measure this behavior among workers in many industrial sectors. However, recent research indicates self-reported hearing protection use may not accurately reflect subject behavior in industries with variable noise exposure. This study compares workers’ self-reported use of hearing protection with their observed use in three workplaces with two types of noise environments: one construction site and one fixed industry facility with a variable noise environment, and one fixed industry facility with a steady noise environment. Subjects reported their use of hearing protection on self-administered surveys and activity cards, which were validated using researcher observations. The primary outcome of interest in the study was the difference between the self-reported use of hearing protection in high noise on the activity card and survey: (1) over one workday, and (2) over a 2-week period. The primary hypotheses for the study were that subjects in workplaces with variable noise environments would report their use of HPDs less accurately than subjects in the stable noise environment, and that reporting would be less accurate over 2 weeks than over 1 day. In addition to noise variability, other personal and workplace factors thought to affect the accuracy of self-reported hearing protection use were also analyzed. This study found good agreement between subjects’ self-reported HPD use and researcher observations. Workers in the steady noise environment self-reported hearing protection use more accurately on the surveys than workers in variable noise environments. The findings demonstrate the potential importance of noise exposure variability as a factor influencing reporting accuracy.

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Test of the Health Promotion Model as a Causal Model of Workers?? Use of Hearing Protection

Cited by 52 publications

References 0 publications

Hearing loss prevention for carpenters: Part 1 - Using health communication and health promotion models to develop training that works

Hearing loss prevention for carpenters: Part 1 - Using health communication and health promotion models to develop training that works

Hearing health and care: The need for improved hearing loss prevention and hearing conservation practices

Indicators of Hearing Protection Use: Self-Report and Researcher Observation

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