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DEVELOPMENT OF HEARING TECHNOLOGY WITH PERSONALIZED SAFE
                                               LISTENING FEATURES




                                                       2
                                  1,2
                                                                       2
                                            2
                       Shayan Gupta ; Xuan Xu ; Hongfu Liu ; Jacqueline Zhang ; Joshua N Bas ; Shawn K. Kelly 2
                                                                                    2
                                        1 Audition Technology, LLC., Pittsburgh, PA, USA
                                              2 Carnegie Mellon University, USA

                              ABSTRACT                        exposures.  The  NIOSH  Sound  Level  Meter  app measures
                                                              environmental sound and provides information on hazardous
           Noise  induced  hearing  loss  (NIHL)  is  a  growing  public   levels [8]. The Department of Defense, Hearing Center of
           health concern in the US and globally due to the emergence   Excellence (DoD, HCE) along with the Army Research Lab
           of  lifestyle  preferences  and  environmental  exposures  to   (ARL) and Army Public Health Center (APHC) provide safe
           sound  levels  exceeding  safe  listening  limits  for  extended   listening standards and education to mitigate NIHL risk in
           periods  of  time.  Issuance  of  the  ITU  guidelines  for  safe   service personnel [9-11]. To address evolving young adult
           listening devices/systems (ITU-T H.870) leading to the 2019   lifestyles,  the  ITU-T  H.870  guideline  and  the  WHO-ITU
           WHO-ITU  standard,  along  with  existing  US  federal  and   global  standard  for  safe  listening  devices  and  systems
           military standards, provide a framework for developing an   regulate  exposure  to  loud  sounds  through  personal  audio
           accessible tool for promoting safe listening. Our proposed   devices/systems [12, 13]. In addition, the hearWHO app was
           Hearing Health app, is being developed for an aggregated   launched recently to serve as a hearing screening to check
           assessment  of  a  user’s  daily  sound  exposure,  through  the   one’s hearing status [14].
           audio system and the environment (occupation and beyond)
           by integrating WHO-ITU and US safe listening standards,   An unmet need is the aggregation of the various UN and US
           providing  real-time  alerts,  user-centric  recommendations   standards for real-time, cumulative assessment of daily noise
           and  education  that  can  be  integrated  into  user  lifestyles,   exposure, because of daily activities and lifestyle choices,
           representing  a  wide  demographic  including  young  adult,   with  features  to  facilitate  the  adoption  of  safe  listening
           adult, civilian and military populations. The overall goal of   practices into one’s lifestyle. We are proposing a ‘Hearing
           the app will be to increase NIHL awareness and facilitate   Health App’ (App) that integrates US and UN safe listening
           improvement of user’s listening behaviors.         standards with features to match personal, occupational and
                                                              lifestyle needs, as well as personal preferences to improve
             Keywords – App, NIHL, safe listening standards, user-  listening behaviors across a wide demographic.
                       centric, user listening behavior
                                                                            2.  METHODOLOGY
                         1.  INTRODUCTION
                                                              2.1    m-health app for hearing health
           There  is  an  increased  global  focus  on  improving  hearing
           healthcare due to auditory and non-auditory adverse health   Mobile phones are ubiquitous devices that can have a long-
           outcomes resulting from noise induced hearing loss (NIHL)   range wireless communication with the Internet, as well as
           [1]. The US Center for Disease Control (CDC) estimates ~   short-range  wired  or  wireless  communication  with  nearby
           24% of US adults and WHO projects >1 billion young adults   objects.  Therefore,  mobile  phones  can  send  and  receive
           worldwide  are  at  risk  of  NIHL  due  routine,  prolonged   information  from  the  Internet,  as  well  as  from  a  nearby
           exposures  to  loud  noise  [2,3].  The  lack  of  awareness  is   device  with  Bluetooth  connectivity,  such  as  a  Bluetooth-
           apparent  in  the  latest  CDC  estimates,  which  state  that  40   enabled  hearing  technology  (personal  sound  amplification
           million US adults (20-69 years old) have NIHL, 1 in 2 of   product, PSAP). The app can be downloaded and executed
           whom not having noisy jobs, and 1 in 4 US adults who report   with  currently  available  global  mobile  phone  technology,
           excellent to good hearing already have hearing damage [4].    potentially enabling global access to a hearing health tool.

           Standards have been proposed to promote safe listening. In   The WHO defines mobile health (m-health), a subset of e-
           the  US,  there  are  safe  listening  standards  from  National   health, as ‘the use of mobile wireless technologies for health’
           Institute  for  Deafness  and  Communication  Disorders   and recognizes the value of digital technologies to contribute
           (NIDCD) [5], National Institute for Occupational Safety and   to  advancing  health  aims  of the  Sustainable  Development
           Health  (NIOSH)  [6],  and  Occupational  Safety  and  Health   Goals  [15].  Our  selection  of  development  of  an  app
           Administration  (OSHA)  [7]  to  limit  occupational  noise   acknowledges the WHO m-health directive and is guided by




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