Table 6.

Components of screening protocol (Whitlock, Orleans, Pender & Allan, 2002).

Physician tool box	Multicomponent protocol	Outcome based targeted intervention Recommendations – Options
Screening protocol	Global risk profile assessment	Healthcare provider advice – promote hearing health literacy
Referral guidelines	Performance based screen for risk for hearing impairment	Complete audiologic Evaluation Provide information regarding community resources for hearing and fearing aid evaluaion and fittings
Multifaceted and tailored interventions	Screening test of functional communication impairment	Behavioral counseling re communication strategies and environmental aids for small groups, television and music, and warning sounds; counseling re home hazards modifications; caregiver counseling regarding communication strategies and technologies
Physician education-conducted by the audiologist		Multifactorial screen Risk evaluation Behavioral counseling Interventions and outcomes
Follow-up guidelines (e.g. telephone or email contacts)		Written recommendations Follow-up Five A’s framework: construct-assess, advise, agree, assist, and arrange should be the basis for written recommendations