Randomized trial of four noise-induced hearing loss and tinnitus prevention interventions for children

William Hal Martin, Susan E. Griest, Judith L. Sobel, Linda C. Howarth

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Objective: To evaluate the effectiveness of four NIHL prevention interventions at improving knowledge, attitudes, and intended behaviors regarding sound exposure and appropriate use of hearing protective strategies in children. Design: A randomized trial of the four interventions with a non-intervention comparison group. Questionnaires were completed prior to, immediately after, and three months after each intervention. Study: Interventions included: (1) A classroom presentation by older-peer educators, (2) A classroom presentation by health professionals, (3). Exploration of a museum exhibition, and (4). Exploration of an internet-based virtual museum. A comparison group received no intervention. Study sample: Fifty-three fourth grade classrooms (1120 students) participated in the study. Results: All interventions produced significant improvements but the number of improvements decreased over time. In terms of effectiveness, the classroom programs were more effective than the internet-based virtual exhibit, which was more effective than the visit to the museum exhibition. Self-reported exposures indicated that as many as 94.5% of participants were at risk for NIHL. Conclusions: Interpersonal, interactive educational interventions such as the classroom program are more effective and have longer impact than self-directed learning experiences for NIHL and tinnitus prevention, however each may have an important role in promoting hearing health in elementary school students.

Original languageEnglish (US)
Pages (from-to)S41-S49
JournalInternational journal of audiology
Issue numberSUPPL. 1
StatePublished - Feb 2013


  • Dangerous decibels
  • Health communication
  • Hearing conservation
  • Noise-induced hearing loss
  • Prevention
  • Tinnitus

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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