학술논문
Increasing Hearing Readiness Using Boothless Audiometry.
Document Type
Academic Journal
Author
Sheffield B; Hearing Conservation and Readiness Branch, Defense Centers for Public Health - Aberdeen, Aberdeen Proving Ground, MD 21010, USA.; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Kulinski D; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Schurman J; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Sherlock L; Hearing Conservation and Readiness Branch, Defense Centers for Public Health - Aberdeen, Aberdeen Proving Ground, MD 21010, USA.; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Bugtong V; Kimbrough Ambulatory Care Center, Ft. Meade, MD 20755, USA.; Spencer M; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Caldwell C; Kimbrough Ambulatory Care Center, Ft. Meade, MD 20755, USA.; Brungart D; Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.; Merkley J; Office of the Surgeon General, Defense Health Headquarters, Falls Church, VA 22042, USA.; Blank A; Hearing Conservation and Readiness Branch, Defense Centers for Public Health - Aberdeen, Aberdeen Proving Ground, MD 21010, USA.
Source
Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: U.S. Army regulations require all soldiers to undergo annual audiometric testing to maintain hearing readiness. The standard method of monitoring hearing in the DoD is via multi-person testing in sound-treated booths using the Defense Occupational and Environmental Health Readiness System-Hearing Conservation. COVID-19 significantly hindered the standard method, resulting in alarming declines in hearing readiness. In response, the Army Hearing Program initiated a pilot program to use boothless audiometers to supplement standard methods to increase hearing readiness.
Materials and Methods: Funding from the Coronavirus Aid, Relief, and Economic Security Act was used to purchase 169 boothless audiometers and increase staffing at dozens of Army Hearing Program clinics. Standard operating procedures were established for audiometric testing outside the booth using a process matching standard test parameters (i.e., test frequencies, tone characteristics, and interstimulus intervals). Additional capabilities developed to leverage this new technology during the annual hearing exam include the administration of automated contralateral masking, enhanced tinnitus screening, and hearing health education and training.
Results: Monitoring audiometry using boothless audiometers has been conducted for nearly 12,000 service members worldwide. Thresholds obtained via boothless audiometers are comparable to follow-up thresholds obtained from the standard test methods in the booth (mean difference 95% CI, -1.2, 0.9), and hearing readiness has returned to pre-pandemic levels at installations where this novel technology is being used regularly.
Conclusions: Significant reductions in patient encounters as a direct result of the COVID-19 pandemic have led to innovative solutions leveraging boothless audiometers. While this has aided the primary mission to maintain a medically ready force, innovations from this endeavor highlight several additional improvements relative to current standards of care that should be considered for permanent inclusion in DoD Hearing Conservation Programs.
(Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
Materials and Methods: Funding from the Coronavirus Aid, Relief, and Economic Security Act was used to purchase 169 boothless audiometers and increase staffing at dozens of Army Hearing Program clinics. Standard operating procedures were established for audiometric testing outside the booth using a process matching standard test parameters (i.e., test frequencies, tone characteristics, and interstimulus intervals). Additional capabilities developed to leverage this new technology during the annual hearing exam include the administration of automated contralateral masking, enhanced tinnitus screening, and hearing health education and training.
Results: Monitoring audiometry using boothless audiometers has been conducted for nearly 12,000 service members worldwide. Thresholds obtained via boothless audiometers are comparable to follow-up thresholds obtained from the standard test methods in the booth (mean difference 95% CI, -1.2, 0.9), and hearing readiness has returned to pre-pandemic levels at installations where this novel technology is being used regularly.
Conclusions: Significant reductions in patient encounters as a direct result of the COVID-19 pandemic have led to innovative solutions leveraging boothless audiometers. While this has aided the primary mission to maintain a medically ready force, innovations from this endeavor highlight several additional improvements relative to current standards of care that should be considered for permanent inclusion in DoD Hearing Conservation Programs.
(Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.)