The Impact of Hearing Preservation Education on the Young Adults’ Listening Behavior

Background and Aim: High-level sounds in recreational activities are known as one of the leading causes of developing noise-induced hearing loss, particularly in adolescents and young adults. Thus, this study aimed to explore the practicality of a hearing preservation education program in modifying listening behaviors concerning recreational noise exposure and Personal Listening Device (PLD) use in adolescents and young adults. 
Methods: Two hundred students, both male and female (n=100, each) between 15 and 18 years old were chosen to participate. These students engaged in the hearing preservation education program and filled in pre-education, post-education, and follow-up questionnaires. The questionnaire assessed the students’ awareness, intention, attitudes, and motivation concerning recreational noise exposure and safe PLD usage. The materials were prepared by an expert panel of audiologists and then remarked as comprehensible by teachers of the target age group. 
Results: There were significant differences in preferred volume levels and preferred listening levels of PLD, as well as the duration of PLD usage among pre-education, post-education, and follow-up questionnaire measurements (p<0.001). Notably, education significantly altered the students’ awareness, intention, attitudes, and motivation concerning recreational noise exposure among the three experimental conditions (p<0.001). 
Conclusion: Providing a fundamental guide and effective education to adolescents and young adults will help them to use PLD safely, expand their awareness and knowledge, and consequently revise their attitudes and listening behaviors. 
Keywords: Noise-induced hearing loss; personal listening device; recreational noise; hearing preservation; young adult and adolescent