. Author manuscript; available in PMC: 2020 Sep 1.

Published in final edited form as: J Cross Cult Gerontol. 2019 Sep;34(3):223–243. doi: 10.1007/s10823-019-09376-6

Table 2.

Characteristics of the Intervention delivered as the Final Stage of the Cultural Adaptation

	Intervention Content
30-min Screening ^a(P)	Basic ear examination with otoscope Audiometric screening with automated screening protocol in a quiet room (Tremetrics RA 300) Key clinical history of ear and hearing that may require additional evaluation Review limitations of hearing screening and personal sound amplifier products (PSAPs) used in the study (versus professionally-fit hearing aids)
1-hour Education (P and CP) ^a	Device Provision & Orientation Introduction to PSAP device features. User selects own device from two devices ^b Listening device fitting Hands-on demonstration and real-life functional practice based on daily use
1-hour Education (P and CP) ^a	Communication Education & Counseling Hearing loss basics on how hearing works and why communication strategies are needed Mini-aural rehabilitation session with communication strategies and expectation management Provision of take-home education materials including training workbook, complete reference manual, and quick tips book
Follow-up (P)	Follow-up phone call from an interventionist within 5 days of intervention regarding any initial questions or difficulties with the listening device Duration: 5-15 minutes Follow-up group session for all participants with hearing loss after 2 weeks of intervention Open-ended discussions starting with questions: What changes have you noticed since participating in the program? Have you encountered any issues or problems? Duration: 30-45 minutes

P: Participants with hearing loss, CP: Communication Partners

Screening session was followed by the education session in one-sitting

Participants selected from two devices: the Sound World Solutions CS-50® (Park Ridge, IL; approximate retail price $350) or the Williams Sound Pocketalker Ultra Duo Pack® (Eden Prairie, MN; approximate retail price $120). The devices were selected by the medical and audiological team based on the quality of output, features, and price point. Devices were provided free-of-charge as part of the study.