Changing Behaviors: Lessons from the field.

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1 Changing Behaviors: Lessons from the field. Deanna K. Meinke, PhD University of Northern Colorado Audiology & Speech-Language Pathology Co-Director of Dangerous Decibels William Hal Martin, PhD National University of Singapore Director of the Audiology MSc programme Co-Director of Dangerous Decibels February 7, 2018 By iilustree at Etsy.com

2 Identify the personal motivation

3 NATURAL FAVORITE SOUNDS Water 28.9 % Humans 28.0% Weather 15.3% Birds 11.3% Animal s 10.1% Natur e 4.4%

4 SILENCE 1.9%

5 MECHANICAL FAVORITE SOUNDS Music 46.0% Musical Instrument 24.4% Vehicle s 11.1% Sports 7.6% Money 1.7%

6 Meet Jolene

7 How Loud is Your Music?

8 Stimulate Curiosity

9 Adapt to your target audience Goldie works at a Nevada Copper Mine Ellie Queue worked for the US military in Europe

10

11 Use simple strategies to improve knowledge and promote self-efficacy

12 Use simple strategies to improve knowledge and promote self-efficacy 80/90 rule: 80% volume for 90 minutes Unlimited time for 60% or lower (Portnuff & Fligor, 2006)

13 Message framing changes with age Older adults may relate to risk of hearing loss in later in life, youth are invincible and less likely to respond to potential health effects in the distant future. Youth respond to cues they have personally experienced, e.g. tinnitus after high-level music exposure. Effectiveness of Negative versus Positive message framing changes with age

14 Leverage those with influence Teachers/Educators and Healthcare professionals are trusted sources of health information.

15 Leverage those with influence The media is pervasive, know how to leverage the media and empower youth to challenge and understand the contradictory sources of information.

16 High School/Adolescents are a challenging audience Direct targeting of high school aged students for prevention of NIHL (especially related to music exposure, but all recreational exposures) appears to be almost completely ineffective UNLESS those students are meaningfully incorporated into the intervention process targeting peers or younger individuals. Peers are powerful influencers

17 Jezebel King s College, Auckland, NZ High school student use her as part of their classroom education programme

18 Miss Jo with students from the National University of Singapore

19 Start earlier than you think By high school, behaviors and poor listening habits are already entrenched.

20 Leverage the general appeal of technology earbuds over the ear active noise cancellation Insert or isolation

21 Music is better with a hi-fidelity ear Amaze them with the wonder of the ear and hearing for the purpose of enjoying music/audio.

22 Noise Damaged Hair Cell Bundle Healthy Hair Cell Bundle

23 Healthy Cochlear Nerve Connections Noise Damaged Missing Cochlear Nerve Connections

24 Use AUDIO and interactive demonstrations Hearing is Believing

25

26 Tinnitus

27 Listen Closely Just Music Music + Bus + Bose QC30 Bus + Music Bus + Music + Isolating Earphone Music + Hearing Loss Music + Hearing Loss + Tinnitus Demonstrations: courtesy of Dan Gauger

28 Leverage atypical venues and environments Maker Faires Musical Instrument Museum Farmers Markets Senior Centers University Events

29

30 Jolene in the Science of Sound Exhibit

31

32 Sustained outcomes require community-level interventions Community-based interventions produce sustained outcome improvements more than anything else we have tried (targeting year olds) and also have a positive impact on members of the community at large who may not have been primary targets of the interventions (adult community members who show evidence of increased awareness about hearing health).

33 Protect your credibility Scientific community General public Media

34

35 Hear the Music for a Lifetime! Thank you! Deanna.Meinke@unco.edu

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