RecruitingNot ApplicableNCT05028972

Hearing Impairment, Strategies and Outcomes in VA Emergency Departments

Implementing HearVA (I-HearVA)


Sponsor

VA Office of Research and Development

Enrollment

1,050 participants

Start Date

Dec 8, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

HearVA involves six VA facility emergency departments (ED) over a 3-year intervention period. The first part of this study will test whether providing personal amplifiers to Veteran ED patients who self-report hearing difficulty is acceptable to these patients, can improve their hearing, enhance understanding of discharge instructions, and can reduce the risk of coming back to the ED in a short period of time (3 days and 30 days). The second part of the study will then identify whether ED staff can implement this program and achieve similar results. The second part will give ED staff increasing levels of responsibility for screening Veterans for hearing difficulty and providing personal amplifiers when such difficulty is detected.


Eligibility

Min Age: 60 Years

Inclusion Criteria4

  • English speaking
  • Emergency severity index criterion of 3 (medium), 4, or 5 (low acuity)
  • Hearing Handicap Inventory-Screen greater than or equal to 10 or positive answer to a single-item screening question
  • Capacity to consent to participate in research

Exclusion Criteria5

  • Inability to consent to participate in research
  • Emergency severity index criterion of 1-2 (high acuity)
  • Hearing Handicap Inventory-Screen less than 10 and negative answer to single item screening question
  • Inability to speak English
  • Using cochlear implants

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Interventions

OTHERPersonal Amplifier

The intervention group will receive personal amplifiers (PockeTalkers) while they receive care in the ED

OTHERNo Personal Amplifier

The control group will not receive personal amplifiers while they receive care in the ED


Locations(6)

Rocky Mountain Regional VA Medical Center, Aurora, CO

Aurora, Colorado, United States

VA NY Harbor Healthcare System, New York, NY

New York, New York, United States

Syracuse VA Medical Center, Syracuse, NY

Syracuse, New York, United States

James J. Peters VA Medical Center, Bronx, NY

The Bronx, New York, United States

Durham VA Medical Center, Durham, NC

Durham, North Carolina, United States

VA North Texas Health Care System Dallas VA Medical Center, Dallas, TX

Dallas, Texas, United States

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NCT05028972


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