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Stages of Change in Hearing-protection Behavior, Cognition, and Hearing Status

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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.
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Document Type: Research Article

Affiliations: 1: University of California, San Francisco, School of Nursing, San Francisco, CA, USA. [email protected] 2: University of California, San Francisco, School of Nursing, San Francisco, CA, USA 3: University of Minnesota, School of Nursing, Minneapolis, MN, USA 4: University of Michigan, School of Nursing, US Department of Veterans Affairs Center for Clinical Management Research, Ann Arbor, MI, USA

Publication date: 2012-11-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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