Participants randomized to the experimental group will be clustered together geographically. This design will assist to minimize contamination. At baseline, the participants will complete assessment surveys and hearing tests in their tribal district community centers. All participants assigned to experimental group will receive the TCI immediately after baseline assessment and hearing test. Each TCI group includes 10 participants who will receive TCI together at a time and day that works the best.

Participants randomized to the control group will receive the delayed TCI after completing the 12-month follow up. Partcipants will receive the second hearing tests 12-months into the study and receive feedback on their hearing test results in comparison with the previous year's result. The control group will be asked to randomly participate in a focus group at the completion of the study.

The TC intervention involves applying a tribal specific theory-based approach. The TCI is based within the Native Reliance theoretical model, which is a cultural identity construct that reflects the holistic worldview, values, beliefs, and behaviors within Native American culture. The community partnership community will assess and validate appropriate tribal language, community needs, and culturally content to be included in the TCI.

Knowledge of NIHL will be assessed by benefits and barriers (3-item and 6-item, 5-point Likert scales, respectively) of Use of Hearing Protection as reflecting declarative knowledge (factual), and self-efficacy (2-item, 5-point Likert scale) in Use of Hearing Protection as reflecting procedure knowledge (how to do).

Mean use of HPDs will be calculated using the participant's use of HPDs in percentage of the time (0%-100%) when in loud noise at two time points (the past three months and one month) measured at pretest and at 6 and 12-month posttests. As the two scores for the two time points are expected to show a strong correlation, the mean of two scores will be used as the outcome variable.