{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:39:37Z","timestamp":1791502777868,"version":"4.3.4"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R21DC015003"],"award-info":[{"award-number":["R21DC015003"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R33DC015003"],"award-info":[{"award-number":["R33DC015003"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Hearing loss frequently goes undiagnosed and untreated, with serious sequelae. Hearing screening facilitates diagnosis and treatment but is not routinely conducted in primary care. This study addresses the attitudes and insights of patients and primary care clinic personnel relative to the routinization of hearing screening in primary care for older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Research Design and Methods<\/jats:title><jats:p>Data presented are from the qualitative portion of a larger study. The main study compared screening completion for 3 approaches to coordinating telephone-based hearing screening with primary care\u20141 offering hearing screening within the primary care encounter and 2 providing information for at-home screening ( 1 with and 1 without provider encouragement). Focus groups\/interviews were conducted with personnel (n\u2005=\u200538) at the 6 participating clinics, patients who completed screening and were referred for diagnosis (n\u2005=\u200514), and patients who did not complete screening (n\u2005=\u200510). Analysis used the general inductive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most patients had unaddressed hearing concerns prior to the study. Negative attitudes toward hearing loss\/treatment were common, and experiences of family and friends influenced attitudes, but lack of urgency was the primary barrier to screening completion. Respondents favored routine primary care-based hearing screening for older adults, but clinic personnel noted challenges of time, space, workflow, and reimbursement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Implications<\/jats:title><jats:p>Findings favor greater routinization of hearing screening in primary care. Routinization will be enhanced by improved reimbursement for screening and follow-up; specialist engagement with primary care and the public (including leveraging older adults\u2019 social networks); and further research on specific integration options.<\/jats:p><\/jats:sec>","DOI":"10.1093\/geront\/gnae107","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T05:28:48Z","timestamp":1724390928000},"source":"Crossref","is-referenced-by-count":7,"title":["Routine Hearing Screening for Older Adults in Primary Care: Insights of Patients and Clinic Personnel"],"prefix":"10.1093","volume":"64","author":[{"given":"Mina","family":"Silberberg","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Community Health, Duke University School of Medicine , Durham, North Carolina ,","place":["USA"]},{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine , Durham, North Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisha","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery,\u00a0Northwestern Memorial Hospital , Chicago, Illinois ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Prvu Bettger","sequence":"additional","affiliation":[{"name":"Duke Global Health Institute, Duke University , Durham, North Carolina ,","place":["USA"]},{"name":"Department of Orthopaedic Surgery, Duke University , Durham, North Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherri L","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine , Durham, North Carolina ,","place":["USA"]},{"name":"Department of Population Health Sciences, Duke University School of Medicine , Durham, North Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard W","family":"Francis","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine , Durham, North Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2340-4721","authenticated-orcid":false,"given":"Judy R","family":"Dubno","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina , Charleston, South Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine A","family":"Schulz","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine , Durham, North Carolina 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