{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:01:20Z","timestamp":1785366080785,"version":"3.55.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Hear"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adults living in rural communities of Alabama have limited or no access to hearing healthcare for a variety of reasons. Hearing loss can result in decreased social contact, potentially leading to loneliness, and it has been associated with depression and cognitive decline. To improve access to hearing healthcare, the FDA released its Final Rule in 2022 stating that adults with perceived mild-to-moderate hearing loss can purchase over-the-counter hearing aids (OTC HAs) on their own without clearance from a physician or through the care of an audiologist. Current research suggests, however, that adults benefit from professional support when purchasing and setting their OTC HAs. Understanding how much support is needed and how to best provide the support will be necessary for successful OTC HA use. Considering that these devices can now be purchased at pharmacies, one model in rural areas could involve the pharmacy technician who could assist and support those with hearing loss in community pharmacies. This article outlines a pharmacy technician educational training program that will incorporate didactic, interactional, and experiential learning components to promote the use of OTC HAs. The outcomes from this project will provide the foundation for the development and implementation of one model for improving access to hearing healthcare in rural communities.<\/jats:p>","DOI":"10.1055\/s-0045-1806790","type":"journal-article","created":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:51:46Z","timestamp":1742604706000},"page":"019-025","source":"Crossref","is-referenced-by-count":1,"title":["An Innovative Approach for Increasing Access to Over-the-Counter Hearing Aids in Rural Communities of Alabama"],"prefix":"10.1055","volume":"46","author":[{"given":"Marcia J.","family":"Hay-McCutcheon","sequence":"additional","affiliation":[{"name":"Department of Communicative Disorders, The University of Alabama, Tuscaloosa, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas A.","family":"Berenbrok","sequence":"additional","affiliation":[{"name":"Department of Pharmacy and Therapeutics, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Mormer","sequence":"additional","affiliation":[{"name":"Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Hughes","sequence":"additional","affiliation":[{"name":"McWhorter School of Pharmacy, Samford University, Birmingham, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"issue":"01","key":"ref1","first-page":"27","article-title":"Consideration of one area of persistent poverty in the United States","volume":"31","author":"T C Wharton","year":"2009","journal-title":"Soc Dev Issues"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1007\/s10900-020-00943-4","article-title":"Accessibility to hearing healthcare in rural and urban populations of Alabama: perspectives and a preliminary roadmap for addressing inequalities","volume":"46","author":"M J Hay-McCutcheon","year":"2021","journal-title":"J Community Health"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"2138","DOI":"10.1044\/2018_JSLHR-H-17-0485","article-title":"Positive social interaction and hearing loss in older adults living in rural and urban communities","volume":"61","author":"M J Hay-McCutcheon","year":"2018","journal-title":"J Speech Lang Hear Res"},{"issue":"07","key":"ref5","first-page":"485","article-title":"Access to hearing health care, geographical residency, and quality of life in adults with and without hearing loss","volume":"31","author":"M J Hay-McCutcheon","year":"2020","journal-title":"J Am Acad Audiol"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1177\/0194599820910377","article-title":"Hearing loss, loneliness, and social isolation: a systematic review","volume":"162","author":"A Shukla","year":"2020","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1001\/jama.2022.20954","article-title":"Hearing loss and dementia prevalence in older adults in the US","volume":"329","author":"A R Huang","year":"2023","journal-title":"JAMA"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1044\/1059-0889(2013\/12-0069)","article-title":"Hearing status in older persons: a significant determinant of depression and loneliness? 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Bircher","year":"2014","journal-title":"J Public Health Policy"},{"issue":"20","key":"ref14","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1001\/archinternmed.2011.506","article-title":"Hearing loss prevalence in the United States","volume":"171","author":"F R Lin","year":"2011","journal-title":"Arch Intern Med"},{"issue":"08","key":"ref16","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1258\/0022215001906480","article-title":"Manual dexterity and successful hearing aid use","volume":"114","author":"M Kumar","year":"2000","journal-title":"J Laryngol Otol"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1044\/2018_AJA-18-0082","article-title":"A follow-up clinical trial evaluating the consumer-decides service delivery model","volume":"28","author":"L E Humes","year":"2019","journal-title":"Am J 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