{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T22:06:09Z","timestamp":1781042769668,"version":"3.54.1"},"reference-count":28,"publisher":"American Academy of Audiology","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"Abstract<\/jats:bold> Background<\/jats:bold>\u2003The study examined follow-up rates for pursuing hearing health care (HHC) 6 to 8 months after participants self-administered one of three hearing screening methods: an automated method for testing of auditory sensitivity (AMTAS), a four-frequency\n pure-tone screener (FFS), or a digits-in-noise test (DIN), with and without the presentation of a 2-minute educational video about hearing. Purpose<\/jats:bold>\u2003The study aims to determine if the type of self-administered hearing screening method (with or without an educational video) affects\n HHC follow-up rates. Research Design<\/jats:bold>\u2003The study is a randomized controlled trial of three automated hearing screening methods, plus control group, with and without an educational video. The control group completed questionnaires and provided follow-up data but did not undergo\n a hearing screening test. Study Sample<\/jats:bold>\u2003The study sample includes 1,665 participants (mean age 50.8 years; 935 males) at two VA Medical Centers and at university and community centers in Portland, OR; Bay Pines, FL; Minneapolis, MN; Mauston, WI; and Columbus, OH. Data\n Collection and Analysis<\/jats:bold>\u2003HHC follow-up data at 6 to 8 months were obtained by contacting participants by phone or mail. Screening methods and participant characteristics were compared in relation to the probability of participants pursuing HHC during the follow-up period. Results<\/jats:bold>\u2003The\n 2-minute educational video did not have a significant effect on HHC follow-up rates. When all<\/jats:italic> participants who provided follow-up data are considered (n<\/jats:italic>\u2009=\u20091012), the FFS was the only test that resulted in a significantly greater percentage of HHC follow-up (24.6%)\n compared with the control group (16.8%); p<\/jats:italic>\u2009=\u20090.03. However, for participants who failed<\/jats:italic> a hearing screening (n<\/jats:italic>\u2009=\u2009467), follow-up results for all screening methods were significantly greater than for controls. The FFS resulted in a greater probability\n for HHC follow-up overall than the other two screening methods. Moreover, veterans had higher follow-up rates for all screening methods than non-veterans. Conclusion<\/jats:bold>\u2003The FFS resulted in a greater HHC follow-up rate compared with the other screening methods. This self-administered\n test may be more motivational for HHC follow-up because participants who fail the screening are aware of sounds they could not hear which does not occur with adaptive assessments like AMTAS or the DIN test. It is likely that access to and reduced personal cost of audiological services for\n veterans contributed to higher HHC follow-up rates in this group compared with non-veteran participants.<\/jats:p>","DOI":"10.1055\/s-0041-1723041","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:47:34Z","timestamp":1622594854000},"page":"235-245","source":"Crossref","is-referenced-by-count":11,"title":["Hearing Health Care Utilization Following Automated Hearing Screening"],"prefix":"10.3766","volume":"32","author":[{"given":"Robert L.","family":"Folmer","sequence":"first","affiliation":[{"name":"VA National Center for Rehabilitative Auditory Research, VA Portland Medical Center, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle H.","family":"Saunders","sequence":"additional","affiliation":[{"name":"VA National Center for Rehabilitative Auditory Research, VA Portland Medical Center, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay J.","family":"Vachhani","sequence":"additional","affiliation":[{"name":"VA National Center for Rehabilitative Auditory Research, VA Portland Medical Center, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H.","family":"Margolis","sequence":"additional","affiliation":[{"name":"Audiology Incorporated, Arden Hills, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Saly","sequence":"additional","affiliation":[{"name":"Audiology Incorporated, Arden Hills, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bevan","family":"Yueh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel A.","family":"McArdle","sequence":"additional","affiliation":[{"name":"Office of Patient Care Services, Veterans Health Administration, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence L.","family":"Feth","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Science, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Roup","sequence":"additional","affiliation":[{"name":"Department of Speech and Hearing Science, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Patrick","family":"Feeney","sequence":"additional","affiliation":[{"name":"VA National Center for Rehabilitative Auditory Research, VA Portland Medical Center, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","reference":[{"key":"ref1","volume-title":"Statistical Abstract of the United States","author":"U.S. Department of Commerce","year":"1997"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1093\/oxfordjournals.aje.a009713","article-title":"Prevalence of hearing loss in older adults in Beaver Dam, Wisconsin","volume":"148","author":"K J Cruickshanks","year":"1998","journal-title":"Am J Epidemiol"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1177\/0898264315614570","article-title":"Association of hearing loss and loneliness in older adults","volume":"28","author":"Y K Sung","year":"2016","journal-title":"J Aging Health"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1192\/bjp.110.468.668","article-title":"Old age mental disorders in Newcastle upon Tyne. II. A study of possible social and medical causes","volume":"110","author":"D W Kay","year":"1964","journal-title":"Br J Psychiatry"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1136\/bmj.281.6245.903","article-title":"Hearing impairment and mental state in the elderly living at home","volume":"281","author":"K G Herbst","year":"1980","journal-title":"BMJ"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/00003446-199006000-00002","article-title":"Discriminating and responsiveness abilities of two hearing handicap scales","volume":"11","author":"C D Mulrow","year":"1990","journal-title":"Ear Hear"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1177\/089826439200400108","article-title":"The relationship of vision and hearing impairment to one-year mortality and functional decline","volume":"4","author":"R G LaForge","year":"1992","journal-title":"J Aging Health"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1111\/j.1532-5415.1993.tb06948.x","article-title":"Sensory impairment and quality of life in a community elderly population","volume":"41","author":"C Carabellese","year":"1993","journal-title":"J Am Geriatr Soc"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1093\/ageing\/25.2.89","article-title":"Effects of sensory aids on the quality of life and mortality of elderly people: a multivariate analysis","volume":"25","author":"I Appollonio","year":"1996","journal-title":"Age Ageing"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbz128","article-title":"Hearing loss, hearing aid use and depressive symptoms in older adults - Findings from the atherosclerosis risk in communities neurocognitive study (ARIC-NCS)","author":"A Shukla","year":"2019","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"issue":"13","key":"ref11","doi-asserted-by":"crossref","first-page":"1916","DOI":"10.1001\/jama.1989.03420130084028","article-title":"Relationship of hearing impairment to dementia and cognitive dysfunction in older adults","volume":"261","author":"R F Uhlmann","year":"1989","journal-title":"JAMA"},{"issue":"02","key":"ref12","first-page":"214","article-title":"Hearing loss and incident dementia","volume":"68","author":"F R Lin","year":"2011","journal-title":"Arch Neurol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/00003446-199008000-00001","article-title":"Hearing in the elderly: the Framingham cohort, 1983-1985. Part I. Basic audiometric test results","volume":"11","author":"G A Gates","year":"1990","journal-title":"Ear Hear"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/AUD.0b013e3181cbc783","article-title":"Guest editorial: accessible and affordable hearing health care for adults with mild to moderate hearing loss","volume":"31","author":"A Donahue","year":"2010","journal-title":"Ear Hear"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/j.1749-4486.2006.01195.x","article-title":"How we do it: the Dutch functional hearing-screening tests by telephone and internet","volume":"31","author":"C Smits","year":"2006","journal-title":"Clin Otolaryngol"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1097\/AUD.0b013e318220d973","article-title":"Investigation of the actions taken by adults who failed a telephone-based hearing screen","volume":"32","author":"C Meyer","year":"2011","journal-title":"Ear Hear"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1044\/1059-0889(2013\/12-0060)","article-title":"Adult hearing screening: follow-up and outcomes1","volume":"22","author":"C Thodi","year":"2013","journal-title":"Am J Audiol"},{"issue":"S 03","key":"ref19","doi-asserted-by":"crossref","first-page":"S52","DOI":"10.1080\/14992027.2016.1182650","article-title":"Measuring motivation using the transtheoretical (stages of change) model: a follow-up study of people who failed an online hearing screening","volume":"55","author":"E Ingo","year":"2016","journal-title":"Int J Audiol"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1111\/j.1532-5415.2010.02738.x","article-title":"Long-term effectiveness of screening for hearing loss: the screening for auditory impairment\u2014which hearing assessment test (SAI-WHAT) randomized trial","volume":"58","author":"B Yueh","year":"2010","journal-title":"J Am Geriatr Soc"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/00003446-198205000-00006","article-title":"The hearing handicap inventory for the elderly: a new tool","volume":"3","author":"I M Ventry","year":"1982","journal-title":"Ear Hear"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"94","DOI":"10.2307\/3348967","article-title":"Why people use health services","volume":"44","author":"I M Rosenstock","year":"1966","journal-title":"Milbank Mem Fund Q"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/AUD.0000000000000268","article-title":"Description of adults seeking hearing help for the first time according to two health behavior change approaches: Transtheoretical Model (stages of change) and Health Belief Model","volume":"37","author":"G H Saunders","year":"2016","journal-title":"Ear Hear"},{"issue":"03","key":"ref24","doi-asserted-by":"crossref","first-page":"185","DOI":"10.3109\/14992020903092608","article-title":"AMTAS: automated method for testing auditory sensitivity: validation studies","volume":"49","author":"R H Margolis","year":"2010","journal-title":"Int J Audiol"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"161","DOI":"10.3766\/jaaa.16038","article-title":"Validation of a computer-administered version of the digits-in-noise test for hearing screening in the United States","volume":"28","author":"R L Folmer","year":"2017","journal-title":"J Am Acad Audiol"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1097\/00003446-199012000-00004","article-title":"The hearing handicap inventory for adults: psychometric adequacy and audiometric correlates","volume":"11","author":"C W Newman","year":"1990","journal-title":"Ear Hear"},{"issue":"08","key":"ref27","doi-asserted-by":"crossref","first-page":"558","DOI":"10.3109\/14992027.2013.791030","article-title":"Application of the health belief model: development of the hearing beliefs questionnaire (HBQ) and its associations with hearing health behaviors","volume":"52","author":"G H Saunders","year":"2013","journal-title":"Int J Audiol"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/AUD.0000000000000085","article-title":"Stages of change in adults who have failed an online hearing screening","volume":"36","author":"A Laplante-L\u00e9vesque","year":"2015","journal-title":"Ear Hear"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1044\/1059-0889(2012\/12-0028)","article-title":"Older adults and hearing help-seeking behaviors","volume":"21","author":"G H Saunders","year":"2012","journal-title":"Am J Audiol"}],"container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2021\/00000032\/00000004\/art00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:12:27Z","timestamp":1738829547000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.1055\/s-0041-1723041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4,1]]}},"alternative-id":["1050-0545(20210401)32:4L.235;1-"],"URL":"https:\/\/doi.org\/10.1055\/s-0041-1723041","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4,1]]}}}