title: An ecological approach to hearing-health promotion in workplaces.
abstract: To develop and assess use, acceptability and feasibility of an ecological hearing conservation programme for workplaces.
  
  
  
  A school-based public health hearing preservation education programme (Dangerous Decibels®) was adapted for workplaces using the Multi-level Approach to Community Health (MATCH) Model. The programme was delivered in small manufacturing companies and evaluated using a questionnaire before the training and at one week and two-months after training.
  
  
  
  Workers (n = 56) from five small manufacturing companies were recruited.
  
  
  
  There was a significant improvement in knowledge, attitudes and behaviour of workers at the intrapersonal level; in behaviour motivation and safety culture at the interpersonal and organisational levels; and an overall improvement in hearing-health behaviour after two months post-intervention.
  
  
  
  The developed programme offers a simple, interactive and theory-based intervention that is well accepted and effective in promoting positive hearing-health behaviour in workplaces.
authors.affiliation: a Section of Audiology , University of Auckland , Auckland , New Zealand and.
authors.forename: Ravi
authors.initials: R
authors.lastname: Reddy
authors.affiliation: a Section of Audiology , University of Auckland , Auckland , New Zealand and.
authors.forename: David
authors.initials: D
authors.lastname: Welch
authors.affiliation: b Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences , University of Auckland , Auckland , New Zealand.
authors.forename: Shanthi
authors.initials: S
authors.lastname: Ameratunga
authors.affiliation: a Section of Audiology , University of Auckland , Auckland , New Zealand and.
authors.forename: Peter
authors.initials: P
authors.lastname: Thorne
mesh_terms: D000328:Adult; D001307:Auditory Perception; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006309:Hearing; D006311:Hearing Disorders / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009623:Noise, Occupational / Q000009:adverse effects*; D009784:Occupational Diseases / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control* / Q000523:psychology; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health; D015397:Program Evaluation; D012307:Risk Factors; D017751:Safety Management; D017132:Workplace
keywords: Hearing conservation; behavioural measures; health promotion; noise