A Feasibility Study Evaluating a Community Health Worker Training Program to Support Adults With Hearing Loss in Rural Alabama Communities.

Purpose: The purpose of this study was to evaluate the effectiveness of community health worker (CHW) training to support adults with hearing loss who are living in rural communities of West Central and South Alabama. Knowledge and skills, in addition to the degree of confidence in performing tasks...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 68; no. 4; pp. 2104 - 2127
Autores principales: Hay-McCutcheon, Marcia J., Hubbard, Abigail, Brothers, Emma B., Thrasher, Laura, Hardy, Claudia, Xin Yang, Allen, Rebecca S.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Apr2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
      vid: 68
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-24-00716
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        atl: A Feasibility Study Evaluating a Community Health Worker Training Program to Support Adults With Hearing Loss in Rural Alabama Communities.
      aug:
        au:
          Hay-McCutcheon, Marcia J.
          Hubbard, Abigail
          Brothers, Emma B.
          Thrasher, Laura
          Hardy, Claudia
          Xin Yang
          Allen, Rebecca S.
        affil:
          Department of Communicative Disorders, The University of Alabama, Tuscaloosa
          Alabama Life Research Institute, The University of Alabama, Tuscaloosa
          Alabama Research Institute on Aging, The University of Alabama, Tuscaloosa
          Department of Medicine, Division of Hematology/Oncology, The University of Alabama at Birmingham
          Department of Psychology, The University of Alabama, Tuscaloosa
      su:
        Alabama
        Human services programs
        Task performance
        Rehabilitation
        Clinical trials
        Confidence
        Professions
        Rural conditions
        Ability
        Social support
        Training
        Hard of hearing people
        Research funding
        Educational outcomes
        Pilot projects
        Pre-tests & post-tests
        Surveys
        Hearing disorders
      sug:
        subj:
          Human services programs
          Task performance
          Rehabilitation
          Clinical trials
          Confidence
          Professions
          Rural conditions
          Ability
          Social support
          Training
          Hard of hearing people
          Alabama
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Professional Organizations
          Other Individual and Family Services
          Research funding
          Educational outcomes
          Pilot projects
          Pre-tests & post-tests
          Surveys
          Hearing disorders
      ab: Purpose: The purpose of this study was to evaluate the effectiveness of community health worker (CHW) training to support adults with hearing loss who are living in rural communities of West Central and South Alabama. Knowledge and skills, in addition to the degree of confidence in performing tasks associated with the aural rehabilitation program, were assessed. Method: Eighteen adults who were active in their communities through nonprofit organizations, educational organizations, health facilities, or had other volunteering experiences, participated in this study. They received 3 days of initial training and were provided with opportunities to practice their skills after training. Pre- and posttraining assessments included a knowledge quiz and a confidence in skills survey. These results were compared to the findings from a control group of 16 CHWs who were administered the same assessments. A refresher training session was provided approximately 15 months after the initial training, and further assessments were administered. The Ottawa Model of Research Use was used as the framework for implementing the study. Results: Statistical analyses revealed that posttraining quiz results were significantly higher than pretraining quiz outcomes, and scores from the postrefresher training quiz were significantly better than the posttraining quiz results. A significant increase in confidence in skills also was obtained after the CHWs were given opportunities to practice their skills in real-world settings. Finally, compared to the control group results, outcomes from the initial posttraining quiz were significantly better in the experimental group. Conclusions: The outcomes suggest that training CHWs to support adults with hearing loss in their communities is feasible and has the potential to increase access to hearing health care for those living in underserved communities. Further work is needed to understand how other professionals in the community could support the increased need for hearing health care services and related behavioral issues.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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