Although the World Health Organization (WHO) recommends the use of a Community-Based Rehabilitation (CBR) model, little is known about how CBR has been applied in the hearing healthcare setting. The purpose of this scoping review was to identify and describe studies on Community-Based Hearing Rehabilitation (CBHR) programs within the applied context. The review was conducted in September 2020 with updated searches in November 2021 according to the Joanna Briggs Institute (JBI) methodology and reported using the guidelines and checklist for Preferred Reporting Items for Systematic Reviews and Meta Analyses-Extension for Scoping Reviews (PRISMA-ScR). Fifty-nine peer-reviewed research articles were included in the review. A narrative synthesis was conducted to map out the types of CBHR programs. Studies were classified into audiological themes: awareness, screening and assessment of hearing in newborn/infants, children and adults, training of community health workers, rehabilitation, cost-effectiveness and describing the service delivery models. Further categorisation was made based on CBR aspect matrices for each study. Most of the studies come from high-income countries in North America and Europe. CBHR studies predominantly focused on creating awareness, training and hearing screenings and/or assessments in communities and evaluating effectiveness in providing knowledge and access to hearing health services in rural or underserved communities. Further work is needed to examine the outcomes and effectiveness of CBHR using controlled studies. Moreover, more work is needed in low- and middle-income countries where the application of CBHR is critical for increased access and affordability.

中文翻译：

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基于社区的听力损失评估和康复：范围审查

尽管世界卫生组织 (WHO) 建议使用基于社区的康复 (CBR) 模型，但人们对 CBR 如何在听力保健环境中应用知之甚少。该范围审查的目的是确定和描述在应用环境中基于社区的听力康复 (CBHR) 计划的研究。审查于 2020 年 9 月进行，并于 2021 年 11 月根据乔安娜布里格斯研究所 (JBI) 方法进行了更新搜索，并使用系统审查和元分析的首选报告项目的指南和清单进行报告 - 范围审查的扩展 (PRISMA-ScR) . 59 篇经过同行评审的研究文章被纳入审查。进行了叙述性综合以绘制出 CBHR 计划的类型。研究分为听力学主题：对新生儿/婴儿、儿童和成人听力的认识、筛查和评估、社区卫生工作者的培训、康复、成本效益和描述服务提供模式。根据每项研究的 CBR 方面矩阵进行进一步分类。大多数研究来自北美和欧洲的高收入国家。CBHR 研究主要侧重于在社区中建立意识、培训和听力筛查和/或评估，并评估在农村或服务不足的社区提供知识和获得听力保健服务的有效性。需要进一步的工作来使用对照研究检查 CBHR 的结果和有效性。而且，