Stages of change in hearing-protection behavior, cognition, and hearing status.
Hong-O; Chin-DL; Kerr-MJ; Ronis-DL
Am J Health Behav 2012 Nov; 36(6):811-822
OBJECTIVE: To determine stages of hearing-protection behavioral change and their relationships with cognitions and hearing status. METHOD: A cross-sectional study of 769 construction workers who completed a survey and audiometric tests. RESULTS: The majority of participants (over 64%) were in the preparation stage. Participants in the action/maintenance stage demonstrated significantly greater benefits, self-efficacy, and interpersonal influence; fewer barriers; and better hearing. This is the first study that shows significantly better health outcome, hearing ability, as the stage progresses. CONCLUSION: Study demonstrates preliminary validity of the stages of change with hearing-protection behavior. Future hearing-protection intervention should integrate the stages of change to increase effectiveness.
Humans; Men; Women; Construction-workers; Construction; Construction-industry; Workers; Work-environment; Behavior; Auditory-system; Hearing; Hearing-protection; Noise-protection; Noise; Noise-control; Ears; Ear-protectors; Ear-protection; Age-groups;
Author Keywords: Stages-of-change; Hearing-protection; Cognitive-Perceptions; Construction-workers; Hearing-ability
American Journal of Health Behavior
University of Michigan, Ann Arbor