Hearing for Learning Initiative - a Health Facilitator Model for Otitis Media
NCT ID: NCT03916029
Last Updated: 2025-05-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
18 participants
INTERVENTIONAL
2019-02-03
2024-12-31
Brief Summary
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This initiative will address the following research question: In urban, rural and remote Aboriginal communities in the Northern Territory, does employment, training and integration of local Ear and Hearing Clinical and Education Support Officers into health and education services (the Hearing for Learning initiative), compared to current practice, increase the proportion of children who receive an ear assessment, reduce the prevalence of ear and hearing problems and improve education outcomes of Aboriginal and Torres Strait Islander children, during a four year trial period?
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Detailed Description
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This Hearing for Learning Initiative aims to improve health care and education services.
Interventions: The intervention involves training and employing non-professional community members to facilitate busy primary health care services to deliver evidence-based ear and hearing health assessments in children 0 to 16 years of age, and to facilitate the teaching and home learning of hearing impaired children (the intervention).
Trial design: A stepped-wedge community (n=18) cluster-randomised trial will compare the proportion of children receiving an ear assessment (primary outcomes) in the HfLI (intervention) periods with no HfLI (control) periods. Participating communities will be randomly assigned in 6-monthly steps to shift from control to intervention on pre-specified start dates.
Outcomes: the primary outcome is the change in the proportion of Aboriginal and Torres Strait Islander children who receive an ear assessment, between intervention and control periods.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Facilitator
120 hours training for local community members delivered on-country face-to-face during 6 4-day weeks and over a 3-6 month period. Certificate II modules in Aboriginal Primary Health Care, ear and hearing health skills development (otoscopy, tympanometry, and hearScreen) and employment as Ear Health Facilitators to the end of the trial.
facilitator
Training and employment of community members to assist the diagnosis and management of otitis media
Control
No Facilitator. Brief 6-monthly 2 to 3 hour in-service training via zoom for health professionals.
No interventions assigned to this group
Interventions
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facilitator
Training and employment of community members to assist the diagnosis and management of otitis media
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria: none
1 Week
16 Years
ALL
Yes
Sponsors
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Australian Government Department of Health and Ageing
OTHER_GOV
Northern Territory Government of Australia
OTHER_GOV
Menzies School of Health Research
OTHER
Responsible Party
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Principal Investigators
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Amanda Leach, PhD
Role: PRINCIPAL_INVESTIGATOR
Menzies School of Health Research
Kelvin Kong, MBBS
Role: STUDY_DIRECTOR
Newcastle University
Peter S Morris, MBBS, PhD
Role: STUDY_DIRECTOR
Menzies School of Health Research
Alan Cass, MBBS, PhD
Role: STUDY_DIRECTOR
Menzies School of Health Research
Locations
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Ali Curung
Ali Curung, Northern Territory, Australia
Ampilatwatja
Ampilatwatja, Northern Territory, Australia
Darwin
Darwin, Northern Territory, Australia
Galiwin'ku
Galiwin'ku, Northern Territory, Australia
Gunbalanya
Gunbalanya, Northern Territory, Australia
Kalkarindji Primary Health Centre
Kalkarindji, Northern Territory, Australia
Wurli Wurlinjang Health Service
Katherine, Northern Territory, Australia
Lajamanu Primary Health Centre
Lajamanu, Northern Territory, Australia
Mala'la Health Service
Maningrida, Northern Territory, Australia
Milikapiti Community Health Centre
Milikapiti, Northern Territory, Australia
Milingimbi Health Clinic
Milingimbi, Northern Territory, Australia
Minjilang Community Health Centre
Minjilang, Northern Territory, Australia
Nauiyu
Nauiyu, Northern Territory, Australia
Palumpa Community Health Centre
Palumpa, Northern Territory, Australia
Pirlangimpi Health Clinic
Pirlangimpi, Northern Territory, Australia
Ti Tree Community Health Centre
Ti Tree, Northern Territory, Australia
Wadeye Community Health Centre
Wadeye, Northern Territory, Australia
Warruwi Community Health Centre
Warruwi, Northern Territory, Australia
Julanimawu (Nguiu) Community Health centre
Wurrumiyanga, Northern Territory, Australia
Yirrkala Clinic
Yirrkala, Northern Territory, Australia
Countries
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References
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Kong K, Cass A, Leach AJ, Morris PS, Kimber A, Su JY, Oguoma VM. A community-based service enhancement model of training and employing Ear Health Facilitators to address the crisis in ear and hearing health of Aboriginal children in the Northern Territory, the Hearing for Learning Initiative (the HfLI): study protocol for a stepped-wedge cluster randomised trial. Trials. 2021 Jun 16;22(1):403. doi: 10.1186/s13063-021-05215-7.
Other Identifiers
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TEHREC -18-3264
Identifier Type: OTHER
Identifier Source: secondary_id
CAHREC - 19-330
Identifier Type: OTHER
Identifier Source: secondary_id
R813
Identifier Type: -
Identifier Source: org_study_id
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