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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

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Published on: March 24, 2023

Development and Implementation of an Aural Rehabilitation Program Using Community Health Workers in Rural Alabama.

Marcia J Hay-McCutcheon^1,2,3, Abigail Hubbard¹, Emma B Brothers¹

¹Department of Communicative Disorders, The University of Alabama, Tuscaloosa.

Perspectives of the ASHA Special Interest Groups

|March 24, 2025

Summary

This summary is machine-generated.

New hearing healthcare models are essential due to limited audiological care. This study developed an aural rehabilitation (AR) program and community health worker (CHW) training for rural Alabamians using over-the-counter hearing aids (OTC HAs).

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Published on: January 23, 2017

Area of Science:

Audiology
Public Health
Healthcare Delivery Models

Background:

Limited audiological care access in many US regions necessitates innovative hearing healthcare solutions.
Rural communities face significant barriers to accessing hearing healthcare services.
Over-the-counter hearing aids (OTC HAs) offer a potential solution, but require support structures.

Purpose of the Study:

To develop and implement an aural rehabilitation (AR) program tailored for rural populations.
To create and deliver a community health worker (CHW) educational training program to support AR.
To assist individuals with hearing loss in rural Alabama using OTC HAs.

Main Methods:

The AR and CHW training programs were developed based on experiential learning principles and expert input.
Implementation involved collaboration with study personnel, consultants, and CHWs over three years (March 2021-March 2024).
Iterative refinement of both programs occurred post-implementation based on ongoing guidance.

Main Results:

An AR program and a CHW training program were successfully developed and implemented in West Central and South Alabama.
The programs were designed to support individuals utilizing OTC HAs in underserved rural areas.
The initiative was conducted as part of a registered clinical trial (NCT04671381).

Conclusions:

The developed AR program and CHW training provide a scalable model for hearing healthcare in rural settings.
Future research will evaluate the program's effectiveness through speech perception and survey data.
This initiative addresses critical gaps in audiological care for rural communities.