Identifying barriers and facilitators of hearing protection use in early-career musicians: a basis for designing interventions to promote uptake and sustained use

Couth, Samuel; Loughran, Michael T.; Plack, Christopher J.; Moore, David R.; Munro, Kevin J.; Ginsborg, Jane; Dawes, Piers; Armitage, Christopher J.

doi:10.1080/14992027.2021.1951852

Cited by 11 publications

(7 citation statements)

References 58 publications

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“…The COM-B framework suggests that capability (C), opportunity (O), and motivation (M) interact to influence an individual’s behavior. The COM-B has been successfully utilized to analyze audiologist barriers and facilitators in other areas of audiology (Barker et al 2016; van Leeuwen et al 2018; Ekberg et al 2020; Couth et al 2021; Bennett et al 2022).…”

Section: Introductionmentioning

confidence: 99%

Psychologically Informed Practice in Audiological Rehabilitation: Audiologist Perceived Barriers, Facilitators, and Preparedness

et al. 2022

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Objectives: Psychological factors, such as mental illness, mental health, attitudes, emotions, and coping styles, are known to impact the success of audiological rehabilitation. However, evidence suggests that audiologists are not sufficiently addressing client psychological factors. Psychologically informed practice, implemented in other healthcare professions, is a framework that guides clinicians in addressing both the physical and psychological factors of a condition throughout rehabilitation. Psychologically informed practice may also be an appropriate framework to improve client outcomes in audiology. The objectives of this study were (1) to determine the barriers and facilitators to audiologists addressing client mental health, psychological symptoms, emotions, and feelings, and (2) to determine audiologists' preparedness and willingness to implement aspects of psychologically informed practice in audiological rehabilitation. Design:A cross-sectional survey was conducted with a convenience sample of 118 Australian clinical audiologists (83.1%, n = 98 female) working in adult audiological rehabilitation.Results: Most participants (91.5%) reported at least one barrier to discussing mental health with clients, with the most common being insufficient knowledge and skills in mental health (39.8%). Applying the COM-B model of behavior change, audiologists reported that factors related to motivation were primarily facilitators, and factors related to opportunity (e.g., lack of time) and capabilities (e.g., insufficient knowledge) were barriers to discussing client mental health. Many participants (83.1%) reported willingness to incorporate a clear protocol, including when and how to refer to psychological services, within audiological rehabilitation.Conclusions: Audiologists were generally motivated to incorporate psychologically informed practice into audiological rehabilitation; however, lack of knowledge and organizational barriers would need to be overcome. The insights gained in this study provide a foundation for developing a viable approach to psychologically informed practice, which may ultimately encourage audiologists to engage in person-centered care more actively.

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Section: Introductionmentioning

confidence: 99%

Psychologically Informed Practice in Audiological Rehabilitation: Audiologist Perceived Barriers, Facilitators, and Preparedness

et al. 2022

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“…Classical musicians experience a range of well-documented health problems, which include music performance anxiety (MPA), performance-related musculoskeletal disorders (PRMDs), and hearing loss (for literature reviews, see Couth et al, 2021;Matei and Ginsborg, 2017;Matei et al, 2018;Rotter et al, 2020;Zhao et al, 2010). It has been clear for some time that health education is needed in conservatoires.…”

Section: Introductionmentioning

confidence: 99%

Health education for musicians in the UK: a qualitative evaluation

Matei

Ginsborg

2021

Health Promotion International

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Summary Musical training in higher education music institutions (e.g. conservatoires) has been associated with health-related issues among musicians. The Health Promotion in Schools of Music project in the USA and the Healthy Conservatoires project in the UK have therefore recommended health promotion at conservatoires. Few health education courses have been evaluated to date, however. A 5-month health education programme for first-year undergraduate students at a British conservatoire was introduced as part of the core curriculum in September 2016. The programme, which involved both lectures and seminars, was evaluated using quantitative and qualitative approaches. This article reports only the qualitative evaluation. Twenty semi-structured individual interviews were conducted either face-to-face or via Skype in April 2017. The data were transcribed verbatim and analysed thematically. Five themes were identified: (i) the programme as a catalyst for engagement with health; (ii) behavioural changes; (iii) barriers to engaging with the programme material and initiating changes; (iv) suggestions for improvement; and (v) misinformation. Generally, participants viewed the programme as relevant and informative, particularly appreciating the intimate nature of the seminars. They reported that the programme helped them take a broader perspective on musicianship and that they would welcome sessions that are more practical than theoretical. They also reported instances of change in their behaviours relating to both lifestyle and management of music practice. In conclusion, undergraduate music students viewed this health education programme positively. Their feedback illustrates the complex nature of health promotion in the conservatoire setting.

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“…However, the NESI also revealed that participants only used hearing protection 50% of time. Although the NESI did not directly assess the acceptability of hearing protection, some individuals expressed that the reason for low usage rates was due to sound quality and enjoyment (see also [38]). These results reflect those found by several other groups investigating hearing protection use in musicians [5][6][7][8][9].…”

Section: Plos Onementioning

confidence: 99%

Preferred music-listening level in musicians and non-musicians

2022

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The purpose of this study was to establish whether preferred music-listening level differed between musicians and non-musicians, and whether preferred music-listening level was related to music genre preference and lifetime noise exposure. Seventeen musicians (mean age = 29.06 years, SD = 4.74; female n = 9) and 17 non-musicians (mean age = 28.94 years, SD = 4.63; female n = 9) with clinically normal hearing were recruited to listen to six music samples from different genres and one sample of environmental sounds. Participants adjusted the listening level [dB(A)] until the music was loud and enjoyable. This was repeated three times and an average was taken. Lifetime noise exposure was estimated using the Noise Exposure Structured Interview. Preferred music-listening levels of musicians were significantly higher than non-musicians. The preferred music-listening level differed with genre preference, with the participants’ favorite tracks being played at 11 dB higher level than the least favorite tracks. There was also a positive correlation between lifetime noise exposure and preferred music-listening level. Musicians prefer to listen to music at higher level than non-musicians and thus may be more susceptible to noise induced hearing loss than non-musicians. As such, musicians in particular would benefit from simple changes in lifestyle and listening habits, including increased awareness of the risks of higher listening levels, as well as the use of hearing protection.

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Identifying barriers and facilitators of hearing protection use in early-career musicians: a basis for designing interventions to promote uptake and sustained use

Cited by 11 publications

References 58 publications

Psychologically Informed Practice in Audiological Rehabilitation: Audiologist Perceived Barriers, Facilitators, and Preparedness

Psychologically Informed Practice in Audiological Rehabilitation: Audiologist Perceived Barriers, Facilitators, and Preparedness

Health education for musicians in the UK: a qualitative evaluation

Preferred music-listening level in musicians and non-musicians

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