Abstract
Advances in computer technology and accessibility enable researchers to provide individually tailored interventions for behavioral change. Using multimedia technology, this study developed and tested a computer-based hearing test and a tailored intervention. The purpose of this study was to evaluate, using a randomized experimental design, the efficacy of the intervention to increase workers’ use of hearing protection. The tailored intervention developed by the research team showed more significant short-term effect measured immediately after the intervention than the control intervention. For the long-term effect measured 1 year after the intervention, both tailored and control groups showed significant increase in their reported use (7% vs. 6%) from preintervention to postintervention, but no significant difference between the two groups. The change accomplished in this study was small progress toward the desired level of 100% use of hearing protection to prevent noise-induced hearing loss. This finding showed that changing workers’ hearing protection behavior is difficult.
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References
American College of Occupational and Environmental Medicine (ACOEM). (2003). ACOEM evidence-based statement: Noise-induced hearing loss.Journal of Occupational Environmental Medicine, 45(6), 579–581.
Berger, E. H. (2000). Hearing protection: Dual protection. Occupational Health and Safety, 69(10), 98–102.
Bock, B. C., Marcus, B. H., Pinto, B. M., & Forsyth, L. H. (2001). Maintenance of physical activity following an individualized motivationally tailored intervention. Annals of Behavioral Medicine, 23, 79–87.
Brug, J., Campbell, M., & van Assema, P. (1999). The application and impact of computer-generated personalized nutrition education: A review of literature. Patient Education and Counseling, 36, 145–156.
Campbell, D. T., & Stanley, J. C. (1968). Experimental and quasi-experimental designs for research. Chicago: Rand McNally & Company.
Campbell, M. K., Tessaro, I., DeVellis, B., Benedict, S., Kelsey, K., Belton, L., et al. (2002). Effects of a tailored health promotion program for female blue-collar workers: Health Works for Women. Preventive Medicine, 34, 313–323.
Dear, T. A. (1998). Updating damage risk criteria to include performance under workplace noise regulations. Journal of Occupational Hearing Loss, 1, 61–66.
de Vries, H., & Brug, J. (1999). Computer-tailored interventions motivating people to adopt health promoting behaviors: Introduction to a new approach [Special issue: Computer-tailored education]. Patient Education & Counseling, 36, 99–195.
Dobie, R. A. (1993). Medical-legal evaluation of hearing loss. New York: Van No strand Reinhold.
Hillsdon, M., Foster, C., & Thorogood, M. (2005) Interventions for promoting physical activity. The Cochrane Database of Systematic Review, Issue 1. Art. no. CD003180. DOI: 10.1002/ 14651858. CD003180.pub2.
Hong, O., Chen, S. C., & Conrad, K. M. (1998). Noise-induced hearing loss among male airport workers in Korea. American Association of Occupational Health Nurses Journal, 46(2), 67–75.
Hong, O., & Csaszar, P. (2005). Audiometric testing and hearing protection training through multimedia technology. International Journal of Audiology, 44(9), 522–530.
Hong, O., Lusk, S. L., & Ronis, D. L. (2005). Ethnicity differences in predictors for hearing protection behavior in black and white workers. Research & Theory for Nursing Practice: An International Journal, 19(1), 61–74.
Hong, O., Wilber, L. A., & Furner, S. (1998). Use of hearing protection and hearing threshold levels among noise-exposed Korean airport workers. Journal of Occupational Hearing Loss, 1(4), 271–279.
Kerr, M. J., Baer, L. M., & Arnold, M. L. (2002). A computer game approach to construction worker hearing loss prevention. Proceeding of the Hearing Conservation Conference (pp. 160-163). National Hearing Conservation Association.
Kerst, K., & Langman, I. B. (2000). At the media. NHCA Spectrum, 17(3), 5.
Kreuter, M. W., & Wray, R. J. (2003). Tailored and targeted health communication: Strategies for enhancing information relevance. American Journal of Health Behavior, 27 (Suppl. 3), 227–232.
Lusk, S. L., Hong, O., Ronis, D. L., Eakin, B. L., Kerr, M. J., & Early, M. R. (1999). Effectiveness of an intervention to increase construction workers’ use of hearing protection. Human Factor, 41(3), 487–494.
Lusk, S. L., Kerr, M. J., Ronis, D. L., & Eakin, B. L. (1999). Applying the health promotion model to development of a worksite intervention. American Journal of Health Promotion, 13(4), 219–227.
Lusk, S. L., Ronis, D. L., & Baer, L. M. (1995). A comparison of multiple indicators. Evaluations & the Health Professions, 18(1), 51–63.
Lusk, S. L., Ronis, D. L., & Hogan, M. M. (1997). Test of the health promotion model as a causal model of construction workers use of hearing protection. Research in Nursing & Health 20(3), 183–194.
Lusk, S. L., Ronis, D. L., Kazanis, A. S., Akin, B. L., Hong, O., & Raymond, D. M. (2003). Effectiveness of a tailored intervention to increase factory workers’ use of hearing protection. Nursing Research, 52(5), 289–295.
Marcus, B. H., Bock, B. C., Pinto, B. M., Forsyth, L. H., Roberts, M. B., & Traficante, R. M. (1998). Efficacy of an individualized, motivationally-tailored physical activity intervention. Annals of Behavioral Medicine, 23, 79–87.
Mulrow, C. D., Chiquette, E., Angel, L., Cornell, J., & Summerbell, C. (1998) Dieting to reduce body weight for controlling hypertension in adults. The Cochrane Database of Systematic Review, Issue 4. Art. no. CD000484. DOI: 10.1002/14651858. CD000484.
National Institute for Occupational Safety and Health (NIOSH). (1996). Preventing occupational hearing loss: A practical guide. Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Center for Disease Control and Prevention. Agenda (NORA), Hearing loss. Retrieved from http://www.cdc.gov/niosh/nrhear.html
Oldenburg, B., Glanz, K., & Ffrench, M. (1999). The application of staging models to the understanding of health behavior change and the promotion of health. Psychology and Health, 14, 503–516.
Peterson, T. R., & Aldana, S. G. (1999). Improving exercise behavior: An application of the stages of change model in a worksite setting. American Journal of Health Promotion, 13, 229–232.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102–1114.
Prochaska, J. O., Velicer, W. F., Fava, J. L., Ruggiero, L., Laforge, R. G., Rossi, J. S., et al. (2001). Counselor and stimulus control enhancements of a stage-matched expert system intervention for smokers in a managed care setting. Preventive Medicine, 32, 23–32.
Rhodes, F., Fishbein, M., & Reis, J. (1997). Using behavioral theory in computer-based health promotion and appraisal. Health and Educational Behavior, 24, 20–34.
Ronis, D. L., Hong, O., & Lusk, S. L. (2006). Comparison of the original and revised structures of the health promotion model in predicting construction workers’ use of hearing protection. Research in Nursing and Health, 29, 3–17.
Royster, J. D. (1985, May). Audiometric evaluation for industrial hearing conservation. Sound Vibe, 24-29.
Royster, L. H., & Royster, J. D. (1991). Education and motivation. In E. H. Berger, W. D. Ward, J. C. Morrill, & L. H. Royster (Eds.), Noise and hearing conservation manual (4th ed., pp. 383–416). Akron, OH: American.
Sataloff, R. T., & Sataloff, J. (1993). Occupational hearing loss. In R. T. Sataloff & J. Sataloff (Eds.), Hearing loss (3rd ed., pp. 371–402). New York: Marcel Dekker.
Schneider, S., & Susie, P. (1993). Final report: An investigation of health hazards on a new construction project [Report OSH 1-93]. Washington, DC: Center to Protect Workers’ Rights.
Secker-Walker, R. H., Gnich, W., Platt, S., & Lancaster, T. (2002) Community interventions for reducing smoking among adults. The Cochrane Database of Systematic Review, Issue 2. Art. no. CD001745. DOI: 10.1002/14651858.CD001745.
Skinner, C. S., Campbell, M. K., Rimer, B. K., Curry, S., & Prochaska, J. O. (1999). How effective is tailored print communication? Annals of Behavioral Medicine, 21(4), 290–298.
Skinner, C. S., Strecher, V. J., & Hospers, H. (1994). Physician’s recommendations for mammography: Do tailored messages make a difference? American Journal of Public Health, 84(1), 43–49.
Sweeney, M. N., Fosbroke, D., Goldenhar, L., Jackson, L., Linch, K., Lushniak, B., et al. (2000). Health consequences of working in construction. In R. Coble (Ed.), Occupational health and safety in the U.S. construction industry [M. E. Rinker, Sr., Lecture Series]. Philadelphia: Taylor and Francis.
Velicer, W. F., & Prochaska, J. O. (1999). An expert system intervention for smoking cessation. Patient Education and Counseling, 36, 119–129.
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Hong, O., Ronis, D.L., Lusk, S.L. et al. Efficacy of a computer-based hearing test and tailored hearing protection intervention. Int. J. Behav. Med. 13, 304–314 (2006). https://doi.org/10.1207/s15327558ijbm1304_5
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DOI: https://doi.org/10.1207/s15327558ijbm1304_5