TY - JOUR
T1 - The Noise Exposure Structured Interview (NESI)
T2 - An Instrument for the Comprehensive Estimation of Lifetime Noise Exposure
AU - Guest, Hannah
AU - Dewey, Rebecca S.
AU - Plack, Christopher J.
AU - Couth, Samuel
AU - Prendergast, Garreth
AU - Bakay, Warren
AU - Hall, Deborah A.
N1 - Funding Information:
The authors thank Mark Lutman, Melanie Ferguson, and Adrian Davis for insightful discussion on the procedures for estimating noise exposure using their Noise Exposure and Rating Questionnaire. The authors are grateful to Fred Marmel, Michael Stone, and Hannah-Sian McGuinness for providing valuable feedback on previous versions of the NESI.
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Development of the instrument was funded by The Marston Family Foundation and Action on Hearing Loss, with support from the Medical Research Council UK (MR/L003589/1 and MR/M023486/1) and the NIHR Manchester Biomedical Research Centre. D. A. H. is an NIHR senior investigator.
Publisher Copyright:
© The Author(s) 2018.
PY - 2018/10/8
Y1 - 2018/10/8
N2 - Lifetime noise exposure is generally quantified by self-report. The accuracy of retrospective self-report is limited by respondent recall but is also bound to be influenced by reporting procedures. Such procedures are of variable quality in current measures of lifetime noise exposure, and off-the-shelf instruments are not readily available. The Noise Exposure Structured Interview (NESI) represents an attempt to draw together some of the stronger elements of existing procedures and to provide solutions to their outstanding limitations. Reporting is not restricted to prespecified exposure activities and instead encompasses all activities that the respondent has experienced as noisy (defined based on sound level estimated from vocal effort). Changing exposure habits over time are reported by dividing the lifespan into discrete periods in which exposure habits were approximately stable, with life milestones used to aid recall. Exposure duration, sound level, and use of hearing protection are reported for each life period separately. Simple-to-follow methods are provided for the estimation of free-field sound level, the sound level emitted by personal listening devices, and the attenuation provided by hearing protective equipment. An energy-based means of combining the resulting data is supplied, along with a primarily energy-based method for incorporating firearm-noise exposure. Finally, the NESI acknowledges the need of some users to tailor the procedures; this flexibility is afforded, and reasonable modifications are described. Competency needs of new users are addressed through detailed interview instructions (including troubleshooting tips) and a demonstration video. Limited evaluation data are available, and future efforts at evaluation are proposed.
AB - Lifetime noise exposure is generally quantified by self-report. The accuracy of retrospective self-report is limited by respondent recall but is also bound to be influenced by reporting procedures. Such procedures are of variable quality in current measures of lifetime noise exposure, and off-the-shelf instruments are not readily available. The Noise Exposure Structured Interview (NESI) represents an attempt to draw together some of the stronger elements of existing procedures and to provide solutions to their outstanding limitations. Reporting is not restricted to prespecified exposure activities and instead encompasses all activities that the respondent has experienced as noisy (defined based on sound level estimated from vocal effort). Changing exposure habits over time are reported by dividing the lifespan into discrete periods in which exposure habits were approximately stable, with life milestones used to aid recall. Exposure duration, sound level, and use of hearing protection are reported for each life period separately. Simple-to-follow methods are provided for the estimation of free-field sound level, the sound level emitted by personal listening devices, and the attenuation provided by hearing protective equipment. An energy-based means of combining the resulting data is supplied, along with a primarily energy-based method for incorporating firearm-noise exposure. Finally, the NESI acknowledges the need of some users to tailor the procedures; this flexibility is afforded, and reasonable modifications are described. Competency needs of new users are addressed through detailed interview instructions (including troubleshooting tips) and a demonstration video. Limited evaluation data are available, and future efforts at evaluation are proposed.
KW - noise-induced hearing loss
KW - occupational noise
KW - public health
KW - risk
KW - self-report
UR - http://www.scopus.com/inward/record.url?scp=85054423574&partnerID=8YFLogxK
U2 - 10.1177/2331216518803213
DO - 10.1177/2331216518803213
M3 - Article
C2 - 30295145
AN - SCOPUS:85054423574
SN - 2331-2165
VL - 22
SP - 1
EP - 10
JO - Trends in Hearing
JF - Trends in Hearing
ER -