- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07731321
Comparative Efficacy of Earplug Usage Instruction (CEEUIn)
Comparative Efficacy of Earplug Usage Instruction : A Randomized Trial of Video-Based And Paper-Based Instruction
The goal of this clinical trial is to learn whether video-based training or paper-based training is more effective at teaching correct earplug insertion technique, in hospital personnel at Maharaj Nakorn Chiang Mai Hospital who work in noise-exposed areas (e.g. laundry and kitchen units), aged 20-60 years. The main questions it aims to answer are:
- Which training method ,between video-based and paper-based instruction, produces better earplug insertion skill immediately after training?
- Is any improvement in earplug insertion skill sustained at 1-week follow-up?
Researchers will compare a video-based instruction group to a paper-based instruction group to see if one training format leads to better and more lasting earplug insertion skill, as measured by a standardized 20-point observational checklist.
Participants will:
- Undergo a baseline history and ear exam (otoscopy) and complete a demographic questionnaire .
- Have their baseline earplug insertion skill assessed by a blinded observer Be randomly assigned to receive either a 5-minute video-based or paper-based instruction on proper earplug use .
- Practice inserting earplugs and then be reassessed immediately after training
- Return after 1 week for a follow-up assessment to test retention of the skill
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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-
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Chiang Mai, Thailand, 50200
- Department of Otolaryngology Faculty of Medicine, Chiang Mai University
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Personnel aged 20-60 years old who report regular works in areas perceived as noisy department
- Personnel who works at Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, during the year 2026.
- Personel who is willing and able to participate in the study throughout its duration.
Exclusion Criteria:
- Individuals with active ear infections.
- Individuals with ear canal stenosis that limit to insert the earplug.
- Individuals with visual or auditory impairment that limit to read or see the instruction
- Individuals who have limitation to use their hands to insert the ear plug.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Arm 1 : Video-Based Earplug Instruction
Arm 1
|
A 3-minute narrated video demonstrating proper earplug insertion technique, covering hand hygiene, checking earplugs, proper rolling technique, ear canal opening, insertion method, adjustment, and verification of fit.
Content is standardized and validated by content experts.
|
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Aktiv komparator: Arm 2 : Paper-Based Earplug Instruction
Arm 2
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An illustrated step-by-step infographic with brief written instructions covering identical content to the video-based module (hand hygiene, earplug preparation, insertion technique, and fit verification), reviewed and validated by content experts.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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The primary outcome is earplug insertion skill, defined as the participant's ability to correctly perform earplug insertion ,using the Standardized Foam Earplug Insertion Checklist (SFEIC) .
Tidsramme: before the instruction , Immediately after the instruction and at 1 weeks post-intervention
|
The primary outcome is earplug insertion skill, defined as the participant's ability to correctly perform earplug insertion. Skill will be assessed using the Standardized Foam Earplug Insertion Checklist (SFEIC) , a standardized 20-point observational checklist (10 points per ear), covering key steps such as hand hygiene, earplug preparation, insertion technique, and fit verification. Each item is scored as correct (1 point) or incorrect (0 points), for a total score ranging from 0 (minimum) to 20 (maximum). Higher scores indicate better (more correct) earplug insertion technique. Participants will be asked to demonstrate earplug insertion, and performance will be evaluated by trained assessors blinded to group allocation. |
before the instruction , Immediately after the instruction and at 1 weeks post-intervention
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: sirinthorn chanaveroj, Department of Otolaryngology , Faculty of medicine Chiang Mai university
Publikationer og nyttige links
Generelle publikationer
- Basner M, Babisch W, Davis A, Brink M, Clark C, Janssen S, Stansfeld S. Auditory and non-auditory effects of noise on health. Lancet. 2014 Apr 12;383(9925):1325-1332. doi: 10.1016/S0140-6736(13)61613-X. Epub 2013 Oct 30.
- Liberman MC. Noise-induced and age-related hearing loss: new perspectives and potential therapies. F1000Res. 2017 Jun 16;6:927. doi: 10.12688/f1000research.11310.1. eCollection 2017.
- Shukla A, Harper M, Pedersen E, Goman A, Suen JJ, Price C, Applebaum J, Hoyer M, Lin FR, Reed NS. Hearing Loss, Loneliness, and Social Isolation: A Systematic Review. Otolaryngol Head Neck Surg. 2020 May;162(5):622-633. doi: 10.1177/0194599820910377. Epub 2020 Mar 10.
- Yusoff MSB. ABC of content validation and content validity index calculation. Education in Medicine Journal. 2019;11(2):49-54. https://doi.org/10.21315/eimj2019.11.2.6
- Tsukada T, Sakakibara H. A trail of individual education for hearing protection with an instrument that measures the noise attenuation effect of wearing earplugs. Ind Health. 2008 Aug;46(4):393-6. doi: 10.2486/indhealth.46.393.
- Takada MM, Rocha CH, Neves-Lobo IF, Moreira RR, Samelli AG. Training in the proper use of earplugs: An objective evaluation. Work. 2020;65(2):401-407. doi: 10.3233/WOR-203092.
- Sliwinska-Kowalska M, Davis A. Noise-induced hearing loss. Noise Health. 2012 Nov-Dec;14(61):274-80. doi: 10.4103/1463-1741.104893.
- Salmani Nodoushan M, Mehrparvar AH, Torab Jahromi M, Safaei S, Mollasadeghi A. Training in using earplugs or using earplugs with a higher than necessary noise reduction rating? A randomized clinical trial. Int J Occup Environ Med. 2014 Oct;5(4):187-93.
- Murphy WJ, Stephenson MR, Byrne DC, Witt B, Duran J. Effects of training on hearing protector attenuation. Noise Health. 2011 Mar-Apr;13(51):132-41. doi: 10.4103/1463-1741.77215.
- Gong W, Murphy WJ, Meinke DK, Feng HA, Stephenson MR. Evaluating Earplug Performance over a 2-Hour Work Period with a Fit-Test System. Semin Hear. 2023 Jun 1;44(4):470-484. doi: 10.1055/s-0043-1769586. eCollection 2023 Nov.
- Daniel E. Noise and hearing loss: a review. J Sch Health. 2007 May;77(5):225-31. doi: 10.1111/j.1746-1561.2007.00197.x.
- Chow, S.-C., Shao, J., & Wang, H. (2003). Sample Size Calculations in Clinical Research (2nd ed.). Chapman & Hall/CRC., p. 51.
- Centers for Disease Control and Prevention [Internet]. Washington, DC: DHHS, CDC. [updated 2024; cited 2025]. Noise and hearing loss prevention; [about 1 screen]. Available from www.cdc.gov/niosh/topics/noise/about.html (Accessed 29 January 2025).
- Brueck, E. (n.d.).Hearing protection. OSHwiki. Retrieved January 29, 2025, from https://oshwiki.osha.europa.eu/en/themes/hearing-protection
- 2. Berger, E. H. (2000). Hearing protection devices. In E. H. Berger, L. H. Royster, J. D. Royster, D. P. Driscoll, & M. Layne (Eds.), The Noise Manual (5th ed.). Fairfax, VA: AIHA Press.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- ENT-2568-0432
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
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