Seever Katie L, Johnson Carole E, Baldwin Jonathan, Danhauer Jeffrey L, Wolfe Brian, Jeannont Stevana
Hearing Evaluation, Rehabilitation, and Outcomes Laboratory, Department of Communication Sciences and Disorders, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Medical Imaging and Radiation Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Semin Hear. 2018 May;39(2):210-220. doi: 10.1055/s-0038-1641744. Epub 2018 Jun 15.
Young musicians may be at risk for developing cochlear synaptopathy (CS), or hidden hearing loss (HHL), that could lead to permanent music-induced hearing loss (MIHL). Patients with CS often complain of tinnitus and/or difficulty understanding speech in noisy situations, even though traditional audiometric testing indicates normal hearing. The aim of this article was to determine the effects of including information about HHL on an program involving college band members' concern about and self-efficacy toward the prevention of MIHL. We conducted a single-blinded, randomized clinical trial. Forty-eight band members participated in this study. Band members were randomly assigned to two presentations, one with and one without information on HHL. Including information about HHL had no effect on these band members' concerns about and self-efficacy toward the prevention of MIHL. However, the program resulted in significantly increased concern for MIHL by 39.5% ( < 0.0001, 95% confidence interval [CI]: 25-54.2), self-efficacy in its prevention by 79.1% ( < 0.0001, 95% CI: 66.9-91.2), and plans to use musicians' earplugs while playing by 67.4% ( < 0.0001, 95% CI: 53.4-81.45). Although inclusion of information about HHL did not have a significant effect, the program, in general, significantly increased the immediate intent of these students to practice healthy hearing behaviors. Future research is needed to determine the long-term effects of using the program with university marching bands' use of healthy hearing behaviors.
年轻音乐家可能面临患耳蜗突触病变（CS）或隐匿性听力损失（HHL）的风险，这可能导致永久性音乐性听力损失（MIHL）。CS患者常抱怨耳鸣和/或在嘈杂环境中理解言语困难，尽管传统听力测试显示听力正常。本文旨在确定在一个针对大学乐队成员对预防MIHL的关注和自我效能感的项目中纳入有关HHL信息的效果。我们进行了一项单盲随机临床试验。48名乐队成员参与了本研究。乐队成员被随机分配到两个演示组，一组有关于HHL的信息，另一组没有。纳入有关HHL的信息对这些乐队成员对预防MIHL的关注和自我效能感没有影响。然而，该项目使对MIHL的关注度显著提高了39.5%（P < 0.0001，95%置信区间[CI]：25 - 54.2），预防方面的自我效能感提高了79.1%（P < 0.0001，95%CI：66.9 - 91.2），以及在演奏时使用音乐家专用耳塞的计划增加了67.4%（P < 0.0001，95%CI：53.4 - 81.45）。虽然纳入有关HHL的信息没有显著效果，但总体而言，该项目显著提高了这些学生实施健康听力行为的即时意愿。需要进一步的研究来确定在大学行进乐队中使用该项目对健康听力行为的长期影响。
