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ICT for Health: Networks, standards and innovation







           app), considerations for selecting hearing protection based   As depicted in Figure 3, the app presents the highlights of
           on  their  needs  and  preferences,  and  other  recommended   the  user’s  noise  exposure  in  the  Hearing  History  and  the
           practices aimed at preventing hearing loss.        Listening  Profile  modules.  The  Hearing  History  module
                                                              displays graphs of the user’s measured noise exposure over
           The  main  goal  of  the  app  is  to  encourage  and  facilitate   the time period to which the user toggles (i.e. past hour, past
           healthy listening behaviors by creating a personalized sound   day,  past  week).  The  listening  profile  keeps  track  of  the
           exposure profile and with engagement tools personalized to   qualitative aspects of the user’s listening experience, such as
           the user. Based on the functionalities described above, there   what genre of music to which the user frequently listens and
           are three main approaches for user interface personalization:   periods  of  the  user’s  day  where  the  noise  exposure  is
           (i)  active  and  customizable  monitoring,  (ii)  awareness  of   heightened (i.e. an exercise class or a noisy commute).
           personal exposure and (iii) feedback.

           Personalized monitoring is accomplished selecting intervals
           at  which  noise  exposure  is  sampled  and  logged  into  the
           cumulative exposure assessment. This flexibility allows for
           improving accuracy by recommending the user to increase
           the sampling rate, and accounts for efficiency by letting the
           user pick times of the day to sample based on daily habits.
           The user also has the flexibility of choosing the interval of
           alerts and recommendations. This enables the user to select
           timing when the information will be useful and likely to be
           acted upon.

           Personalized real-time exposure monitoring overcomes the
           fact that a user cannot always perceive noise exposures that
           have the potential to impair hearing. For example, short-term
           loud  volume  levels  (e.g.,  impact  sounds)  or  long-term
           exposure to seemingly tolerated sound levels may not cause
           discomfort to otherwise alert the user of  unsafe  exposure.
           The app’s functionality provides the user with a method of
           estimating  personal  exposure,  through  defined  standards,
           which can then be used to assess the risk of such exposures.
           The user’s estimated real-time noise exposure with effective
           visual  and  haptic  cues  indicate  potentially  damaging
           exposure  levels.  The  cumulative  noise  exposure  acts
           similarly to indicate the potential risk faced by the user based
           on the cumulative exposure duration.

           Personalized  feedback  is  derived  from  a  comparison  of
           trends  in  the  user’s  real-time  sound  pressure  level  and
           cumulative  sound  pressure  exposure  to  the  user’s  desired
           sound exposure, as per the relevant standards. The generated
           feedback addresses outliers in the user’s noise exposure with
           suggested recommendations to address the unsafe exposures.
           These feedback mechanisms are iterative, in that previous
           feedback  is  evaluated  alongside  changes  in  listening
           behavior to assess the usefulness of that feedback to the user.
           In the case that the previous feedback did not produce the
           desired  change  in  listening  behavior,  feedback  offering
           different solutions will be presented to the user.

           3.4    Hearing Health app visual interfaces

           The following interfaces display a sequence from login, user
           profile selection, personal sound exposure report, alerts with
           recommendation, education.






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