title: Protocol of a test of hearing health education programs for farm and rural youth.
abstract: BACKGROUND
  Farm and rural youth have frequent exposure to hazardous noise on the farm and recreationally, and have an increased prevalence of noise-induced hearing loss. There is a lack of programs to prepare this high-risk population to use hearing conservation strategies.
  
  
  METHODS
  The purpose of this project is to test innovative hearing health education programs delivered to a large target group and to determine the effectiveness and sustainability of these programs in promoting hearing health among farm and rural youth. Specifically, this project includes: a) an interactive face-to-face informational program alone, b) an interactive face-to-face informational program followed by an Internet-based booster, and c) a no-intervention control. Sites will include selected affiliates of a major farm youth safety education organization. Data will be collected at baseline, 3, and 12 months. A linear mixed model will be used to compare the effectiveness of the three interventions over time. Descriptive statistics will be used to compare program costs and sustainability ratings.
  
  
  CONCLUSIONS
  Outcomes of this project will provide knowledge necessary to implement quality and cost-effective services to farm and rural youth, a high-risk and underserved population, that can be implemented and sustained after the study is completed.
  
  
  BACKGROUND
  Clinicaltrials.gov NCT02472821 Registered 09 Jun, 2015.
authors.affiliation: University of Michigan School of Nursing, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA. mcculla@umich.edu.
authors.forename: Marjorie C
authors.initials: MC
authors.lastname: McCullagh
authors.affiliation: University of Michigan School of Nursing, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA. tanima@umich.edu.
authors.forename: Tanima
authors.initials: T
authors.lastname: Banerjee
authors.affiliation: University of Michigan School of Nursing, 400 N. Ingalls St., Ann Arbor, MI, 48109, USA. jiyang@umich.edu.
authors.forename: James
authors.initials: J
authors.lastname: Yang
mesh_terms: D000293:Adolescent; D000383:Agriculture; D003362:Cost-Benefit Analysis; D006266:Health Education; D006293:Health Promotion / Q000379:methods*; D006309:Hearing; D006317:Hearing Loss, Noise-Induced / Q000517:prevention & control*; D006801:Humans; D020407:Internet; D015397:Program Evaluation; D012107:Research Design; D012111:Residence Characteristics; D012424:Rural Population