{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:02:41Z","timestamp":1791464561076,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate existing literature on hearing screening outcomes and follow\u2010through among the adult population in the US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Ovid Medline, Scopus, and CINAHL databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search was conducted across PubMed, Ovid Medline, Scopus, and CINAHL for studies published from January 2000 to January 2026. Inclusion criteria targeted studies assessing hearing screening strategies for underserved adults in the US. Studies were categorized based on their focus, including describing a screening modality, analyzing the facilitators\/barriers to screening, or both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 5826 articles screened, 33 met the inclusion criteria. Articles on screening modalities included provider\u2010administered questionnaires, audiology device\u2010assisted tests, self\u2010reported single\u2010item screening questions, community health worker (CHW)\u2010led\/community\u2010based approaches, and survey\u2010based assessments. The utilization of each screening modality varied by population, setting, and feasibility. In the community setting, questionnaires and CHW\u2010led or culturally tailored approaches were the most common methods of administering hearing screening. Cost, stigma, and education presented barriers, while primary care workflow integration and provider encouragement emerged as facilitators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A variety of modalities are being utilized to conduct hearing screening for adult populations. The feasibility of implementation varies by study setting and is supported by facilitators including integration into primary care, encouragement by providers, and patient education. In order to improve the rates of hearing screening among all communities, including those that are underserved, it is important to acknowledge both the barriers and facilitators to screening. Consistent guidelines, a focus on implementation, and partnerships across providers will be most beneficial in this pursuit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70915","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:44:15Z","timestamp":1791463455000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hearing Screening Among Underserved\n                    <scp>US<\/scp>\n                    Adults: A Scoping Review of Modalities and Determinants"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1360-6025","authenticated-orcid":false,"given":"Kashika","family":"Bharol","sequence":"first","affiliation":[{"name":"University of Massachusetts T.H. Chan School of Medicine  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6220-1391","authenticated-orcid":false,"given":"Leyda S.","family":"Marrero Morales","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1069-4399","authenticated-orcid":false,"given":"Armita","family":"Norouzi","sequence":"additional","affiliation":[{"name":"School of Medicine University of Washington  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komal","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"EarTone Hearing Aids Center  San Mateo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7775-111X","authenticated-orcid":false,"given":"Kyle","family":"Polen","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Kapoor","sequence":"additional","affiliation":[{"name":"University of Queensland SOM\u2010Ochsner Clinical School  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Hughes","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yew Song","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan L.","family":"Durr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001420"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120001012"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010022\u201013760\u20102"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003656"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900\u2010019\u201000656\u20103"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2016.0164"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2023.3509"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.3375"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2018.12.013"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25927"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz009"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2019.103907"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.0433"},{"key":"e_1_2_12_15_1","first-page":"23446","volume-title":"Hearing Health Care for Adults: Priorities for Improving Access and Affordability","author":"Committee on Accessible and Affordable Hearing Health Care for Adults, Board on Health Sciences Policy, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine","year":"2016"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.24855"},{"key":"e_1_2_12_17_1","unstructured":"\u201cPreferred Practice Patterns for the Profession of Audiology\u201d(2006) https:\/\/www.asha.org\/policy\/pp2006\u201000274\/."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023\u2010063288"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2021.4430"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.2566"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igae036"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10823\u2010019\u201009376\u20106"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw153"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010017\u20104724\u20107"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnae107"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19111"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100042\u20101758377"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001604"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264315585505"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.859"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31661"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134\u201020080201\u201012"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900\u2010020\u201000943\u20104"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1044\/2016_AJA\u201016\u20100002"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/15404153221137671"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745\u20107599.2012.00718.x"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12962\u2010022\u201000360\u20105"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15044"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.06.024"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2590"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001418"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17103"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.16129"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17092"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.23.10.2"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1300\/J096v10n03_04"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020600860935"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1044\/1059\u20100889(2013\/12\u20100057)"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2024.105223"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.0898"},{"key":"e_1_2_12_51_1","first-page":"1","volume-title":"2024 IEEE International Symposium on Medical Measurements and Applications (MeMeA)","author":"Hassani M. S.","year":"2024"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.14.1.3"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2010.02738.x"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.3062145"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000956"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70915","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70915","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70915","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:44:18Z","timestamp":1791463458000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70915"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":54,"alternative-id":["10.1002\/lary.70915"],"URL":"https:\/\/doi.org\/10.1002\/lary.70915","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"assertion":[{"value":"2026-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"lary.70915"}}