The Experts below are selected from a list of 9432 Experts worldwide ranked by ideXlab platform
David L. Ronis - One of the best experts on this subject based on the ideXlab platform.
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Stages of change in Hearing-Protection behavior, cognition, and Hearing status.
American Journal of Health Behavior, 2012Co-Authors: Oisaeng Hong, Madeleine J. Kerr, Dal Lae Chin, David L. RonisAbstract:OBJECTIVE To determine stages of Hearing-Protection behavioral change and their relationships with cognitions and Hearing status. METHOD A cross-sectional study of 769 construction workers who completed a survey and audiometric tests. RESULTS The majority of participants (over 64%) were in the preparation stage. Participants in the action/maintenance stage demonstrated significantly greater benefits, self-efficacy, and interpersonal influence; fewer barriers; and better Hearing. This is the first study that shows significantly better health outcome, Hearing ability, as the stage progresses. CONCLUSION Study demonstrates preliminary validity of the stages of change with Hearing-Protection behavior. Future Hearing-Protection intervention should integrate the stages of change to increase effectiveness.
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Predictors of Hearing Protection Behavior Among Firefighters in the United States
International Journal of Behavioral Medicine, 2011Co-Authors: Oisaeng Hong, Dal Lae Chin, David L. RonisAbstract:Background Noise-induced Hearing loss (NIHL) is a major occupational health problem that can be prevented through the use of Hearing Protection devices (HPDs).
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predictors of use of Hearing Protection among a representative sample of farmers
Research in Nursing & Health, 2010Co-Authors: Marjorie C. Mccullagh, David L. Ronis, Sally L. LuskAbstract:Farmers experience higher rates of noise-induced Hearing loss (NIHL) than workers in most other industries. We developed a model of farmers' use of Hearing Protection, and tested it with a random sample (n = 532) of farmers from the upper Midwest. Barriers to using Hearing Protection (e.g., difficulty communicating; OR = .44, p < .003) were negatively related to use. Greater access/availability of Hearing protectors (OR = 1.75, p < .010) and male gender (OR = .43, p < .019) were positively related to use. The model correctly predicted use of Hearing Protection for 74% of the cases. Overall, farmers demonstrated low Hearing protector use, and results were similar to those from previous studies of non-farm workers. Findings from this study will be useful in designing interventions to increase farmers' Hearing protector use and decrease their rates of NIHL. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:528–538, 2010
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Predictors of use of Hearing Protection among a representative sample of farmers.
Research in Nursing & Health, 2010Co-Authors: Marjorie C. Mccullagh, David L. Ronis, Sally L. LuskAbstract:Farmers experience higher rates of noise-induced Hearing loss (NIHL) than workers in most other industries. We developed a model of farmers' use of Hearing Protection, and tested it with a random sample (n = 532) of farmers from the upper Midwest. Barriers to using Hearing Protection (e.g., difficulty communicating; OR = .44, p
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Efficacy of a computer-based Hearing test and tailored Hearing Protection intervention
International Journal of Behavioral Medicine, 2006Co-Authors: Oisaeng Hong, Sally L. Lusk, David L. Ronis, Gwang-soog KeeAbstract: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.
Sally L. Lusk - One of the best experts on this subject based on the ideXlab platform.
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predictors of use of Hearing Protection among a representative sample of farmers
Research in Nursing & Health, 2010Co-Authors: Marjorie C. Mccullagh, David L. Ronis, Sally L. LuskAbstract:Farmers experience higher rates of noise-induced Hearing loss (NIHL) than workers in most other industries. We developed a model of farmers' use of Hearing Protection, and tested it with a random sample (n = 532) of farmers from the upper Midwest. Barriers to using Hearing Protection (e.g., difficulty communicating; OR = .44, p < .003) were negatively related to use. Greater access/availability of Hearing protectors (OR = 1.75, p < .010) and male gender (OR = .43, p < .019) were positively related to use. The model correctly predicted use of Hearing Protection for 74% of the cases. Overall, farmers demonstrated low Hearing protector use, and results were similar to those from previous studies of non-farm workers. Findings from this study will be useful in designing interventions to increase farmers' Hearing protector use and decrease their rates of NIHL. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:528–538, 2010
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Predictors of use of Hearing Protection among a representative sample of farmers.
Research in Nursing & Health, 2010Co-Authors: Marjorie C. Mccullagh, David L. Ronis, Sally L. LuskAbstract:Farmers experience higher rates of noise-induced Hearing loss (NIHL) than workers in most other industries. We developed a model of farmers' use of Hearing Protection, and tested it with a random sample (n = 532) of farmers from the upper Midwest. Barriers to using Hearing Protection (e.g., difficulty communicating; OR = .44, p
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Effectiveness of computer-based tailoring versus targeting to promote use of Hearing Protection.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres, 2007Co-Authors: Madeleine J. Kerr, Kay Savik, Karen A. Monsen, Sally L. LuskAbstract:The purpose of this study was to evaluate the effectiveness of 2 computer-based interventions and booster messages on construction workers' use of Hearing Protection. Construction workers (n = 343) were randomly assigned to receive tailored (addressing individual characteristics) or targeted (addressing shared characteristics) education, with or without booster messages, in an experimental 4-group pretest-post-test design. Post hoc message matching compared the value of tailored and targeted approaches. Participants improved use of Hearing Protection from 42% to 50% of the time they were exposed to noise 1 year post-intervention. Differences between intervention groups were not significant. The significant improvement in use of Hearing Protection demonstrates that interventions can have an impact on preventing noise-induced Hearing loss. Since targeted and tailored intervention groups did not significantly differ in use of Hearing Protection, and since targeted interventions are less costly to develop, targeted interventions offer greater value.
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Efficacy of a computer-based Hearing test and tailored Hearing Protection intervention
International Journal of Behavioral Medicine, 2006Co-Authors: Oisaeng Hong, Sally L. Lusk, David L. Ronis, Gwang-soog KeeAbstract: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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Predictors of Hearing Protection use for Hispanic and non-Hispanic White factory workers.
Research and Theory for Nursing Practice, 2006Co-Authors: Delbert M. Raymond, Sally L. Lusk, Oisaeng Hong, David L. RonisAbstract:The 2000 United States Census reported significant growth in the number of Hispanic workers. The National Institute for Occupational Safety and Health (NIOSH, 1996) has identified noise-induced Hearing loss as a significant occupational threat. Current theoretical models need to be evaluated for their utility with Hispanic workers. The Predictors for Use of Hearing Protection Model (PUHPM) is a framework for increasing workers' use of Hearing Protection devices (HPDs). Using regression analysis, the explained variance in HPD use by the model predictors was examined in a sample of 208 Hispanic factory workers. Explained variance was lower for Hispanics (R^sup 2^ = .20) than for non-Hispanic Whites (R^sup 2^ = .37). Further research with Hispanic workers is needed to improve the PUHPM fit. Keywords: ethnicity; predictors; Hearing Protection behavior; model test The 2000 U.S. Census identified a significant growth in the U.S. Hispanic population (U.S. Census Bureau, 2001). While the overall U.S. population increased by 13.2% from the 1990 to the 2000 census, the Hispanic population rose by 57.9%. Additionally, census data showed that the Hispanic population reported a median age (25.9 years) approximately 10 years younger than the overall, suggesting continued proportionally larger population growth. Occupational status and worksite environments can significantly impact individual health and well-being (Lusk & Raymond, 2002). Historically, Hispanics have been disproportionately represented with greater numbers in laborer job classifications versus managerial and professional specialties (Friedman-Jimenez & Ortiz, 1994; Frumkin, Walker, & Friedman-Jimenez, 1999). This phenomenon leads to a proportionally increased risk for exposure to the higher rates of occupational injury and illness for Hispanic workers. Noise is one such exposure of concern. Engineering controls have long been the preferred method to eliminate or reduce worker exposure to noise. Unfortunately, engineering controls have not been able to eliminate hazardous noise exposure for workers. Risk for noise-induced Hearing loss (NIHL) has been identified by the National Institute for Occupational Safety and Health (NIOSH, 1996) as the most common occupational disease threat in the United States. Nonetheless, no national surveillance system exists to document Hearing loss in workers (NIOSH, 1996; U.S. Department of Health and Human Services, 2000). The protective behavior of Hearing Protection use remains central to protecting many workers from NIHL. Past studies of Hearing Protection device (HPD) use have demonstrated that utilization for worker populations in manufacturing (Kerr, Lusk, & Ronis, 2002; Lusk, Kerr, Ronis, & Eakin, 1999; Lusk et al, 2003), construction (Lusk, Ronis, & Kerr, 1995), and farm workers (McCullagh, Lusk, & Ronis, 2002) is below that required to protect workers. The U.S. Bureau of Labor Statistics (2003) indicated that in 2001 the highest percentages of Hispanic workers tend to be found in the areas of agriculture, construction, and manufacturing, suggesting that Hispanics are at significant risk for NIHL. NIOSH has supported the importance of behavioral theories, such as Fender's (1987) Health Promotion Model (HPM) for guiding research toward increasing protective behaviors in workers (NIOSH, 1999). Lusk and colleagues adapted the constructs of the HPM to develop the Predictors of the Use of Hearing Protection Model (PUHPM, Figure 1), specifically for research on the use of Hearing Protection. PUHPM, which guides this study, evolved from a number of studies with factory and construction workers (Lusk, Hogan, & Ronis, 1997; Lusk & Keleman, 1993; Lusk, Kerr, & Baer, 1995; Lusk, Ronis, & Kerr, 1995; Lusk, Ronis, Kerr, & Atwood, 1994), yet participants were predominantly non-Hispanic White males. Noting the limited cross-cultural testing of the HPM, Kerr et al. …
Oisaeng Hong - One of the best experts on this subject based on the ideXlab platform.
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Stages of change in Hearing-Protection behavior, cognition, and Hearing status.
American Journal of Health Behavior, 2012Co-Authors: Oisaeng Hong, Madeleine J. Kerr, Dal Lae Chin, David L. RonisAbstract:OBJECTIVE To determine stages of Hearing-Protection behavioral change and their relationships with cognitions and Hearing status. METHOD A cross-sectional study of 769 construction workers who completed a survey and audiometric tests. RESULTS The majority of participants (over 64%) were in the preparation stage. Participants in the action/maintenance stage demonstrated significantly greater benefits, self-efficacy, and interpersonal influence; fewer barriers; and better Hearing. This is the first study that shows significantly better health outcome, Hearing ability, as the stage progresses. CONCLUSION Study demonstrates preliminary validity of the stages of change with Hearing-Protection behavior. Future Hearing-Protection intervention should integrate the stages of change to increase effectiveness.
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Predictors of Hearing Protection Behavior Among Firefighters in the United States
International Journal of Behavioral Medicine, 2011Co-Authors: Oisaeng Hong, Dal Lae Chin, David L. RonisAbstract:Background Noise-induced Hearing loss (NIHL) is a major occupational health problem that can be prevented through the use of Hearing Protection devices (HPDs).
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Efficacy of a computer-based Hearing test and tailored Hearing Protection intervention
International Journal of Behavioral Medicine, 2006Co-Authors: Oisaeng Hong, Sally L. Lusk, David L. Ronis, Gwang-soog KeeAbstract: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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Predictors of Hearing Protection use for Hispanic and non-Hispanic White factory workers.
Research and Theory for Nursing Practice, 2006Co-Authors: Delbert M. Raymond, Sally L. Lusk, Oisaeng Hong, David L. RonisAbstract:The 2000 United States Census reported significant growth in the number of Hispanic workers. The National Institute for Occupational Safety and Health (NIOSH, 1996) has identified noise-induced Hearing loss as a significant occupational threat. Current theoretical models need to be evaluated for their utility with Hispanic workers. The Predictors for Use of Hearing Protection Model (PUHPM) is a framework for increasing workers' use of Hearing Protection devices (HPDs). Using regression analysis, the explained variance in HPD use by the model predictors was examined in a sample of 208 Hispanic factory workers. Explained variance was lower for Hispanics (R^sup 2^ = .20) than for non-Hispanic Whites (R^sup 2^ = .37). Further research with Hispanic workers is needed to improve the PUHPM fit. Keywords: ethnicity; predictors; Hearing Protection behavior; model test The 2000 U.S. Census identified a significant growth in the U.S. Hispanic population (U.S. Census Bureau, 2001). While the overall U.S. population increased by 13.2% from the 1990 to the 2000 census, the Hispanic population rose by 57.9%. Additionally, census data showed that the Hispanic population reported a median age (25.9 years) approximately 10 years younger than the overall, suggesting continued proportionally larger population growth. Occupational status and worksite environments can significantly impact individual health and well-being (Lusk & Raymond, 2002). Historically, Hispanics have been disproportionately represented with greater numbers in laborer job classifications versus managerial and professional specialties (Friedman-Jimenez & Ortiz, 1994; Frumkin, Walker, & Friedman-Jimenez, 1999). This phenomenon leads to a proportionally increased risk for exposure to the higher rates of occupational injury and illness for Hispanic workers. Noise is one such exposure of concern. Engineering controls have long been the preferred method to eliminate or reduce worker exposure to noise. Unfortunately, engineering controls have not been able to eliminate hazardous noise exposure for workers. Risk for noise-induced Hearing loss (NIHL) has been identified by the National Institute for Occupational Safety and Health (NIOSH, 1996) as the most common occupational disease threat in the United States. Nonetheless, no national surveillance system exists to document Hearing loss in workers (NIOSH, 1996; U.S. Department of Health and Human Services, 2000). The protective behavior of Hearing Protection use remains central to protecting many workers from NIHL. Past studies of Hearing Protection device (HPD) use have demonstrated that utilization for worker populations in manufacturing (Kerr, Lusk, & Ronis, 2002; Lusk, Kerr, Ronis, & Eakin, 1999; Lusk et al, 2003), construction (Lusk, Ronis, & Kerr, 1995), and farm workers (McCullagh, Lusk, & Ronis, 2002) is below that required to protect workers. The U.S. Bureau of Labor Statistics (2003) indicated that in 2001 the highest percentages of Hispanic workers tend to be found in the areas of agriculture, construction, and manufacturing, suggesting that Hispanics are at significant risk for NIHL. NIOSH has supported the importance of behavioral theories, such as Fender's (1987) Health Promotion Model (HPM) for guiding research toward increasing protective behaviors in workers (NIOSH, 1999). Lusk and colleagues adapted the constructs of the HPM to develop the Predictors of the Use of Hearing Protection Model (PUHPM, Figure 1), specifically for research on the use of Hearing Protection. PUHPM, which guides this study, evolved from a number of studies with factory and construction workers (Lusk, Hogan, & Ronis, 1997; Lusk & Keleman, 1993; Lusk, Kerr, & Baer, 1995; Lusk, Ronis, & Kerr, 1995; Lusk, Ronis, Kerr, & Atwood, 1994), yet participants were predominantly non-Hispanic White males. Noting the limited cross-cultural testing of the HPM, Kerr et al. …
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Comparison of the original and revised structures of the Health Promotion Model in predicting construction workers' use of Hearing Protection.
Research in Nursing & Health, 2006Co-Authors: David L. Ronis, Oisaeng Hong, Sally L. LuskAbstract:Pender's health promotion model (HPM) has been revised, including substantial changes in its structure. The purpose of this study was to compare the fit and predictive usefulness of the original and revised structures of the HPM as applied to the use of Hearing Protection devices by 703 construction workers. Structural equation modeling was used to evaluate the two alternative forms of the model. Both forms of the model fit well, with the revised structure having a better fit and explaining more of the variance in use of Hearing Protection (28% vs. 18%). Results support the revised structure of the health promotion model (HPM) over the original form, and indicate it may be useful in understanding and predicting use of Hearing Protection.
Richard L. Mckinley - One of the best experts on this subject based on the ideXlab platform.
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Assessing the performance capabilities of tactical Hearing Protection and communication devices
The Journal of the Acoustical Society of America, 2016Co-Authors: Hilary L Gallagher, Eric R. Thompson, Richard L. MckinleyAbstract:Military personnel work in unpredictable noise environments, which require flexible types of Hearing Protection (i.e., tactical Hearing Protection systems) in order to maintain mission effectiveness and situation awareness while reducing the risk of Hearing loss. Acquisition decisions need to be made relative to accurate and complete measures of the total performance capabilities of tactical Hearing Protection systems and their effect on the user. Understanding the noise attenuation performance of tactical Hearing Protection systems has been a priority in order to protect the user from excessive noise exposure. However, active electronic tactical Hearing Protection systems have been designed to allow for enhanced communication and situation awareness, while at the same time protecting the auditory system from both impulsive and continuous noise. The Air Force Research Laboratory conducted a multifactorial assessment on currently available tactical Hearing Protection systems to determine the overall impact...
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Performance Assessment of Active Hearing Protection Devices
2015Co-Authors: Hilary L Gallagher, Richard L. Mckinley, Melissa A Theis, Billy J Swayne, Eric R. ThompsonAbstract:Abstract : Active electronic Hearing Protection devices are designed for those who want to maintain natural Hearing while protecting their ears from impulse and continuous loud noises like gunfire, explosions, vehicles, and machinery. There are potential advantages for this technology in military applications, provided an accurate and complete assessment of the performance has been obtained. Five active Hearing Protection devices were assessed for: continuous noise attenuation, impulsive peak insertion loss, sound localization, auditory detection, and subjective comfort. The expected ambient noise environment and the task to be performed should be considered when selecting a Hearing Protection device.
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Measuring effective detection and localization performance of Hearing Protection devices
The Journal of the Acoustical Society of America, 2014Co-Authors: Richard L. Mckinley, Eric R. Thompson, Brian D. SimpsonAbstract:Awareness of the surrounding acoustic environment is essential to the safety of persons. However, the use of Hearing Protection devices can degrade the ability to detect and localize sounds, particularly quiet sounds. There are ANSI/ASA standards describing methods for measuring attenuation, insertion loss, and speech intelligibility in noise for Hearing Protection devices, but currently there are no standard methods to measure the effects of Hearing Protection devices on localization and/or detection performance. A method for measuring the impact of Hearing protectors on effective detection and localization performance has been developed at AFRL. This method measures the response time in an aurally aided visual search task where the presentation levels are varied. The performance with several level-dependent Hearing Protection devices will be presented.
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Bone and/or tissue conducted noise: Implications for advanced Hearing Protection
The Journal of the Acoustical Society of America, 2011Co-Authors: Hilary L Gallagher, Melissa A Theis, Richard L. MckinleyAbstract:Military personnel working in various high noise environments may be exposed to continuous noise levels reaching 150 dB. At those levels, bone and tissue conduction pathways become the dominate pathway for sound transmission to the cochlea. Accordingly, Hearing Protection devices designed to attenuate noise transmitted via air conduction pathways may not be sufficient for meeting Hearing conservation requirements. The goal of adequately protecting personnel in these types of environments requires a better understanding of the bone and/or tissue conduction flanking pathways, the susceptibility of the cochlea to bone and tissue conducted energy, and the accompanying mitigation strategies. This experiment investigated the linearity of air conducted noise to the transmission of bone, tissue, and bone/tissue conducted noise. Specially designed bone and tissue conduction drivers, which primarily isolate and excite the respective desired pathways, were used to conduct a loudness matching study. Preliminary findings from this study will be discussed, as well as the implications for development of more effective Hearing Protection and potential needs for creating new safety requirements based on bone and tissue conducted stimulation. [Work sponsored by AFOSR.]
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Attenuation performance of double Hearing Protection devices
The Journal of the Acoustical Society of America, 2010Co-Authors: Hilary L Gallagher, Richard L. Mckinley, Valerie S. BjornAbstract:High performance jet aircraft are capable of producing 130-150 dB of noise. Large populations work long hours in these high level noise environments and are at risk of Hearing loss and related Hearing disabilities. An array of Hearing Protection devices (HPD), both single Hearing Protection (SHP) and double Hearing Protection (DHP), are issued to protect aircrew and ground crew members from the nearly constant assault of hazardous noise. American National Standard Institute (ANSI) Methods for Measuring the Real-Ear Attenuation (REAT) of Hearing Protectors S12.6 were used to measure attenuation performance of nearly 20 SHP and DHP configurations. The term DHP can be slightly deceiving. DHP means two devices are worn in combination, not the sum of the attenuation from each device worn singly. The passive attenuation performance of inserts (earplugs) and helmets worn singly and in combination were reported using REAT octave band data, EPA Noise Reduction Ratings (NRR), and ANSI Methods of Estimating Effective A-Weighted Sound Pressure Levels when Hearing Protectors are Worn: the Noise Level Reduction Statistics for use with A-Weighting (NRSA), and the Noise Level Reduction Statistic, Graphical (NRSG).
Madeleine J. Kerr - One of the best experts on this subject based on the ideXlab platform.
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Stages of change in Hearing-Protection behavior, cognition, and Hearing status.
American Journal of Health Behavior, 2012Co-Authors: Oisaeng Hong, Madeleine J. Kerr, Dal Lae Chin, David L. RonisAbstract:OBJECTIVE To determine stages of Hearing-Protection behavioral change and their relationships with cognitions and Hearing status. METHOD A cross-sectional study of 769 construction workers who completed a survey and audiometric tests. RESULTS The majority of participants (over 64%) were in the preparation stage. Participants in the action/maintenance stage demonstrated significantly greater benefits, self-efficacy, and interpersonal influence; fewer barriers; and better Hearing. This is the first study that shows significantly better health outcome, Hearing ability, as the stage progresses. CONCLUSION Study demonstrates preliminary validity of the stages of change with Hearing-Protection behavior. Future Hearing-Protection intervention should integrate the stages of change to increase effectiveness.
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Noise and Hearing Protection: Latino construction workers' experiences.
AAOHN Journal, 2007Co-Authors: Cheryl L. Robertson, Madeleine J. Kerr, Carolyn M. Garcia, Eve HaltermanAbstract:This study explored Latino construction workers' experiences with occupational noise and Hearing Protection to provide qualitative data to be used in designing an intervention to prevent noise-induced Hearing loss. An ecological framework provided the theoretical foundation for this study. Fifteen Latino construction workers participated in one of four focus groups exploring perceptions of exposure to noise on the job and barriers to and supports for wearing Hearing Protection. Support for an ecological framework was apparent in the environmental and personal factors revealed in the data: how it feels, personal responsibility, they make us wear it, we don't care about ears, it won't happen to me, being Latino, keeping our jobs, Hearing Protection is uncomfortable, and we can handle it. Researchers are applying results of this study in the development of a Hearing conservation intervention for Latino construction workers to be evaluated in a randomized, controlled trial.
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Effectiveness of computer-based tailoring versus targeting to promote use of Hearing Protection.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres, 2007Co-Authors: Madeleine J. Kerr, Kay Savik, Karen A. Monsen, Sally L. LuskAbstract:The purpose of this study was to evaluate the effectiveness of 2 computer-based interventions and booster messages on construction workers' use of Hearing Protection. Construction workers (n = 343) were randomly assigned to receive tailored (addressing individual characteristics) or targeted (addressing shared characteristics) education, with or without booster messages, in an experimental 4-group pretest-post-test design. Post hoc message matching compared the value of tailored and targeted approaches. Participants improved use of Hearing Protection from 42% to 50% of the time they were exposed to noise 1 year post-intervention. Differences between intervention groups were not significant. The significant improvement in use of Hearing Protection demonstrates that interventions can have an impact on preventing noise-induced Hearing loss. Since targeted and tailored intervention groups did not significantly differ in use of Hearing Protection, and since targeted interventions are less costly to develop, targeted interventions offer greater value.
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explaining mexican american workers Hearing Protection use with the health promotion model
Nursing Research, 2002Co-Authors: Madeleine J. Kerr, Sally L. Lusk, David L. RonisAbstract:Background: Mexican American workers are vulnerable to noise-induced Hearing loss, the most common occupational disease in the United States. Objectives: The purpose was to test the applicability of the Health Promotion Model to Mexican American workers' use of Hearing Protection devices. Method: A correlational descriptive design and path analysis were used to determine the relationships between cognitive-perceptual factors, modifying factors and use of Hearing Protection devices. A questionnaire was completed by a total of 119 workers in three garment manufacturing plants. Interviews were conducted with the occupational health nurse or safety director in each plant to determine the policy regarding Hearing Protection also. Results: Factors that directly influenced the use of Hearing Protection devices were a clinical definition of health, benefits of and barriers to use of Hearing Protection devices, self-efficacy in the use of Hearing Protection devices and perceived health status (R 2 =.25, p <.01). An exploratory analysis allowing a direct relationship of modifying factors with the dependent variable explained additional variance in use of Hearing Protection devices through the contribution of situational factors (R 2 =.55, p <.01). Conclusions: Important factors related to Mexican American workers'use of Hearing Protection devices were identified to provide direction for nursing interventions. Future research should further test the explanatory capabilities of the Health Promotion Model, explore the importance of situational influences on health behavior, and ensure reliable measures of all model components for this population.
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Explaining Mexican American workers' Hearing Protection use with the health promotion model.
Nursing Research, 2002Co-Authors: Madeleine J. Kerr, Sally L. Lusk, David L. RonisAbstract:Background: Mexican American workers are vulnerable to noise-induced Hearing loss, the most common occupational disease in the United States. Objectives: The purpose was to test the applicability of the Health Promotion Model to Mexican American workers' use of Hearing Protection devices. Method: A correlational descriptive design and path analysis were used to determine the relationships between cognitive-perceptual factors, modifying factors and use of Hearing Protection devices. A questionnaire was completed by a total of 119 workers in three garment manufacturing plants. Interviews were conducted with the occupational health nurse or safety director in each plant to determine the policy regarding Hearing Protection also. Results: Factors that directly influenced the use of Hearing Protection devices were a clinical definition of health, benefits of and barriers to use of Hearing Protection devices, self-efficacy in the use of Hearing Protection devices and perceived health status (R 2 =.25, p
