Related Experiment Video
Updated: May 18, 2026
An Automated System for Sound Localization Testing in Hearing-Impaired Listeners
Published on: March 13, 2026
Firefighter hearing health: an informatics approach to screening, measurement, and research
OiSaeng Hong1, Karen A Monsen, Madeleine J Kerr
1School of Nursing, University of California, San Francisco, San Francisco, CA 94143-0608, USA. oisaeng.hong@nursing.ucsf.edu
Objective:
The purpose of this study was to evaluate the use of a standardized interface terminology, the Omaha System, with respect to noise-induced hearing loss (NIHL).
Design:
A descriptive, correlational design was employed for this secondary analysis with the data from an ongoing hearing protection intervention study.
Study Sample:
A total of 346 firefighters were included.
Results:
First, an evidence-based standardized care plan (EB-SCP) for hearing screening was developed and validated by clinical experts. Second, occupational health records were used to compute Omaha System Knowledge, Behavior, and Status outcomes. Third, research data were mapped to Omaha System rating scales. For Knowledge, the mean score was close to 'adequate' (3.7). For Behavior, the mean score was close to 'rarely appropriate' (2.2). For Status, the mean score was close to 'minimal sign/symptom' (4.4). Significant positive relationships were found between Knowledge and Behavior (Spearman's rho =.13, p =.01), and between Behavior and hearing Status (Spearman's rho =.12, p =.02).
Conclusions:
Findings support the validity of the new Knowledge, Behavior, and hearing Status. Informatics methods such as the standardized NIHL EB-SCP and outcome data sets will create opportunities for clinical decision support and data exchange across various health care settings, thus supporting population-based hearing health assessments and outcomes.
