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The Noise Exposure Structured Interview (NESI): an instrument for the comprehensive estimation of lifetime noise exposure

Guest, Hannah; Dewey, Rebecca S.; Plack, Christopher J.; Couth, Samuel; Prendergast, Garreth; Bakay, Warren; Hall, Deborah A.


Hannah Guest

Christopher J. Plack

Samuel Couth

Garreth Prendergast

Warren Bakay

Deborah A. Hall


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 pre-specified 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.


Guest, H., Dewey, R. S., Plack, C. J., Couth, S., Prendergast, G., Bakay, W., & Hall, D. A. (2018). The Noise Exposure Structured Interview (NESI): an instrument for the comprehensive estimation of lifetime noise exposure. Trends in Hearing, 22, 1-10.

Journal Article Type Article
Acceptance Date Aug 28, 2018
Online Publication Date Oct 8, 2018
Publication Date Oct 8, 2018
Deposit Date Aug 31, 2018
Publicly Available Date Aug 31, 2018
Journal Trends in Hearing
Electronic ISSN 2331-2165
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 22
Pages 1-10
Keywords Noise-induced hearing loss; Self report; Occupational noise; Risk; Public health
Public URL
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