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. 2017 Jul 7;2017(7):CD006396. doi: 10.1002/14651858.CD006396.pub4

Rabinowitz 2011.

Methods CBA study/ITS (authors provided additional data for ITS analysis)
Participants Various workers of an aluminium smelter
n = 312
Interventions Intervention: daily monitoring of at‐ear noise exposure and regular feedback from supervisors
Control: ongoing hearing conservation programme (regulation‐mandated hearing tests, noise measurements, training)
Outcomes Median TWA ambient noise exposures
Median and range of noise exposures inside hearing protection (intervention group)
High frequency hearing threshold levels (2, 3, 4 kHz)
Annual rate of hearing loss (dB/year)
Notes Long‐term
Comparability ‐ intervention/control (matched on age, gender and hearing):
 age: similar age (within 5 years); intervention mean 48.7 years, control mean 48,6 years
 hearing: controls matched (control group 1) and highly matched (control group 2):
Control group 1: baseline hearing = similar high frequency hearing threshold levels (binaural average of 2, 3 and 4 kHz) (within 5 dB) (intervention, n = I 78; control n = 234)
Control group 2: baseline hearing and initial rate of hearing loss during pre‐intervention period (intervention, n = 46; control, n = 138)
For risk of bias see Table 20