Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK.
Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK.
Int J Environ Res Public Health. 2021 Jul 29;18(15):8025. doi: 10.3390/ijerph18158025.
Interventions to increase hearing protection behaviours within noisy recreational settings are limited by the lack of an underpinning evidence base. The aim of the present study was to identify targets for interventions in a population exposed to recreational noise, including those who had used hearing protection (ever-performers) versus those who had not (never-performers). A cross-sectional survey was administered to 185 UK adults who had been involved in noisy recreational activities. Participants had an average age of 36.79 years; the majority were women (68.1%), from a white ethnic background (87.6%), and with non-manual occupations (75.7%). Using Chi-square, MANOVA and ANOVA, we looked for differences in sociodemographic variables and variables from the capabilities, opportunities and motivations model of behaviour change (COM-B) between ever- and never-performers. Ever-performers were more likely to be younger ( < 0.050), men ( < 0.050), and in a manual occupation ( < 0.050) compared to never-performers. Although the two groups felt capable and reported similar opportunities to use hearing protection, never-performers lacked automatic motivation ( < 0.001) and reflective motivation ( < 0.001) compared to ever-performers. For the first time, the present study identifies potential groups at whom hearing protection interventions might be targeted and what those interventions may contain. Further work is required to develop interventions targeted at older people, women and those in non-manual occupations. Lack of motivation is a key concern, and further work that uses specific theoretical frameworks, such as the PRIME (Plans, Responses, Impulses, Motives, and Evaluations) theory of motivation, may shed light on the kinds of interventions that are needed to boost hearing protection use effectively.
在嘈杂的娱乐环境中增加听力保护行为的干预措施受到缺乏基础证据的限制。本研究的目的是确定在接触娱乐性噪声的人群中进行干预的目标，包括使用听力保护的人群（曾使用者）和未使用听力保护的人群（未使用者）。本横断面调查共纳入 185 名曾参与过嘈杂娱乐活动的英国成年人。参与者的平均年龄为 36.79 岁；大多数为女性（68.1%），白人（87.6%），非体力劳动者（75.7%）。通过卡方检验、MANOVA 和 ANOVA，我们比较了曾使用者和未使用者在社会人口统计学变量和行为改变的能力、机会和动机模型（COM-B）变量之间的差异。与未使用者相比，曾使用者更年轻（<0.050）、男性（<0.050）和从事体力劳动（<0.050）。尽管这两组人都感到有能力并报告了类似的使用听力保护的机会，但与曾使用者相比，未使用者缺乏自动动机（<0.001）和反思动机（<0.001）。本研究首次确定了听力保护干预措施可能针对的潜在人群以及这些干预措施可能包含的内容。需要进一步的工作来开发针对老年人、女性和非体力劳动者的干预措施。缺乏动机是一个关键问题，使用特定理论框架（如动机的 PRIME（计划、反应、冲动、动机和评价）理论）的进一步工作可能会阐明有效提高听力保护使用的干预措施的类型。
