MAPPING BARRIERS AND FACILITATORS OF ACCESS TO HEARING HEALTHCARE RESOURCES TO THE COM-B FRAMEWORK Article Swipe
Debra L. Schutte
,
Thomas Templin
,
Brian C. Schutte
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igac059.1386
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/geroni/igac059.1386
Age-related hearing impairment (ARHI) affects 20-40% of older adults. However, many people with hearing impairment fail to seek professional evaluation and treatment, delay seeking treatment, or abandon treatment. The purpose of this study was to identify barriers and facilitators of access to hearing healthcare resources in a rural setting and to characterize these barriers within the COM-B (capability, motivation, and opportunity) framework. Survey packets were handed out following services at a rural community church; 72 completed surveys were returned. The mean age of participants was 54.4 years. Thirty-one percent of respondents reported moderate to severe hearing impairment; of these individuals, 7 (31%) were currently using a hearing aid. Rates of hearing protection use fell below the Healthy People 2020 target of 53% across occupational and leisure noise exposure. Forty-eight percent (N=34) of participants had never had their hearing tested as an adult. Overall perceived barriers were significantly correlated with age (r= .260, P = .034) and perceived hearing loss (r=-.277, P= .025). Barriers were identified across all domains and subdomains of the COM-B framework. Barriers clustered in the reflective motivation domain, in which participants undervalue the significance of hearing loss. Barriers also clustered within the social and physical opportunity domains, suggesting a lack of access to providers and an undervaluation of hearing loss by others (family and health care providers). These findings provide evidence regarding the accessibility of hearing healthcare services in rural settings and will serve as a foundation for the design of a community-tailored hearing health intervention.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/geroni/igac059.1386
- https://academic.oup.com/innovateage/article-pdf/6/Supplement_1/350/48309944/igac059.1386.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4312103318
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4312103318Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/geroni/igac059.1386Digital Object Identifier
- Title
-
MAPPING BARRIERS AND FACILITATORS OF ACCESS TO HEARING HEALTHCARE RESOURCES TO THE COM-B FRAMEWORKWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-11-01Full publication date if available
- Authors
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Debra L. Schutte, Thomas Templin, Brian C. SchutteList of authors in order
- Landing page
-
https://doi.org/10.1093/geroni/igac059.1386Publisher landing page
- PDF URL
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https://academic.oup.com/innovateage/article-pdf/6/Supplement_1/350/48309944/igac059.1386.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/innovateage/article-pdf/6/Supplement_1/350/48309944/igac059.1386.pdfDirect OA link when available
- Concepts
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Hearing loss, Health care, Rural area, Psychology, Hearing aid, Medicine, Audiology, Political science, Pathology, LawTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.design | 243 |
| abstract_inverted_index.handed | 66 |
| abstract_inverted_index.health | 218, 248 |
| abstract_inverted_index.others | 215 |
| abstract_inverted_index.people | 12 |
| abstract_inverted_index.severe | 95 |
| abstract_inverted_index.social | 196 |
| abstract_inverted_index.target | 120 |
| abstract_inverted_index.tested | 139 |
| abstract_inverted_index.within | 55, 194 |
| abstract_inverted_index.years. | 87 |
| abstract_inverted_index.(family | 216 |
| abstract_inverted_index.Healthy | 117 |
| abstract_inverted_index.Overall | 143 |
| abstract_inverted_index.abandon | 27 |
| abstract_inverted_index.adults. | 9 |
| abstract_inverted_index.affects | 5 |
| abstract_inverted_index.church; | 74 |
| abstract_inverted_index.domain, | 181 |
| abstract_inverted_index.domains | 168 |
| abstract_inverted_index.hearing | 2, 14, 43, 96, 107, 111, 138, 158, 189, 212, 229, 247 |
| abstract_inverted_index.leisure | 126 |
| abstract_inverted_index.packets | 64 |
| abstract_inverted_index.percent | 89, 130 |
| abstract_inverted_index.provide | 223 |
| abstract_inverted_index.purpose | 30 |
| abstract_inverted_index.seeking | 24 |
| abstract_inverted_index.setting | 49 |
| abstract_inverted_index.surveys | 77 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Barriers | 163, 175, 191 |
| abstract_inverted_index.However, | 10 |
| abstract_inverted_index.barriers | 37, 54, 145 |
| abstract_inverted_index.domains, | 200 |
| abstract_inverted_index.evidence | 224 |
| abstract_inverted_index.findings | 222 |
| abstract_inverted_index.identify | 36 |
| abstract_inverted_index.moderate | 93 |
| abstract_inverted_index.physical | 198 |
| abstract_inverted_index.reported | 92 |
| abstract_inverted_index.services | 69, 231 |
| abstract_inverted_index.settings | 234 |
| abstract_inverted_index.(r=-.277, | 160 |
| abstract_inverted_index.clustered | 176, 193 |
| abstract_inverted_index.community | 73 |
| abstract_inverted_index.completed | 76 |
| abstract_inverted_index.currently | 104 |
| abstract_inverted_index.exposure. | 128 |
| abstract_inverted_index.following | 68 |
| abstract_inverted_index.perceived | 144, 157 |
| abstract_inverted_index.providers | 207 |
| abstract_inverted_index.regarding | 225 |
| abstract_inverted_index.resources | 45 |
| abstract_inverted_index.returned. | 79 |
| abstract_inverted_index.Thirty-one | 88 |
| abstract_inverted_index.correlated | 148 |
| abstract_inverted_index.evaluation | 20 |
| abstract_inverted_index.foundation | 240 |
| abstract_inverted_index.framework. | 62, 174 |
| abstract_inverted_index.healthcare | 44, 230 |
| abstract_inverted_index.identified | 165 |
| abstract_inverted_index.impairment | 3, 15 |
| abstract_inverted_index.motivation | 180 |
| abstract_inverted_index.protection | 112 |
| abstract_inverted_index.reflective | 179 |
| abstract_inverted_index.subdomains | 170 |
| abstract_inverted_index.suggesting | 201 |
| abstract_inverted_index.treatment, | 22, 25 |
| abstract_inverted_index.treatment. | 28 |
| abstract_inverted_index.undervalue | 185 |
| abstract_inverted_index.Age-related | 1 |
| abstract_inverted_index.Forty-eight | 129 |
| abstract_inverted_index.impairment; | 97 |
| abstract_inverted_index.motivation, | 59 |
| abstract_inverted_index.opportunity | 199 |
| abstract_inverted_index.providers). | 220 |
| abstract_inverted_index.respondents | 91 |
| abstract_inverted_index.(capability, | 58 |
| abstract_inverted_index.characterize | 52 |
| abstract_inverted_index.facilitators | 39 |
| abstract_inverted_index.individuals, | 100 |
| abstract_inverted_index.occupational | 124 |
| abstract_inverted_index.opportunity) | 61 |
| abstract_inverted_index.participants | 84, 133, 184 |
| abstract_inverted_index.professional | 19 |
| abstract_inverted_index.significance | 187 |
| abstract_inverted_index.accessibility | 227 |
| abstract_inverted_index.intervention. | 249 |
| abstract_inverted_index.significantly | 147 |
| abstract_inverted_index.undervaluation | 210 |
| abstract_inverted_index.community-tailored | 246 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.47999998927116394 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.17224818 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |