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Protocol - Auditory Perception and Noise Exposure

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Description:

A 29-item interviewer-administered questionnaire with yes/no, Likert-style, and multiple-choice questions about the subjects current hearing, hearing aids, and history of potential causes of hearing loss. A proxy may provide information for participants who are unable to answer the questions themselves.

Specific Instructions:

The PhenX Working Group would like to note that the National Health and Nutrition Examination Survey (NHANES) audiogram is one of the most widely used protocols to measure hearing sensitivity; however, it requires specific training/equipment and does not assess an individuals perception of their own hearing. If investigators have the capacity, the working group suggests the NHANES audiogram protocol, which is in the PhenX Toolkit named "Audiogram Hearing Test".

Note: "SP" represents sample person or person under assessment.

Protocol:

1. These next questions are about {your/SPs} hearing: Which statement best describes {your/SPs} hearing (without a hearing aid or other listening devices)? Would you say {your/his/her} hearing is excellent, good, that {you have/s/he has} a little trouble, moderate trouble, a lot of trouble, or {are you/is s/he} deaf?

1[ ]EXCELLENT

2[ ]GOOD

3[ ]A LITTLE TROUBLE

4[ ]MODERATE HEARING TROUBLE

5[ ]A LOT OF TROUBLE

6[ ]DEAF

77[ ]REFUSED

99[ ]DONT KNOW

DEFINITIONS:

Deaf means that you cant hear in both ears without the use of hearing aids or other devices to help you hear. If you can hear in one ear, you are not deaf.

Hearing Aid: A small electronic device that amplifies the sounds you hear. It is worn in or behind the ear to help you hear.

Other Listening Devices: Other listening devices are any device you use to help you hear.

They are also called assistive listening devices. These are:

  • A pocket talker
  • An amplified telephone
  • An amplified or vibrating alarm clock
  • A light signaler for your doorbell
  • A TV headset
  • Closed-captioned TV
  • TTY (teletypewriter)
  • TDD (telecommunications device for the deaf)
  • A telephone relay service
  • A video relay service
  • A sign language interpreter

2. These next questions refer to hearing without the use of a hearing aid or any other listening devices. If {you have/SP has} one ear that is better than the other, please answer the questions for the hearing in {your/SPs} better ear.

Can {you/SP} usually hear and understand what a person says without seeing his or her face if that person whispers to {you/him/her} from across a quiet room?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

3. Can {you/SP} usually hear and understand what a person says without seeing his or her face if that person talks in a normal voice to {you/him/her} from across a quiet room?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

4. Can {you/SP} usually hear and understand what a person says without seeing his or her face if that person shouts to {you/him/her} from across a quiet room?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

5. Can {you/SP} usually hear and understand what a person says without seeing his or her face if that person speaks loudly into {your/his/her} better ear?

INTERVIEWER: IF THE INTERVIEWEE HEARS BETTER IN ONE EAR THAN THE OTHER, RECORD THE RESPONSE FOR SPEAKING LOUDLY INTO THE BETTER EAR.

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

6. How often {do you/does SP} find it difficult to follow a conversation if there is background noise, for example, when other people are talking, TV or radio is on, or children are playing? Would you say...

1[ ]always

2[ ]usually

3[ ]about half the time

4[ ]seldom

5[ ]never

7[ ]REFUSED

9[ ]DONT KNOW

7. How often does {your/SPs} hearing cause {you/him/her} to feel frustrated when talking to members of {your/his/her} family or to friends? Would you say...

1[ ]always

2[ ]usually

3[ ]about half the time

4[ ]seldom

5[ ]never

7[ ]REFUSED

9[ ]DONT KNOW

8. {Have you/Has SP} ever had 3 or more ear infections? Please include ear infections {you/he/she} may have had when {you were/he was/she was} a child.

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

9. {Have you/Has SP} ever had a tube placed in {your/his/her} ear to drain the fluid from {your/his/her} ear?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

10. A hearing test by a specialist is one that is done in a sound proof booth or room, or with headphones. Hearing specialists include audiologists, ear nose and throat doctors, and trained technicians or occupational nurses. When was the last time {you had/SP had} {your/his/her} hearing tested by a hearing specialist?

READ CATEGORIES IF NECESSARY

1[ ]LESS THAN A YEAR AGO

1[ ]1 YEAR TO 4 YEARS AGO

3[ ]5 TO 9 YEARS AGO

4[ ]TEN OR MORE YEARS AGO

5[ ]NEVER

7[ ]REFUSED

9[ ]DONT KNOW

{Have you/Has SP} ever worn a hearing aid or cochlear implant?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Hearing Aid: A small electronic device that amplifies the sounds you hear. It is worn in or behind the ear to help you hear.

Cochlear Implant: A cochlear implant is an electrical device that a surgeon puts in your ear. It helps you hear by sending sounds directly to the brain. It is used only when you are almost totally deaf.

12. Which was it?

CODE ALL THAT APPLY

1[ ]A HEARING AID

2[ ]A COCHLEAR IMPLANT

7[ ]REFUSED

9[ ]DONT KNOW

13. In the past 12 months, how often {have you/has SP} worn a hearing aid?

1[ ]always

2[ ]usually

3[ ]about half the time

4[ ]seldom

5[ ]never

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Hearing Aid: A small electronic device that amplifies the sounds you hear. It is worn in or behind the ear to help you hear.

14. {Have you/Has SP} ever used assistive listening devices (ALDs), such as FM systems, closed-captioned television, amplified telephone, relay services, or a sign-language interpreter?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Assistive Listening Devices: These are any device you use to help you hear. Other examples include:

TTY (teletypewriter)

TDD (telecommunications device for the deaf)

A pocket talker

An amplified or vibrating alarm clock

A light signaler for your doorbell

A TV headset

15. In the past 12 months, {have you/has SP} been bothered by ringing, roaring, or buzzing in {your/his/her} ears or head that lasts for 5 minutes or more?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Tinnitus (tin-uh-tus) is the medical term for ringing, roaring, or buzzing in the ears or head.

16. How long {have you/has SP} been bothered by this ringing, roaring, or buzzing in {your/his/her} ears or head?

READ CATEGORIES IF NECESSARY

1[ ]LESS THAN THREE MONTHS

2[ ]THREE MONTHS TO A YEAR

3[ ]1 TO 4 YEARS

4[ ]5 TO 9 YEARS

5[ ]TEN OR MORE YEARS

7[ ]REFUSED

9[ ]DONT KNOW

17. In the past 12 months, how often {have you/has SP} had this ringing, roaring, or buzzing in {your/his/her} ears or head? Would you say...

1[ ]almost always

2[ ]at least once a day

3[ ]at least once a week

4[ ]at least once a month

5[ ]less frequently than once a month

7[ ]REFUSED

9[ ]DONT KNOW

18. {Are you/Is SP} bothered by ringing, roaring, or buzzing in {your/his/her} ears or head only after listening to loud sounds or loud music?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

19. {Are you/Is SP} bothered by ringing, roaring, or buzzing in {your/his/her} ears or head when going to sleep?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

20. How much of a problem is this ringing, roaring, or buzzing in {your/his/her} ears or head?

1[ ]No problem

2[ ]A small problem

3[ ]A moderate problem

4[ ]A big problem

5[ ]A very big problem

7[ ]REFUSED

9[ ]DONT KNOW

21. This next question is about {your/SPs} use of firearms that {you/he/she} may have used for target shooting, hunting, for {your/his/her} job or in military service. {Have you/Has SP} ever used firearms for any reason?

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Firearms include pistols, shotguns, rifles, and other types of guns. Do not include BB or pellet guns.

22. How many total rounds {have you/has SP} ever fired?

READ CATEGORIES IF NECESSARY

INTERVIEWER: ONE ROUND EQUALS ONE SHOT. INCLUDE TARGET SHOOTING, HUNTING, YOUR JOB, AND MILITARY SERVICE.

1[ ]1 TO LESS THAN 100 ROUNDS

2[ ]100 TO LESS THAN 1000 ROUNDS

3[ ]1000 TO LESS THAN 10,000 ROUNDS

4[ ]10,000 TO LESS THAN 50,000 ROUNDS

5[ ]50,000 ROUNDS OR MORE

7[ ]REFUSED

9[ ]DONT KNOW

23. How often {did you/did SP} wear hearing protection devices (ear plugs, ear muffs) when shooting firearms?

1[ ]always

2[ ]usually

3[ ]about half the time

4[ ]seldom

5[ ]never

7[ ]REFUSED

9[ ]DONT KNOW

DEFINITIONS:

Protective Hearing Device: These protect you from noise that is so loud that it might damage your hearing. Examples are ear plugs, protective earmuffs, or special headphones.

These next questions are about noise exposure {you/SP} may have had at work.

24. {Have you/Has SP} ever had a job, or combination of jobs where {you were/s/he was} exposed to loud sounds or noise for 4 or more hours a day, several days a week? Loud means so loud that {you/s/he} must speak in a raised voice to be heard.

1[ ]YES

2[ ]NO

3[ ]NEVER WORKED

7[ ]REFUSED

9[ ]DONT KNOW

25. For how many months or years {have you/has SP} been exposed at work to loud sounds or noise for 4 or more hours a day, several days a week?

READ CATEGORIES IF NECESSARY

1[ ]LESS THAN 3 MONTHS

2[ ]3 TO 11 MONTHS

3[ ]1 TO 2 YEARS

4[ ]3 TO 4 YEARS

5[ ]5 TO 9 YEARS

6[ ]10 TO 14 YEARS

7[ ]15 OR MORE YEARS

77[ ]REFUSED

99[ ]DONT KNOW

26. In {your/SPs} work {were you/was he/was she} exposed to very loud noise? Very loud noise is noise that is so loud {you have/he has/she has} to shout in order to be understood by someone standing 3 feet away from {you/him/her}.

1[ ]YES

2[ ]NO

7[ ]REFUSED

9[ ]DONT KNOW

27. This next question is about {your/SPs} work in jobs where there was very loud noise for 4 or more hours a day, several days a week. Please give me the total number of months or years for all jobs where this has happened.

READ CATEGORIES IF NECESSARY

1[ ]LESS THAN 3 MONTHS

2[ ]3 TO 11 MONTHS

3[ ]1 TO 2 YEARS

4[ ]3 TO 4 YEARS

5[ ]5 TO 9 YEARS

6[ ]10 TO 14 YEARS

7[ ]15 OR MORE YEARS

77[ ]REFUSED

99[ ]DONT KNOW

28. Outside of a job, {have you/has SP} ever been exposed to very loud noise or music for 10 or more hours a week? This is noise so loud that {you have/s/he has} to shout to be understood or heard 3 feet away. Examples are noise from power tools, lawn mowers, farm machinery, cars, trucks, motorcycles, motor boats, or loud music.

1[ ]YES

2[ ]NO

3[ ]NEVER WORKED

7[ ]REFUSED

9[ ]DONT KNOW

29. In the past 12 months, how often {did you/did SP} wear hearing protection devices (ear plugs, ear muffs) when exposed to very loud sounds or noise? Please include both on the job and off the job exposures.

DEFINITIONS: Protective Hearing Device: These protect you from noise that is so loud that it might damage your hearing. Examples are ear plugs, protective earmuffs, or special headphones.

1[ ]ALWAYS

2[ ]USUALLY

3[ ]ABOUT HALF THE TIME

4[ ]SELDOM

5[ ]NEVER

6[ ]NO NOISE EXPOSURE PAST 12 MONTHS

77[ ]REFUSED

99[ ]DONT KNOW

Protocol Name from Source:

National Health and Nutrition Examination Survey Questionnaire (SP) AUDIOMETRY - AUQ Target Group: SPs 1+

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "dont know" response is provided.

There are multiple modes to administer this question (e.g., paper-and-pencil and computer-assisted interviews).

Equipment Needs
Although the source instrument was developed to be administered by computer, the PhenX Working Group acknowledges that these questions can be administered in a non-computerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or handheld computer to administer a computer-assisted questionnaire
Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Child, Adolescent, Adult, Senior

Participants:

Adult 18+

Selection Rationale

The NHANES 2011 audiometry questionnaire is one of the most widely used protocols to measure hearing and was selected as the best practice methodology.

Language

English, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Hearing Assessment Questionnaire Assessment Scale 6356756 CDE Browser
Derived Variables

None

Process and Review

Not applicable

Source

Centers for Disease Control and Prevention, National Center for Health Statistics. National Health and Nutrition Examination Survey Questionnaire (SP) AUDIOMETRY - AUQ Target Group: SPs 1+, 2011, Items AUQ.060 through AUQ.380.

General References

Lin, F. R., Niparko, J. K., & Ferrucci, L. (2011). Hearing loss prevalence in the United States. Archives of Internal Medicine, 171(20), 1851-1852. doi:10.1001/archinternmed.2011.506.

Protocol ID:

250201

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX250201_Auditory_Perception_Noise_Exposure_Assistive_Listening_Devices PX250201140000 {Have you/Has SP} ever used assistive more
listening devices (ALDs), such as FM systems, closed-captioned television, amplified telephone, relay services, or a sign-language interpreter? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Conversation_Background_Noise_Difficulty PX250201060000 How often {do you/does SP} find it difficult more
to follow a conversation if there is background noise, for example, when other people are talking, TV or radio is on, or children are playing? Would you say... show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ear_Infections PX250201080000 {Have you/Has SP} ever had 3 = or more ear more
infections? Please include ear infections {you/he/she} may have had when {you were/he was/she was} a child. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Firearms_Safety_Protection PX250201230000 How often {did you/did SP} wear hearing more
protection devices (ear plugs, ear muffs) when shooting firearms? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Firearms_Usage PX250201210000 This next question is about {your/SP's} use more
of firearms that {you/he/she} may have used for target shooting, hunting, for {your/his/her} job or in military service. {Have you/Has SP} ever used firearms for any reason? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Firearms_Usage_History PX250201220000 How many total rounds {have you/has SP} ever more
fired? READ CATEGORIES IF NECESSARY. INTERVIEWER: ONE ROUND EQUALS ONE SHOT. INCLUDE TARGET SHOOTING, HUNTING, YOUR JOB, AND MILITARY SERVICE. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Frustration PX250201070000 How often does {your/SP's} hearing cause more
{you/him/her} to feel frustrated when talking to members of {your/his/her} family or to friends? Would you say... show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Aid_Implant PX250201110000 {Have you/Has SP} ever worn a hearing aid or more
cochlear implant? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Aid_Past_Year PX250201130000 In the past 12 = months, how often {have more
you/has SP} worn a hearing aid? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Aid_Type PX250201120000 Hearing Aid: A small electronic device that more
amplifies the sounds you hear. It is worn in or behind the ear to help you hear. Cochlear Implant: A cochlear implant is an electrical device that a surgeon puts in your ear. It helps you hear by sending sounds directly to the brain. It is used only when you are almost totally deaf. Which was it? CODE ALL THAT APPLY show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Rating PX250201010000 Which statement best describes {your/SP's} more
hearing (without a hearing aid or other listening devices)? Would you say {your/his/her} hearing is excellent, good, that {you have/s/he has} a little trouble, moderate trouble, a lot of trouble, or {are you/is s/he} deaf? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Specialist_Testing PX250201100000 A hearing test by a specialist is one that more
is done in a sound proof booth or room, or with headphones. Hearing specialists include audiologists, ear nose and throat doctors, and trained technicians or occupational nurses. When was the last time {you had/SP had} {your/his/her} hearing tested by a hearing specialist? READ CATEGORIES IF NECESSARY show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Without_Face_Better_Ear PX250201050000 Can {you/SP} usually hear and understand more
what a person says without seeing his or her face if that person speaks loudly into {your/his/her} better ear? INTERVIEWER: IF THE INTERVIEWEE HEARS BETTER IN ONE EAR THAN THE OTHER, RECORD THE RESPONSE FOR SPEAKING LOUDLY INTO THE BETTER EAR. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Without_Face_Normal_Voice PX250201030000 Can {you/SP} usually hear and understand more
what a person says without seeing his or her face if that person talks in a normal voice to {you/him/her} from across a quiet room? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Without_Face_Shouting PX250201040000 Can {you/SP} usually hear and understand more
what a person says without seeing his or her face if that person shouts to {you/him/her} from across a quiet room? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Hearing_Without_Face_Whisper PX250201020000 Can {you/SP} usually hear and understand more
what a person says without seeing his or her face if that person whispers to {you/him/her} from across a quiet room? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Job_Loud_Noise_Sound PX250201240000 {Have you/Has SP} ever had a job, or more
combination of jobs where {you were/s/he was} exposed to loud sounds or noise for 4 = or more hours a day, several days a week? Loud means so loud that {you/s/he} must speak in a raised voice to be heard. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Job_Loud_Noise_Sound_History PX250201250000 For how many months or years {have you/has more
SP} been exposed at work to loud sounds or noise for 4 = or more hours a day, several days a week? READ CATEGORIES IF NECESSARY show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Job_Very_Loud_Noise_Sound PX250201260000 In {your/SP's} work {were you/was he/was more
she} exposed to very loud noise? Very loud noise is noise that is so loud {you have/he has/she has} to shout in order to be understood by someone standing 3 = feet away from {you/him/her}. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Job_Very_Loud_Noise_Sound_History PX250201270000 This next question is about {your/SP's} work more
in jobs where there was very loud noise for 4 = or more hours a day, several days a week. Please give me the total number of months or years for all jobs where this has happened. READ CATEGORIES IF NECESSARY show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Loud_Noise_Sound PX250201280000 Outside of a job, {have you/has SP} ever more
been exposed to very loud noise or music for 10 or more hours a week? This is noise so loud that {you have/s/he has} to shout to be understood or heard 3 = feet away. Examples are noise from power tools, lawn mowers, farm machinery, cars, trucks, motorcycles, motor boats, or loud music. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Loud_Noise_Sound_Hearing_Protection PX250201290000 In the past 12 = months, how often {did more
you/did SP} wear hearing protection devices (ear plugs, ear muffs) when exposed to very loud sounds or noise? Please include both on the job and off the job exposures. DEFINITIONS: Protective Hearing Device: These protect you from noise that is so loud that it might damage your hearing. Examples are ear plugs, protective earmuffs, or special headphones. show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_Frequency PX250201170000 In the past 12 = months, how often {have more
you/has SP} had this ringing, roaring, or buzzing in {your/his/her} ears or head? Would you say... show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_History PX250201160000 How long {have you/has SP} been bothered by more
this ringing, roaring, or buzzing in {your/his/her} ears or head? READ CATEGORIES IF NECESSARY show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_Loud_Music_Sound PX250201180000 {Are you/Is SP} bothered by ringing, more
roaring, or buzzing in {your/his/her} ears or head only after listening to loud sounds or loud music? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_Past_Year PX250201150000 In the past 12 = months, {have you/has SP} more
been bothered by ringing, roaring, or buzzing in {your/his/her} ears or head that lasts for 5 = minutes or more? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_Problem_Rating PX250201200000 How much of a problem is this ringing, more
roaring, or buzzing in {your/his/her} ears or head? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Ringing_Roaring_Buzzing_Sleep PX250201190000 {Are you/Is SP} bothered by ringing, more
roaring, or buzzing in {your/his/her} ears or head when going to sleep? show less
N/A
PX250201_Auditory_Perception_Noise_Exposure_Tube_Drain_Fluid PX250201090000 {Have you/Has SP} ever had a tube placed in more
{your/his/her} ear to drain the fluid from {your/his/her} ear? show less
N/A
Geriatrics
Measure Name:

Auditory Perception and Noise Exposure

Release Date:

July 2, 2018

Definition

This measure is a questionnaire assessing hearing and hearing loss, tinnitus, noise exposure, and use of hearing aids or other devices.

Purpose

Used to screen individuals for hearing loss and tinnitus. It is also used to assess hearing aid use and noise exposure.

Keywords

Hearing, hearing loss, ears, deafness, hearing aids, listening devices, tinnitus, National Health and Nutrition Examination Survey (NHANES), gerontology, aging