Evidence map›Paper›PMID 39477819›Full record

Trial reportEar and hearing

Hearing Screening in Older Adults in Primary Care Clinics: How the Effects of Setting and Provider Encouragement Differ by Patient Sex and Race.

Jessica S West, Judy R Dubno, Howard W Francis, Sherri L Smith

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jessica S WestDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Judy R DubnoDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Howard W FrancisDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Sherri L SmithDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

Addressing Barriers to Adult Hearing HealthcareR33DC015003 · NIDCD · DUKE UNIVERSITY · PI FRANCIS, HOWARD W, SMITH, SHERRI L. · 2017 to 2020
$2.2M
A Life Course Approach to Identify Risks of Hospitalization in Older Adults with Heart FailureR01AG075210 · NIA · DUKE UNIVERSITY · PI Matthew E. Dupre · 2022 to 2026
$1.9M
NIA NIH HHS R01 AG075210NIDCD NIH HHS R33 DC015003
6 · The paper itself

Abstract

objectivesFew studies have examined how patient sex or race influence hearing healthcare, which was our study purpose.

designWe performed a secondary analysis using data from a pragmatic clinical trial that examined the effect of provider encouragement (yes/no) or setting (at-home/clinic) for older adults to follow through with routine hearing screening in primary care and the hearing healthcare pathway. Three protocols were compared: at-home screening without provider encouragement, at-home screening with provider encouragement, and in-clinic screening with provider encouragement.

resultsPoisson regression (n = 627) showed few differences by patient sex but showed that Black patients in the at-home protocols were less likely to schedule or complete a formal diagnostic evaluation after a failed screening compared with Black patients in the clinic setting and White patients in all groups. Black patients, regardless of provider encouragement, were less likely to schedule or complete a diagnostic evaluation compared with White patients.

conclusionsResults suggest that in-clinic screenings may increase the use of hearing healthcare for Black patients.

Indexed as

Black or African AmericanHearing LossHearing TestsMass ScreeningPrimary Health CareWhiteAgedAged, 80 and overFemaleHumansMaleMiddle AgedNorth CarolinaSex Factors

Identifiers

PMID39477819
PMCPMC11833793

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.