{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T21:09:22Z","timestamp":1766869762494,"version":"3.41.2"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Integr. Neurosci."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Noise-induced hearing loss can be avoided by taking preventive measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effectiveness of the Brazilian version of the Dangerous Decibels<jats:sup>\u00ae<\/jats:sup> program for noise-exposed workers, using the ecological model as an educational intervention plan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Non-randomized interventional study with a quantitative, experimental trial design, conducted at a meatpacking company. The participants were divided into two groups\u2014the first one (<jats:italic>n<\/jats:italic> = 132, divided into 6 subgroups) received the Dangerous Decibels<jats:sup>\u00ae<\/jats:sup> Brazil educational intervention (DDBEI) adapted to workers while the second group (<jats:italic>n<\/jats:italic> = 138, divided into 5 subgroups) received a conventional educational intervention (CEI). The interventions lasted 50 min. The Hearing Protection Assessment Questionnaire (HPA-5) was administered before and after the interventions. The five dimensions (attitude, behavior, knowledge, supports, and barriers) were compared using the Student\u2019s <jats:italic>t<\/jats:italic>-test for paired data (&amp;lt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After both the DDBEI and CEI training, workers improved significantly in barriers, supports, knowledge, attitudes, and behavior around noise. By chance, the CEI group scored lower in all measures than the DDBEI group before training, and though both groups improved, the difference was maintained after training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Brazilian version of the Dangerous Decibels<jats:sup>\u00ae<\/jats:sup> program for noise-exposed workers was effective, influencing positively the factors at different levels of the ecological model. Though the DDBEI was no more effective than the CEI, the CEI participants began at much lower levels, so the effectiveness of the DDBEI may have been underestimated.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fnint.2022.909972","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T09:43:33Z","timestamp":1657878213000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the Dangerous Decibels Brazil Program in Workers Exposed to Noise"],"prefix":"10.3389","volume":"16","author":[{"given":"Luciana","family":"Bramati","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jair Mendes","family":"Marques","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Giglio Oliveira","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Welch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana Bender de Moreira","family":"Lacerda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.2900\/73931","author":"Angus","year":"2013","journal-title":"Systematic Literature Review to Examine the Evidence for the Effectiveness Of Interventions That use Theories and Models of Behavior Change: Towards the Prevention and Control of Communicable Diseases."},{"key":"B2","first-page":"131","article-title":"As percep\u00e7\u00f5es de riscos dos trabalhadores: conhecimento ou \u2018iliteracia\u2019","author":"Areosa","year":"2007","journal-title":"Col\u00f3quio Internacional de Seguran\u00e7a e Higiene Ocupacionais \u2013 SHO"},{"key":"B3","first-page":"65","article-title":"As percep\u00e7\u00f5es de riscos dos trabalhadores: qual a sua import\u00e2ncia para a preven\u00e7\u00e3o de acidentes de trabalho","author":"Areosa","year":"2012","journal-title":"in Impacto Social dos Acidentes de Trabalho"},{"journal-title":"Social Foundations Of Thought and Action: A Social Cognitive Theory.","year":"1986","author":"Bandura","key":"B4"},{"journal-title":"Tradu\u00e7\u00e3o e Adapta\u00e7\u00e3o Para o Portugu\u00eas Brasileiro do Question\u00e1rio de Avalia\u00e7\u00e3o da Prote\u00e7\u00e3o Auditiva (HPA-5). Codas. S\u00e3o Paulo: CoDAS.","year":"2021","author":"Bramati","key":"B5"},{"journal-title":"Minist\u00e9rio da Sa\u00fade. Portaria Federal GM\/MS n\u00b0 1.823, de 23 de Agosto de 2012. Institui a Pol\u00edtica Nacional de Sa\u00fade do Trabalhador e da Trabalhadora","year":"2012","key":"B6"},{"journal-title":"Portaria n\u00b0 6.734, de 9 de Mar\u00e7o de 2020. Aprova a Nova Reda\u00e7\u00e3o da Norma Regulamentadora n. 7 \u2013 Programa de Controle M\u00e9dico de Sa\u00fade Ocupacional \u2013 PCMSO. 2020b.","year":"2020","key":"B7"},{"key":"B8","doi-asserted-by":"publisher","first-page":"315","DOI":"10.2105\/AJPH.2004.059840","article-title":"Relative effectiveness of worker safety and health training methods.","volume":"96","author":"Burke","year":"2006","journal-title":"Am. J. Public Health"},{"journal-title":"Resolu\u00e7\u00e3o n. 469 de 10.07.2015.","year":"2021","key":"B9"},{"key":"B10","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1093\/annhyg\/mep039","article-title":"Predictors of hearing protection use in construction workers.","volume":"53","author":"Edelson","year":"2009","journal-title":"Ann. Occup. Hyg."},{"journal-title":"Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on an EU Strategic Framework on Health and Safety at Work 2014-2020.","year":"2020","key":"B11"},{"key":"B12","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1044\/1059-0889(2007\/021)","article-title":"Effectiveness of \u201cDangerous Decibels\u201d, a school-based hearing loss prevention program.","volume":"16","author":"Griest","year":"2007","journal-title":"Am. J. Audiol."},{"journal-title":"Research Report 367. A Review of Safety Culture and Safety Climate Literature for the Development of the Safety Culture Inspection Toolkit. Suffolk (UK): HSE Books. Report n\u00b0 367","year":"2005","key":"B13"},{"journal-title":"Hearloss \u2013 Hearing Loss Demonstrator.","year":"2010","author":"Huckvale","key":"B14"},{"journal-title":"Creating Safe and Healthy Workplaces for all. Report Prepared for the G20 Labour and Employment Ministerial Meeting Melbourne, Australia.","year":"2014","key":"B15"},{"key":"B16","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.shaw.2016.02.002","article-title":"Creating a culture of prevention in occupational safety and health practice.","volume":"7","author":"Kim","year":"2016","journal-title":"Saf. Health Work"},{"key":"B17","doi-asserted-by":"publisher","first-page":"S35","DOI":"10.3109\/14992027.2013.857794","article-title":"Effectiveness of the Brazilian version of the Dangerous Decibels\u00ae educational program.","volume":"53","author":"Knobel","year":"2013","journal-title":"Int. J. Audiol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"437","DOI":"10.4278\/ajhp.22.6.437","article-title":"The ecological approach in health promotion programs: a decade later.","volume":"22","author":"Kok","year":"2008","journal-title":"Am. J. Health Promot."},{"key":"B19","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/S1672-2930(06)50002-9","article-title":"Noise induced hearing loss in children: preventing the silent epidemic.","volume":"1","author":"Martin","year":"2006","journal-title":"J. Otol."},{"key":"B20","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/109019818801500401","article-title":"An ecological perspective on health promotion programs.","volume":"15","author":"Mcleroy","year":"1988","journal-title":"Health Educ. Q."},{"key":"B21","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1002\/ajim.20223","article-title":"The global burden of occupational noise-induced hearing loss.","volume":"48","author":"Nelson","year":"2005","journal-title":"Am. J. Ind. Med."},{"journal-title":"Preventing Occupational Hearing Loss: A Practical Guide.","year":"1996","key":"B22"},{"journal-title":"Noise and Hearing Loss Prevention. Reducing Noise Exposure. 6 Fev. 2018.","year":"2018","key":"B23"},{"key":"B24","first-page":"1","author":"Oliveira","year":"2015","journal-title":"A Arte de Educar na \u00c1rea da Sa\u00fade: Experi\u00eancias com Metodologias Ativas"},{"journal-title":"United States Department of Labor. Hearing Conservation.","year":"2002","key":"B25"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1590\/2317-6431-2016-1809","article-title":"Atividade de grupo como estrat\u00e9gia de educa\u00e7\u00e3o em sa\u00fade auditiva de trabalhadores de um servi\u00e7o de manuten\u00e7\u00e3o hospitalar.","volume":"22","author":"Ramos","year":"2017","journal-title":"Audiol. Commun. Res."},{"journal-title":"An Ecological Approach to the Assessment and Promotion of Hearing Protection Behavior in the Workplace. A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Ph.D.","year":"2014","author":"Reddy","key":"B27"},{"key":"B28","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1093\/occmed\/kqt178","article-title":"Development of the hearing protection assessment (HPA-2) questionnaire.","volume":"64","author":"Reddy","year":"2014","journal-title":"Occup. Med."},{"key":"B29","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1080\/14992027.2016.1271467","article-title":"An ecological approach to hearing-health promotion in Workplaces.","volume":"56","author":"Reddy","year":"2017","journal-title":"Int. J. Audiol."},{"key":"B30","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1146\/annurev.psych.52.1.471","article-title":"The science of training: a decade of progress.","volume":"52","author":"Salas","year":"2001","journal-title":"Annu. Rev. Psychol."},{"key":"B31","first-page":"465","article-title":"Ecological models of health behavior","author":"Sallis","year":"2008","journal-title":"Health Behavior and Health Education: Theory Research and Practice"},{"journal-title":"Behavior Theory in Health Promotion Practice and Research.","year":"2012","author":"Simons-Morton","key":"B32"},{"key":"B33","doi-asserted-by":"publisher","first-page":"274","DOI":"10.4103\/1463-1741.104893","article-title":"Noise-induced hearing loss.","volume":"14","author":"Sliwinska-Kowalska","year":"2012","journal-title":"Noise Health"}],"container-title":["Frontiers in Integrative Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnint.2022.909972\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T09:43:46Z","timestamp":1657878226000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnint.2022.909972\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,14]]},"references-count":33,"alternative-id":["10.3389\/fnint.2022.909972"],"URL":"https:\/\/doi.org\/10.3389\/fnint.2022.909972","relation":{},"ISSN":["1662-5145"],"issn-type":[{"type":"electronic","value":"1662-5145"}],"subject":[],"published":{"date-parts":[[2022,7,14]]},"article-number":"909972"}}