Hearing Loss Clinical Trial
Official title:
Hearing Resources and Outcomes in the Emergency Department (HERO-ED)
The Hearing Resources and Outcomes in the Emergency Department Pilot (HERO-ED Pilot), gathers preliminary data and hones procedures and measures, prior to undertaking HERO-ED. Since the HERO-ED Pilot does not involve random assignment (no control group), it will not test device effectiveness. However, the HERO-ED Pilot will test device acceptability and use. It will also provide preliminary data on, and allow us to fine-tune, the measures of effectiveness that we plan to use in HERO-ED
The objectives are:
1. Measure the feasibility of in-ED hearing screening using HHIE-S and a handheld
audiometer, among low-acuity11 ED patients age ≥75 years, by quantifying the proportion
of eligible patients who complete hearing screening.
2. Test whether low-acuity older ED patients who screen positive for significant hearing
loss (> 40 dB HL bilaterally and HHIE-S > 24) and are provided a hearing assistance
device (HAD) use that device during the ED visit.
3. Test whether patients who are given a hearing assistance device will report ability as
opposed to disability in hearing and understanding, using a six-item questionnaire
adapted from a study by Cox et al.
4. Test whether those who are given a hearing assistance device will report being prepared
for post-discharge care, using an adapted subset of the Care Transitions Measures (CTM).
5. Assess patient understanding of the HAD survey items within the post-use survey.
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