Awareness of the Profession of Audiology Among Ethnically Diverse Adolescents: A Pre- and Post-Education Study

Race/Ethnicity, Gender, and Socioeconomic Status Representation in U.S.-Based Randomized Controlled Trials of Tinnitus: A Systematic Review

PURPOSE

The purpose of this study was to investigate if peer-reviewed randomized controlled trials (RCTs) for the management/treatment of tinnitus conducted in the United States include diverse participants in terms of gender, race/ethnicity, education, occupation, and income.

METHOD

We performed a comprehensive and systematic literature search via PubMed, Web of Science, Clinical-Trials.gov, and the Cochrane Central Register of Controlled Trials. Our goal was to identify prospective RCTs of tinnitus intervention conducted in the United States from January 1994 to September 2021 and published in peer-reviewed journals.

RESULTS

A total of 2,584 studies were retrieved. Thirty-two peer-reviewed articles met all inclusion criteria. Of the included studies, approximately 96% reported participants' gender. Approximately 15% studies reported race/ethnicity information in alignment with the U.S. Census Bureau. However, an underrepresentation of both females and people of color was evident across studies. Reporting of socioeconomic status information of participants was also scarce, with only 25% studies reporting education and/or occupation of participants and 0% reporting income levels.

CONCLUSIONS

This study indicates underrepresentation and underreporting of diverse participant pools in tinnitus research. Reasons for such underrepresentation are explored. Additionally, this systematic review indicates that recent research in tinnitus portrays an optimistic trend in terms of reporting and recruitment of diverse participant groups. Sustainable strategies for including diverse research participants are essential for hearing health care equity. Research and strategies to promote this goal are discussed.

Underrepresentation of Students From Diverse Backgrounds Entering Communication Sciences and Disorders Programs: An Investigation Into the University Student Perspective

PURPOSE

This study investigated university students' knowledge of and attitudes toward the professions of communication sciences and disorders (CSD), with a goal to determine if there were any differences between responses received from minority students compared with responses from White/Caucasian students. The survey collected information about the experiences and exposure that university students have to these professions and professionals before and during their undergraduate years, along with possible reasons male students and students from diverse backgrounds are less likely to enroll in CSD programs.

METHOD

Surveys were distributed via Qualtrics and hard copy over 12 weeks of a fall semester to a sample of over 4,000 undergraduate students at a middle-sized public research university in southwest Pennsylvania. Responses were obtained from a total of 524 students.

RESULTS

In this group of university students, more students reported having obtained information from their high schools regarding speech-language pathology than audiology. More females than males were aware of CSD professions prior to entering college, and non-White students reported knowing less about both the degree programs and professions of audiology and speech-language pathology than their White peers. Neither the non-White group nor males reported much interest in pursuing CSD degrees or professions.

CONCLUSIONS

Non-White students and males reported being exposed less to CSD professions (thus knowing less) than their White and female counterparts, but overall interest in these professions appeared to be lacking for the non-White and male students within this study. Additional research from a larger group of minority and male students nationwide is needed to determine if CSD is universally not attractive to these groups.

Online, Asynchronous Hearing Education and Research Project for Ethnically Diverse Adolescents via Interprofessional Collaboration and Electronic Service-Learning During the COVID-19 Pandemic: A Pilot Study on the Needs and Challenges

Purpose This study discusses the creation of an online, asynchronous presentation to educate adolescents about prevention of noise-induced hearing loss (NIHL) through interprofessional collaborations and electronic service-learning (eSL) during the COVID-19 pandemic. Method The Hearing Education and Research (HEAR) presentation, which included activities and videos to educate a group of ethnically diverse adolescents (n = 100) on NIHL, was created by 11 doctor of audiology (AuD) students through online collaborations toward course-related eSL requirements. Adolescents responded to a baseline survey to assess hearing health-related behaviors prior to reviewing the presentation. A postprogram survey was administered 1 week after the presentation to assess change in knowledge and attitudes toward NIHL prevention. Online collaborations with schoolteachers helped with project implementation. Postreflection papers written by AuD students regarding the eSL activities were analyzed. Lastly, suggestions from a focus group of educators were included that highlight the role of interprofessional collaborations to enhance school-based hearing conservation opportunities. Results The HEAR presentation resulted in changes in knowledge about NIHL among the adolescents. Postreflection papers by the AuD students indicated that the eSL activity served as a high-impact pedagogical assignment, especially during the academic challenges of the pandemic. Feedback from a focus group of schoolteachers helped outline ideas for future implementation of sustainable hearing conservation programs in school settings. Conclusion The pilot data collected in this study serve as a proof of concept for future hearing conservation projects in school-based settings via interprofessional collaborations and by engaging university students via eSL.