Be he@lthy, be mobile: a toolkit on how to implement mSafeListening. Web annex: mSafeListening message libraries

A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 2 Be he@lthy, be mobile: a handbook on how to implement mSafeListening. Web Annex. mSafeListening message libraries ISBN (WHO) 978-92-4-004480-7 (electronic version) ISBN (ITU) 978-92-61-36171-6 © World Health Organization and International Telecommunication Union, 2022 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO or ITU be liable for damages arising from its use. This publication forms part of the document entitled Be he@lthy, be mobile: a handbook on how to implement mSafeListening. It is being made publicly available for transparency purposes and information. Design and layout by 400 communications. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 3 This document provides a library of messages for use in hearing loss awareness/education/prevention mHealth programmes. These messages have been crafted based on best practice and insight and have been co-produced with members of the target audience to ensure relevance and applicability. However, best practice strongly advises that these messages are used as a basis for interventions; and should be adapted, updated and altered to suit the specific needs of your target audience or community and local context/environment. The message library is split into sub-libraries based on the following target audiences: 1. General population (ID: GP1-GP53) 2. Adolescents that are exposed to loud sounds (ID: AS1- AS47) 3. Adults that are exposed to loud sounds (AD1-AD54) 4. Parents or care providers of children (ID: PM1-PM45) Each sub-library is designed to be delivered on its own i.e. a user will only receive the messages from one library depending on which target audience they belong. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 4 General population This message library contains messages designed to be delivered to the general population who wish to learn more about hearing loss and safe listening. The messages are designed to support people to understand hearing loss, engage in behaviours required to promote hearing health and safe listening. These messages should be adapted for the local population and context following consultation with relevant local groups (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over a 6-month period, with approximately 2 messages per week. It is recommended that the timing of delivery each week is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 5 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening” to local program name. • Change “your child” to “children” or “a child” depending on end-user type. 1 GP1 General knowledge about hearing loss Hearing loss is commoner than you think! One out of every five people has hearing loss. 88 Information 1 GP2 Need for hearing test Do you often ask people to repeat themselves? This could be a sign of hearing loss. Download the free WHO hearWHO app and check your hearing. 141 Motivation 2 GP3 Need for hearing tests In children, hearing loss can affect speech and academic performance. Be sure to have your child's ears checked regularly by a health care provider. 148 Information 3 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 6 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP4 Causes of hearing loss Birth problems, ear infections, loud sounds/noise, use of certain medicines, and old age are some of the common causes of hearing loss. 136 Information 3 GP5 Prevention of hearing loss Did you know that many causes of hearing loss can be prevented? Treating ear infections and avoiding loud sounds can mitigate your risk of hearing loss. 152 Information GP6 Hearing loss prevention Want to avoid ear infections? DON’T: • put oil, Q-tips/cotton buds, hopi candles, sticks, home remedies in your ear • swim in dirty water • share earphones/earplugs with others 160 Motivation • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 7 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 GP7 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 153 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. GP8 Ear care Want to get the wax out of your ear? Never attempt to do it yourself or let an untrained person do it for you. See a trained health worker or doctor instead. 156 Motivation 4 5 GP9 Ear care Ears feeling itchy? Using Q-tips or any other object for scratching can harm the ear canal and ear drum. You should consult a doctor instead. 141 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP10 Ear care Having ear pain? It is commonly caused by hard wax or infection in the ear. Don’t try home remedies as these can harm your ears. See a doctor without delay. 156 Motivation • Replace home remedies with remedies that are used locally e.g., hot oil etc BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 8 Week ID Theme Message Count Type Notes Suggested Multimedia ID 6 GP11 Hearing testing Ever checked your vision? Teeth? What about your hearing? It’s very easy to check it with the hearWHO app. Give it a try! Download it on your App Store. 152 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 GP12 Safe listening Do you know that you could get permanent hearing loss by listening to loud music? Search ‘safe listening’ online and learn how to protect your hearing. 151 Information 6 7 GP13 Safe listening Many people damage their hearing due to loud sounds heard over headphones. Keep the volume down and limit the time engaged in noisy pastimes. 141 Information 7 GP14 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 9 Week ID Theme Message Count Type Notes Suggested Multimedia ID 8 GP15 Safe listening Safe listening tip#1 If you use headphones, listen with CARE • Cut the volume to below 60% • Use Apps to monitor your exposure • REduce the time spent listening 153 Motivation 16 GP16 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Motivation 8 9 GP17 Safe listening Safe listening tip #2 In loud places be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs regularly • Rest your Ears frequently 182 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 10 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP18 Safe listening To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Motivation 15 10 GP19 Safe listening To rest your ears in a loud place, take frequent and short breaks away from loud sounds e.g., for 10 minutes every hour. 121 Motivation 11 GP20 Safe listening Q. How to know that a place is too loud? A. If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing. 163 Motivation 11 GP21 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 133 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 11 Week ID Theme Message Count Type Notes Suggested Multimedia ID 12 GP22 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Motivation • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc 17 GP23 Safe listening Some smartphones come with safe listening features like volume limiting and sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 126 Motivation 13 GP24 Safe listening Safe listening tip #4 Heed the warning signs and consult a doctor if you have • persistent ringing/ buzzing in the ear • difficulty in following conversations 155 Motivation GP25 Hearing testing Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 12 Week ID Theme Message Count Type Notes Suggested Multimedia ID 14 GP26 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 9 GP27 Hearing testing Is it safe to get your hearing tested? Yes. Hearing testing is safe, painless and can be done at any age, even in babies. Consult a professional to know more. 158 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 15 GP28 Management of hearing loss Don’t panic if you have hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or rehab. Consult a professional. 163 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. GP29 Hearing loss management Hearing loss can be present at birth or develop later in life. It is possible to identify and address it at any age. Early action is the key to success. 152 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 13 Week ID Theme Message Count Type Notes Suggested Multimedia ID 16 GP30 Hearing loss management Were you advised to use a hearing aid? Don’t hesitate, don’t delay. Using it can avoid you missing important words or misunderstanding what people say. 152 Support 10 GP31 Ear care Having ear wax is normal and it keeps your ears clean. If it gets collected and blocks the ear, it should only be removed by a trained health worker or doctor. 159 Information 17 GP32 Ear care About to put a Q-tip in your ear? Read the warning on its pack first. It is only meant to clean ears from outside. Putting it in the ear can cause damage. 154 Reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP33 Ear care Ear pain is commonly caused by hard wax or an ear infection. Don’t try home remedies as these can harm your ears. See a doctor without delay. 141 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 14 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 GP34 Signs of hearing loss You could have hearing loss if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation • have persistent ringing/ buzzing in the ear 161 Information GP35 Need for hearing testing If you think that you may have hearing loss, don’t wait. Download hearWHO now and check your hearing or consult a professional. 127 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 19 GP36 Safe listening Do you often have ringing in the ear? Don’t let it become permanent. Adopt safe listening practices to protect your hearing. Consult a doctor if it persists. 156 Reminder GP37 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 15 Week ID Theme Message Count Type Notes Suggested Multimedia ID 20 GP38 Noise at workplace Is your workplace very noisy? To avoid hearing loss: • use ear protection whenever there is noise around you, • avoid loud sounds during breaks. 146 Reminder • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 9 GP39 Safe listening How to know if a place is too loud? If you have to shout to be heard by someone at an arm’s length from you, it’s too noisy. Follow safe listening tips. 153 Reminder 11 21 GP40 Safe listening Using headphones for tele- working? CARE to protect your ears: • Cut the volume to below 60% • use Apps to monitor your exposure • REst your ears whenever possible 158 Reminder GP41 Safe listening Tired of working with headphones on all day? Your ears may be too. Give them a break by avoiding noisy pastimes and places during your off-hours. 145 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 16 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 GP42 Safe listening Did you know that some smartphones and headphones allow you to limit the maximum sound level? Prefer such devices and limit the volume to prevent hearing loss. 159 Motivation 8 GP43 Safe listening Going to a loud club tonight? Be SURE that your ears are protected: • Stay away from loudspeakers • Use earplugs • Rest your Ears for 10 minutes after every hour 156 Reminder • The term ‘club’ can be substituted by one locally relevant, such as disco, concert, event, arena etc 23 GP44 Safe listening Do you practice shooting guns or play with fireworks? Use ear protection to avoid damaging your ears. Limit the time spent in such noisy activities. 153 Reminder • Shooting and fireworks should be replaced with locally appropriate terms. ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 12 GP45 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull- Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 17 Week ID Theme Message Count Type Notes Suggested Multimedia ID 24 GP46 Safe listening Can you enjoy your favourite pastimes while avoiding hearing loss? Yes! Keep the volume down, limit time in loud activities, and use earplugs in noisy places. 158 Reminder GP47 Hearing loss prevention Worried about your children developing hearing loss? Practice safe listening and teach them about it. Be a role model. 120 Support 25 GP48 Hearing testing Can children get a hearing test? Is it safe? Hearing can be safely checked even in a new born baby. Consult a health professional to get more information. 155 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 GP49 Management of hearing loss Can someone with hearing loss communicate and work? Yes! If hearing loss is identified early and proper care provided, there is no limit to what they can achieve. 162 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 18 Week ID Theme Message Count Type Notes Suggested Multimedia ID 26 GP50 Management of hearing loss Do you know anyone with hearing loss? When speaking to them, make sure that you face them and speak clearly and slowly. Don’t shout or exaggerate lip movements. 160 Support 14 GP51 Hearing loss prevention Do you hear well? Great! Keep it that way. How? It’s simple: Listen with care, practice safe listening, and you’ll be a step closer to hearing for life! 152 Support 7 27 GP52 Signs of hearing loss Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use WHO hearWHO app or consult a professional. 155 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 GP53 General knowledge 5% of the world's population has disabling hearing loss. Find out how to care for your ears by searching online for 'WHO ear care’ and ‘safe listening’. 152 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 19 Week ID Theme Message Count Type Notes Suggested Multimedia ID 28 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin • Change “mSafeListening” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 20 Adolescents that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adolescents that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support the adolescents to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with local parents and adolescents (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. [role model] Add name of local celebrity or role model who wears glasses BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 21 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening programme” to local programme name. 1 AS1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 143 Information 6 AS2 Hearing loss Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AS3 Safe listening It is possible to enjoy music and avoid hearing loss at the same time! Learn how to listen safely and enjoy a lifetime of music. Watch out for safelistening tips#1-4. 166 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 22 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS4 Safe listening Safe listening tip#1 When using headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 155 Motivation 3 AS5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AS6 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Information 19 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 23 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 AS7 Safe listening Safe listening tip #2 In loud places, be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs • Rest your Ears frequently 156 Motivation AS8 Safe listening Earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 158 Information 9 5 AS9 Use of earplugs Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 152 Information 15 AS10 Safe listening To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 24 Week ID Theme Message Count Type Notes Suggested Multimedia ID 6 AS11 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Motivation AS12 Safe listening Some smartphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 125 Information 7 AS13 Safe listening Noise-cancelling ear/ headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Motivation • Replace subway with locally appropriate terms e.g., train, bus, underground, metro etc. 17 AS14 Safe listening Earphones or headphones? It doesn’t matter as long as you listen with CARE • Cut volume to below 60% • use Apps to monitor exposure • REduce time 139 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 25 Week ID Theme Message Count Type Notes Suggested Multimedia ID 8 AS15 Sign of hearing loss Tip #4 Do you: • persistently hear a ringing/ buzzing sound or • have difficulty in following conversations? If yes, ask your parents to take you for a hearing test now. 163 Information AS16 Hearing test Hearing testing is easy, painless, and can be done at any age. Heed the warning signs and consult a doctor for a hearing test. 126 Support 18 9 AS17 Hearing loss Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder AS18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 26 Week ID Theme Message Count Type Notes Suggested Multimedia ID 10 AS19 Hearing loss Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 126 Reminder AS20 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear • swim in dirty water • ignore ear pain See a doctor! 142 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 11 AS21 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 27 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS22 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 151 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 12 AS23 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information AS24 Sign of hearing loss Do you have difficulty in hearing what your teacher is saying in class? This could indicate hearing loss. Get your hearing checked. 131 Support 13 AS25 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 28 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS26 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Motivation 14 AS27 Safe listening The louder your listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 160 Motivation 16 AS28 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 158 Reminder 15 AS29 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Motivation 11 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 29 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS30 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Reminder 19 16 AS31 Use of ear plug [hi] [name]. If the noise level around you is higher than 85dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation AS32 Safe listening To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 21 17 AS33 Safe listening Need a new smartphone or headphones? Look for devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology Discuss with your parents 172 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 30 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS34 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 166 Motivation 19 AS35 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Take care and avoid hearing loss. Keep the volume on your device below 60% of maximum. 154 Motivation 18 AS36 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume • use Apps to monitor your risk • Reduce the time you spend playing 155 Motivation 20 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 31 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS37 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 170 Reminder 19 AS38 Use of ear plugs Going to see a game? Loud sounds at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 144 Reminder 15 AS39 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder 20 AS40 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them and use earplugs. 155 Reminder 9 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 32 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS41 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise-cancelling headphones. Discuss with your parents. 147 Reminder • Replace bus or train with locally appropriate terms e.g., subway, underground, metro etc. 17 21 AS42 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Motivation 12 AS43 Signs of hearing loss When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Get your hearing checked. 146 Reminder 11 22 AS44 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 130 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 33 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS45 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 156 Motivation 23 AS46 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones Be SURE to protect your ears in a loud place. 162 Motivation AS47 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 123 Admin • Change “mSafeListening programme” to local programme name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 34 Adults that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adults that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support people to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with people that are likely to be exposed to the risk of unsafe listening (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 35 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to the mSafeListening programme. We will be sending you messages over the next 6 months to support you to care for your hearing and avoid hearing loss. 159 Admin • Change “mSafeListening programme” to local programme name. 1 AD1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 141 Reminder • Change activity to suit local population. 6 AD2 Safe listening Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AD3 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 36 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD4 Safe listening Safe listening tip#1 When using ear/headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 159 Motivation 3 AD5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AD6 Safe listening Some Apps can help to monitor sound exposure on your device. Learn how to use these and stay within safe limits. Search safe listening to know more. 148 Support 19 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 37 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 AD7 Safe listening Using headphones for work? • Keep the volume below 60% • Take a quiet break when possible • Avoid noisy pastimes and places during your off-hours 137 Motivation AD8 Safe listening Safe listening tip #2 The SURE way for hearing protection in noisy places (clubs, discos) is to: -Stay away from loudspeakers, -Use earplugs regularly -Rest your Ears frequently 175 Motivation 5 AD9 Hearing protection An earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 161 Information 9 AD10 Hearing protection Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 153 Motivation 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 38 Week ID Theme Message Count Type Notes Suggested Multimedia ID 6 AD11 Hearing protection To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Reminder 21 AD12 Safe listening How to know that a place is too loud? If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing 156 Information 11 7 AD13 Noise at workplace Noisy workplace? Be SURE to • Stay away from sound sources • Use earplugs regularly • Rest your Ears frequently in noise-free spaces 126 Reminder AD14 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 39 Week ID Theme Message Count Type Notes Suggested Multimedia ID 8 AD15 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 140 Support 19 AD16 Safe listening Noise-cancelling ear/ headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Reminder 9 AD17 Safe listening Earphones or headphones? It doesn’t matter which of the two you use so long as you listen with CARE • Cut volume to below 60% • use Apps to monitor risk • REduce time 160 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 40 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD18 Safe listening Tip #4 Heed the warning signs and consult a doctor if you: • persistently hear a ringing/ buzzing sound, or • have difficulty in following conversations 146 Reminder 10 AD19 Need for hearing test Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 AD20 Need for hearing test Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder 11 AD21 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 8 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 41 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD22 Ear care Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 124 Information 12 AD23 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear; • swim in dirty water; • ignore ear pain. 128 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 AD24 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 42 Week ID Theme Message Count Type Notes Suggested Multimedia ID 13 AD25 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 150 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 4 AD26 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information 14 AD27 Need for hearing test Do you have difficulty in hearing what your friends are saying around you? This could indicate hearing loss. Get your hearing checked. 134 Reminder AD28 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 43 Week ID Theme Message Count Type Notes Suggested Multimedia ID 15 AD29 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Reminder AD30 Safe listening The louder your listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 159 Motivation 16 AD31 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 157 Reminder AD32 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 44 Week ID Theme Message Count Type Notes Suggested Multimedia ID 17 AD33 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Support AD34 Hearing protection [hi] [name]. If the noise level around you is higher than 80dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation 15 AD35 Hearing protection To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 18 AD36 Safe listening Need a new smartphone or ear/headphones? Prefer devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology 146 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 45 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD37 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 160 Reminder 19 AD38 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Keep the volume on your device below 60% of maximum. 121 Motivation 16 AD39 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume; • use Apps to monitor your risk; • Reduce the time you spend playing 154 Reminder 20 20 AD40 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 171 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 46 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD41 Safe listening Going to see a game? High sound levels at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 153 Reminder 15 21 AD42 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder AD43 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them. 140 Motivation • Replace concert with locally appropriate term 22 AD44 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise-cancelling headphones. 120 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 47 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD45 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Information 12 23 AD46 Need for hearing test When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Check your hearing. Search for hearWHO. 160 Reminder AD47 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 129 Information 24 AD48 Safe listening Do you practice shooting or fireworks? Make sure you use hearing protection to avoid damaging your ears. Limit the time spent in such noisy activities. 151 Information • Shooting and fireworks should be replaced with locally appropriate terms. ‘hearing protection’ can be replaced by ear plugs or other appropriate terms. 12 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 48 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD49 Hearing protection To use earplugs properly, make sure to follow the Roll-Pull- Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 25 AD50 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 155 Motivation AD51 Hearing protection Are you first on the dance floor? And the last to leave? Every hour, give your ears a 10-minute break in a quiet place. Prevent irreversible hearing loss. 154 Motivation 26 AD52 Need for hearing test Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use free WHO hearWHO app or consult a professional 159 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 49 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD53 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones Be SURE to protect your ears in a loud place. 162 Reminder 7 AD54 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 140 Admin • Change “mSafeListening program” to local program name BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 50 Parents or care providers of children This message library contains messages designed to be delivered to those who are involved in supporting/caring for children at risk of developing hearing loss due to unsafe listening behaviours, especially parents and teachers. The messages are designed to support people to understand hearing loss and engage in behaviours required to promote safe listening practices among children they may care for or work with. These messages should be adapted for the local population and context following consultation with local parents and children (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [child name] If possible, insert the child’s name if not available use "your child” or “your children" [name] If possible, insert recipients name (the parent). If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. [he/she/ they] If possible, use child's correct pronoun. If not available use "they". [him/her/ them] If possible, use child's correct pronoun. If not available use "them". [his/her/ their] If possible, use child's correct pronoun. If not available use "their". BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 51 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening program. We will be sending you messages to know more about hearing loss and help you guide [your child/ren/child name] to listen safely to music. 149 Admin • Change “mSafeListening” to local program name. 1 PM1 General knowledge Hearing loss is more common than you think! One out of every five people have hearing loss. 92 Information 10 PM2 Need for hearing test Did you know that hearing loss can occur at any age? It’s easy to check your child’s hearing. Ask a health professional and get your child’s ears checked. 154 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 2 PM3 Need for hearing test Do/es [your child/ren/child name] often ask you to repeat what you said? This could be a sign of hearing loss. Ask a health professional and get your child’s ears checked. 142 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 52 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM4 Prevention of hearing loss 60% of hearing loss in children is due to preventable causes! Treating ear infections and avoiding loud sounds can mitigate [your child’s/ren’s/child name’s] risk of hearing loss. 147 Information 3 PM5 Safe listening Many young people permanently damage their ears due to loud sounds heard over headphones and in noisy places. Once you lose your hearing, you cannot get it back. 160 Information PM6 Safe listening If [your child/ren/child name] often • listens to music over headphones • plays loud games • visits noisy places you should learn about safe listening. Watch out for tips#1-4 143 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 53 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 168 Motivation PM8 Safe listening 60% volume is the maximum safe listening limit on a mobile phone. Do you know if [your child/ren/child name] exceed/s this? Talk to [your child/ren/ child name] regularly about it. 145 Information 5 PM9 Safe listening Apps can help to monitor sound exposure on [your child’s/ren’s/child name’s] device. Teach them to use these and stay within safe limits. Search safe listening to know more. 140 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 54 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM10 Safe listening Safe listening tip #2 Teach the SURE way for safe listening in noisy places to [your child/ren/child name]: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 136 Motivation 6 PM11 Safe listening Earplugs reduce the risk of hearing loss when used properly and regularly. Teach your child to insert earplugs using the Roll-Pull-Hold method. 143 Motivation 9 PM12 Safe listening To rest one’s ears when in a noisy place, take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 133 Motivation 7 PM13 Safe listening Safe listening tip #3 When shopping for new electronic devices, prefer those with: • built in safe listening features • noise-cancelling technology 144 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 55 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM14 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 137 Information 8 PM15 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Information • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc PM16 Safe listening Safe listening tip #4 [Your child’s/ren’s/child name] could have hearing loss if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 139 Information 9 PM17 Need for hearing test Heed the warning signs and consult a doctor if [your child/ ren/child name] you suspect that your child may have hearing loss. 98 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 56 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Information 10 PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Reminder PM19 Hearing test Is it safe to get [your child’s/ ren’s/child name’s] hearing tested? Yes! Testing hearing is safe, painless and can be done at any age. Consult a professional to know more. 137 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 11 PM20 Hearing test How well can you hear? Take care of your own hearing too. Download hearWHO on the App store and check your hearing. It only takes 5 minutes. 139 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 57 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM21 Management of hearing loss Don’t panic if [your child/ren/ child name] has/ve hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or therapy. Consult a professional. 155 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 12 PM22 Need for hearing test Unaddressed hearing loss in childhood can affect speech and limit academic performance. Be sure to have [your child’s/ren’s/child name’s] ears examined regularly. 155 Motivation PM23 Ear care Ear infections are common in children. They can cause ear pain or draining/ discharging ears. See a doctor in case you suspect an ear infection. Don’t delay. 156 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 58 Week ID Theme Message Count Type Notes Suggested Multimedia ID 13 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 147 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM25 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Search ‘ear care’ to learn more. 152 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. 14 PM26 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 59 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM27 Ear care Do/es [your child/ren/child name] get ear pain? It’s commonly caused by hard wax or ear infection. Don’t try home remedies as these can cause harm. See a doctor without delay. 147 Information • ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 15 PM28 Safe listening Do/es [your child/ren/child name] often listen to music loud over headphones? Guide them to keep the volume below 60% and listen with CARE. 111 Motivation • Change examples to common local activity 7, 9 PM29 Safe listening Teach [your child/ren/ child name] to listen over headphones with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 138 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 60 Week ID Theme Message Count Type Notes Suggested Multimedia ID 16 PM30 Safe listening Going with [your child/ren/ child name] to see a game? High sound levels at sporting events may damage hearing. Use earplugs for yourself and your child. Set a good example! 144 Motivation PM31 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull- Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Information 9 17 PM32 Safe listening Do/es [your child/ren/child’s name] copy your dress style? Make sure you practice safe listening to encourage them to do the same. Remember tips#1-4. Search 'safe listening' to know more. 157 Motivation PM33 Need for hearing test Do/does [your child/ren/child name] often have ringing in the ear? This could indicate hearing loss. Get their hearing checked and teach them to lower the volume when listening to music. 159 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 61 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 PM34 Safe listening Do/es [your child/ren/child name] love concerts? Sound levels at concerts can damage ears permanently. Teach them the SURE way to protect their hearing. 124 Motivation PM35 Safe listening The SURE way to protect your hearing in noisy places is to: • Stay away from loud speakers • Use earplugs regularly • Rest your Ears frequently 137 Motivation 19 PM12 Safe listening To rest one’s ears when in a noisy place take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 132 Reminder PM36 Safe listening Teaching [your child/ren/ child name] to listen to music safely and use ear protection now will help them make safe listening choices as they get older. 123 Motivation • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 62 Week ID Theme Message Count Type Notes Suggested Multimedia ID 20 PM37 Safe listening Buying a smartphone or headphones for [your child/ ren/child name]? Prefer devices with built-in features like volume limiting and sound monitoring. Help protect [your child’s/ren’s/child name’s] hearing. 139 Motivation PM38 Safe listening Does [your child/ren/child name] need new headphones? Noise-cancelling headphones reduce the need to raise volume level and help protect hearing. Invest in a pair, if possible. 149 Information 21 PM39 Safe listening We know you want [your child/ ren/child name] to have the fullest life possible – so teach them how to protect their hearing now. Search ‘safe listening’ online to know more. 145 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 63 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM40 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 164 Motivation 22 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 148 reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM41 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 64 Week ID Theme Message Count Type Notes Suggested Multimedia ID 23 PM42 Need for hearing test Are [your child’s/ren’s/child name’s] grades falling at school? It could be that [s/he] cannot hear the teacher well. Take [him/her] for a hearing test. Don’t delay. 114 Support PM42 Need for hearing test Are [your child’s/ren’s/child name’s] grades falling at school? It could be that [s/he] cannot hear the teacher well. Take [him/her] for a hearing test. Don’t delay. 114 Reminder 3 24 PM43 Safe listening Over 43 million young people in the world have hearing loss. Teach [your child/ren/child name] to care for their ears. Search ‘safe listening’ and ‘ear care’ online to know more. 150 Motivation PM44 Safe listening [hi]. [your child/ren/child’s name] looks up to you. Be a role model by practicing safe listening yourself. Remember the 'safe listening' tips or search online. 126 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 65 Week ID Theme Message Count Type Notes Suggested Multimedia ID 25 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 152 Reminder PM10 Safe listening Safe listening tip #2 The SURE way to protect your hearing in noisy places is to: • Stay away from loudspeakers • Use earplugs regularly • Rest your Ears frequently 157 Reminder 26 PM13 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 118 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 66 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM16 Safe listening Safe listening tip #4 Get [Your child’s/ren’s/child name’s] hearing checked if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 135 Reminder 27 PM45 Safe listening Hearing loss due to loud sounds is permanent. But, it can be completely avoided through safe listening. To learn more, search ‘safe listening’ online. 150 Motivation Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 67 Suggested multimedia list The following is a list of multimedia descriptions to guide choice of multimedia to accompany messages in the mSafeListening message libraries where they are to be delivered via a modality which allows for this (e.g. social media, app messaging). The descriptions provided are designed to guide the choice of multimedia by the local team. Actual multimedia chosen should include people that are relevant and relatable to the target audience considering aspects such as ethnicity, culture, and age. They should also include culturally relevant or age-appropriate settings and contexts depending on the target audience. ID Multimedia description 1 Image showing one out of five. It can be people with one wearing hearing aid or similar 2 Image of WHO hearWHO application 3 Image of a child unable in a schoolroom, looking confused 4 Image of a person putting a pin or pencil into the ear 5 Image of a Q-tip/cotton bud or other locally relevant materials with a red cross over it 6 Image a person listening to music over headphones and enjoying 7 Image of Make Listening Safe egg with headphones 8 Image of a safe listening app displaying OK i.e., no risk of hearing loss 9 Image of earplugs 10 Image of a smiling person wearing hearing aids and listening to music 11 Image of people standing close by with music in the background. One is speaking and other is saying ‘What?’ BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 68 ID Multimedia description 12 Image of a cracker being burst. It could include a word to indicate a loud sound like ‘bang’ or of someone shooting a gun (as locally most suitable) 13 Image of a baby being held by a smiling parent, with a person checking the child’s hearing using a hand-held device (OAE machine) 14 Image of a celebrity/well known person who has hearing loss, OR image of a child/young person (can be using hearing aids/ implants) and someone else speaking to them while facing the person. 15 Image or Gif showing the Roll-Pull-Hold method of inserting earplugs 16 Image of a volume bar or tab showing volume level positioned below 60% 17 Image of someone in a public transport with headphones 18 Image of hearing test of an adolescent 19 Image of a noise meter mobile app/ or depiction of noise level 20 Image of teenager playing a loud video game e.g., a war game or car-racing etc and surrounded with a speaker and wearing a gaming headphone 21 Image of a calm, relaxed person, may be looking like on ear break World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland website: www.who.int/initiatives/behealthy e-mail: bhbm@who.in

A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 2 Be he@lthy, be mobile: a handbook on how to implement mSafeListening. Web Annex. mSafeListening message libraries ISBN (WHO) 978-92-4-004480-7 (electronic version) ISBN (ITU) 978-92-61-36331-4 (electronic version) © World Health Organization and International Telecommunication Union, 2022 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. 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In: Be he@lthy, be mobile: a handbook on how to implement mSafeListening. Geneva: World Health Organization and International Telecommunication Union, 2022. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps. who.int/bookorders. ITU Publications can be obtained from ITU Bookshop http://www.itu.int/en/publications. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/copyright. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO or ITU be liable for damages arising from its use. This publication forms part of the document entitled Be he@lthy, be mobile: a handbook on how to implement mSafeListening. It is being made publicly available for transparency purposes and information. Design and layout by 400 communications. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 3 This document provides a library of messages for use in hearing loss awareness/education/prevention mHealth programmes. These messages have been crafted based on best practice and insight and have been co-produced with members of the target audience to ensure relevance and applicability. However, best practice strongly advises that these messages are used as a basis for interventions; and should be adapted, updated and altered to suit the specific needs of your target audience or community and local context/environment. The message library is split into sub-libraries based on the following target audiences: 1. General population (ID: GP1-GP53) 2. Adolescents that are exposed to loud sounds (ID: AS1- AS47) 3. Adults that are exposed to loud sounds (ID: AD1-AD54) 4. Parents or care providers of children (ID: PM1-PM45) Each sub-library is designed to be delivered on its own i.e. a user will only receive the messages from one library depending on which target audience they belong. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 4 General population This message library contains messages designed to be delivered to the general population who wish to learn more about hearing loss and safe listening. The messages are designed to support people to understand hearing loss, engage in behaviours required to promote hearing health and safe listening. These messages should be adapted for the local population and context following consultation with relevant local groups (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over a 6-month period, with approximately 2 messages per week. It is recommended that the timing of delivery each week is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 5 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening” to local program name. • Change “your child” to “children” or “a child” depending on end-user type. 1 GP1 General knowledge about hearing loss Hearing loss is commoner than you think! One out of every five people has hearing loss. 88 Information 1 GP2 Need for hearing test Do you often ask people to repeat themselves? This could be a sign of hearing loss. Download the free WHO hearWHO app and check your hearing. 141 Motivation 2 GP3 Need for hearing test In children, hearing loss can affect speech and academic performance. Be sure to have your child's ears checked regularly by a health care provider. 148 Information 3 GP4 Causes of hearing loss Birth problems, ear infections, loud sounds/noise, use of certain medicines, and old age are some of the common causes of hearing loss. 136 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 6 Week ID Theme Message Count Type Notes Suggested Multimedia ID 3 GP5 Prevention of hearing loss Did you know that many causes of hearing loss can be prevented? Treating ear infections and avoiding loud sounds can mitigate your risk of hearing loss. 152 Information GP6 Hearing loss prevention Want to avoid ear infections? DON’T: • put oil, Q-tips/cotton buds, hopi candles, sticks, home remedies in your ear • swim in dirty water • share earphones/earplugs with others 160 Motivation • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 4 GP7 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 153 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. GP8 Ear care Want to get the wax out of your ear? Never attempt to do it yourself or let an untrained person do it for you. See a trained health worker or doctor instead. 156 Motivation 4 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 7 Week ID Theme Message Count Type Notes Suggested Multimedia ID 5 GP9 Ear care Ears feeling itchy? Using Q-tips or any other object for scratching can harm the ear canal and ear drum. You should consult a doctor instead. 141 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP10 Ear care Having ear pain? It is commonly caused by hard wax or infection in the ear. Don’t try home remedies as these can harm your ears. See a doctor without delay. 156 Motivation • Replace home remedies with remedies that are used locally e.g., hot oil etc 6 GP11 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 152 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 GP12 Safe listening Do you know that you could get permanent hearing loss by listening to loud music? Search ‘safe listening’ online and learn how to protect your hearing. 151 Information 6 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 8 Week ID Theme Message Count Type Notes Suggested Multimedia ID 7 GP13 Safe listening Many people damage their hearing due to loud sounds heard over headphones. Keep the volume down and limit the time engaged in noisy pastimes. 141 Information 7 GP14 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Information 8 GP15 Safe listening Safe listening tip#1 If you use headphones, listen with CARE • Cut the volume to below 60% • Use Apps to monitor your exposure • REduce the time spent listening 153 Motivation 16 GP16 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Motivation 8 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 9 Week ID Theme Message Count Type Notes Suggested Multimedia ID 9 GP17 Safe listening Safe listening tip #2 In loud places be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs regularly • Rest your Ears frequently 182 Motivation GP18 Safe listening To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Motivation 15 10 GP19 Safe listening To rest your ears in a loud place, take frequent and short breaks away from loud sounds e.g., for 10 minutes every hour. 121 Motivation 11 GP20 Safe listening Q. How to know that a place is too loud? A. If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing. 163 Motivation 11 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 10 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP21 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 133 Motivation 12 GP22 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Motivation • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc 17 GP23 Safe listening Some smartphones come with safe listening features like volume limiting and sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 126 Motivation 13 GP24 Safe listening Safe listening tip #4 Heed the warning signs and consult a doctor if you have • persistent ringing/ buzzing in the ear • difficulty in following conversations 155 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 11 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP25 Hearing testing Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 14 GP26 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 9 GP27 Hearing testing Is it safe to get your hearing tested? Yes. Hearing testing is safe, painless and can be done at any age, even in babies. Consult a professional to know more. 158 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 15 GP28 Management of hearing loss Don’t panic if you have hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or rehab. Consult a professional. 163 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. GP29 Hearing loss management Hearing loss can be present at birth or develop later in life. It is possible to identify and address it at any age. Early action is the key to success. 152 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 12 Week ID Theme Message Count Type Notes Suggested Multimedia ID 16 GP30 Hearing loss management Were you advised to use a hearing aid? Don’t hesitate, don’t delay. Using it can avoid you missing important words or misunderstanding what people say. 152 Support 10 GP31 Ear care Having ear wax is normal and it keeps your ears clean. If it gets collected and blocks the ear, it should only be removed by a trained health worker or doctor. 159 Information 17 GP32 Ear care About to put a Q-tip in your ear? Read the warning on its pack first. It is only meant to clean ears from outside. Putting it in the ear can cause damage. 154 Reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP33 Ear care Ear pain is commonly caused by hard wax or an ear infection. Don’t try home remedies as these can harm your ears. See a doctor without delay. 141 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 13 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 GP34 Signs of hearing loss You could have hearing loss if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation • have persistent ringing/buzzing in the ear 161 Information GP35 Need for hearing testing If you think that you may have hearing loss, don’t wait. Download hearWHO now and check your hearing or consult a professional. 127 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 19 GP36 Safe listening Do you often have ringing in the ear? Don’t let it become permanent. Adopt safe listening practices to protect your hearing. Consult a doctor if it persists. 156 Reminder GP37 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 14 Week ID Theme Message Count Type Notes Suggested Multimedia ID 20 GP38 Noise at workplace Is your workplace very noisy? To avoid hearing loss: • use ear protection whenever there is noise around you, • avoid loud sounds during breaks. 146 Reminder • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 9 GP39 Safe listening How to know if a place is too loud? If you have to shout to be heard by someone at an arm’s length from you, it’s too noisy. Follow safe listening tips. 153 Reminder 11 21 GP40 Safe listening Using headphones for tele- working? CARE to protect your ears: • Cut the volume to below 60% • use Apps to monitor your exposure • REst your ears whenever possible 158 Reminder GP41 Safe listening Tired of working with headphones on all day? Your ears may be too. Give them a break by avoiding noisy pastimes and places during your off-hours. 145 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 15 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 GP42 Safe listening Did you know that some smartphones and headphones allow you to limit the maximum sound level? Prefer such devices and limit the volume to prevent hearing loss. 159 Motivation 8 GP43 Safe listening Going to a loud club tonight? Be SURE that your ears are protected: • Stay away from loudspeakers • Use earplugs • Rest your Ears for 10 minutes after every hour 156 Reminder • The term ‘club’ can be substituted by one locally relevant, such as disco, concert, event, arena etc 23 GP44 Safe listening Do you practice shooting guns or play with fireworks? Use ear protection to avoid damaging your ears. Limit the time spent in such noisy activities. 153 Reminder • Shooting and fireworks should be replaced with locally appropriate terms. ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 12 GP45 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 16 Week ID Theme Message Count Type Notes Suggested Multimedia ID 24 GP46 Safe listening Can you enjoy your favourite pastimes while avoiding hearing loss? Yes! Keep the volume down, limit time spent in loud activities, and use earplugs in noisy places. 163 Reminder GP47 Hearing loss prevention Worried about your children developing hearing loss? Practice safe listening and teach them about it. Be a role model. 120 Support 25 GP48 Hearing testing Can children get a hearing test? Is it safe? Hearing can be safely checked even in a new born baby. Consult a health professional to get more information. 155 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 GP49 Management of hearing loss Can someone with hearing loss communicate and work? Yes! If hearing loss is identified early and proper care provided, there is no limit to what they can achieve. 162 Support 26 GP50 Management of hearing loss Do you know anyone with hearing loss? When speaking to them, make sure that you face them and speak clearly and slowly. Don’t shout or exaggerate lip movements. 160 Support 14 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 17 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP51 Hearing loss prevention Do you hear well? Great! Keep it that way. How? It’s simple: Listen with care, practice safe listening, and you’ll be a step closer to hearing for life! 152 Support 7 27 GP52 Signs of hearing loss Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use WHO hearWHO app or consult a professional. 155 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 GP53 General knowledge 5% of the world's population has disabling hearing loss. Find out how to care for your ears by searching online for 'WHO ear care’ and ‘safe listening’. 152 Reminder 28 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin • Change “mSafeListening” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 18 Adolescents that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adolescents that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support the adolescents to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with local parents and adolescents (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. [role model] Add name of local celebrity or role model who wears glasses. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 19 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening programme” to local programme name. 1 AS1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 143 Information 6 AS2 Hearing loss Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AS3 Safe listening It is possible to enjoy music and avoid hearing loss at the same time! Learn how to listen safely and enjoy a lifetime of music. Watch out for safelistening tips#1-4. 166 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 20 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS4 Safe listening Safe listening tip#1 When using headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 155 Motivation 3 AS5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AS6 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Information 19 4 AS7 Safe listening Safe listening tip #2 In loud places, be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs • Rest your Ears frequently 156 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 21 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS8 Safe listening Earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 158 Information 9 5 AS9 Use of earplugs Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 152 Information 15 AS10 Safe listening To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Motivation 6 AS11 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Motivation AS12 Safe listening Some smartphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 125 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 22 Week ID Theme Message Count Type Notes Suggested Multimedia ID 7 AS13 Safe listening Noise-cancelling ear/headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Motivation • Replace subway with locally appropriate terms e.g., train, bus, underground, metro etc. 17 AS14 Safe listening Earphones or headphones? It doesn’t matter as long as you listen with CARE • Cut volume to below 60% • use Apps to monitor exposure • REduce time 139 Motivation 8 AS15 Sign of hearing loss Tip #4 Do you: • persistently hear a ringing/ buzzing sound or • have difficulty in following conversations? If yes, ask your parents to take you for a hearing test now. 163 Information AS16 Hearing test Hearing testing is easy, painless, and can be done at any age. Heed the warning signs and consult a doctor for a hearing test. 126 Support 18 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 23 Week ID Theme Message Count Type Notes Suggested Multimedia ID 9 AS17 Hearing loss Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder AS18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 10 AS19 Hearing loss Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 126 Reminder AS20 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear • swim in dirty water • ignore ear pain See a doctor! 142 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 24 Week ID Theme Message Count Type Notes Suggested Multimedia ID 11 AS21 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. AS22 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 151 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 12 AS23 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information AS24 Sign of hearing loss Do you have difficulty in hearing what your teacher is saying in class? This could indicate hearing loss. Get your hearing checked. 131 Support 13 AS25 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 25 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS26 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Motivation 14 AS27 Safe listening The louder you listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 160 Motivation 16 AS28 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 158 Reminder 15 AS29 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Motivation 11 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 26 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS30 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Reminder 19 16 AS31 Use of ear plug [hi] [name]. If the noise level around you is higher than 85dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation AS32 Safe listening To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 21 17 AS33 Safe listening Need a new smartphone or headphones? Look for devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology Discuss with your parents 172 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 27 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS34 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 166 Motivation 19 AS35 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Take care and avoid hearing loss. Keep the volume on your device below 60% of maximum. 154 Motivation 18 AS36 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume • use Apps to monitor your risk • Reduce the time you spend playing 155 Motivation 20 AS37 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 170 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 28 Week ID Theme Message Count Type Notes Suggested Multimedia ID 19 AS38 Use of ear plugs Going to see a game? Loud sounds at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 144 Reminder 15 AS39 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder 20 AS40 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them and use earplugs. 155 Reminder 9 AS41 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise- cancelling headphones. Discuss with your parents. 147 Reminder • Replace bus or train with locally appropriate terms e.g., subway, underground, metro etc. 17 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 29 Week ID Theme Message Count Type Notes Suggested Multimedia ID 21 AS42 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Motivation 12 AS43 Signs of hearing loss When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Get your hearing checked. 146 Reminder 11 22 AS44 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 130 Information AS45 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 156 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 30 Week ID Theme Message Count Type Notes Suggested Multimedia ID 23 AS46 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones. Be SURE to protect your ears in a loud place. 162 Motivation AS47 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 123 Admin • Change “mSafeListening programme” to local programme name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 31 Adults that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adults that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support people to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with people that are likely to be exposed to the risk of unsafe listening (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 32 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to the mSafeListening programme. We will be sending you messages over the next 6 months to support you to care for your hearing and avoid hearing loss. 159 Admin • Change “mSafeListening programme” to local programme name. 1 AD1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 141 Reminder • Change activity to suit local population. 6 AD2 Safe listening Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AD3 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 33 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD4 Safe listening Safe listening tip#1 When using ear/headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 159 Motivation 3 AD5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AD6 Safe listening Some Apps can help to monitor sound exposure on your device. Learn how to use these and stay within safe limits. Search safe listening to know more. 148 Support 19 4 AD7 Safe listening Using headphones for work? • Keep the volume below 60% • Take a quiet break when possible • Avoid noisy pastimes and places during your off-hours 137 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 34 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD8 Safe listening Safe listening tip #2 The SURE way for hearing protection in noisy places (clubs, discos) is to: -Stay away from loudspeakers, -Use earplugs regularly -Rest your Ears frequently 175 Motivation 5 AD9 Hearing protection An earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 161 Information 9 AD10 Hearing protection Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 153 Motivation 15 6 AD11 Hearing protection To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Reminder 21 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 35 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD12 Safe listening How to know that a place is too loud? If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing 156 Information 11 7 AD13 Noise at workplace Noisy workplace? Be SURE to • Stay away from sound sources • Use earplugs regularly • Rest your Ears frequently in noise-free spaces 126 Reminder AD14 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Information 8 AD15 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 140 Support 19 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 36 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD16 Safe listening Noise-cancelling ear/headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Reminder 9 AD17 Safe listening Earphones or headphones? It doesn’t matter which of the two you use so long as you listen with CARE • Cut volume to below 60% • use Apps to monitor risk • REduce time 160 Motivation AD18 Safe listening Tip #4 Heed the warning signs and consult a doctor if you: • persistently hear a ringing/ buzzing sound, or • have difficulty in following conversations 146 Reminder 10 AD19 Need for hearing test Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 37 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD20 Need for hearing test Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder 11 AD21 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 8 AD22 Ear care Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 124 Information 12 AD23 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear; • swim in dirty water; • ignore ear pain. 128 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 38 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD24 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. 13 AD25 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 150 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 4 AD26 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information 14 AD27 Need for hearing test Do you have difficulty in hearing what your friends are saying around you? This could indicate hearing loss. Get your hearing checked. 134 Reminder AD28 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 39 Week ID Theme Message Count Type Notes Suggested Multimedia ID 15 AD29 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Reminder AD30 Safe listening The louder your listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 159 Motivation 16 AD31 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 157 Reminder AD32 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 40 Week ID Theme Message Count Type Notes Suggested Multimedia ID 17 AD33 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Support AD34 Hearing protection [hi] [name]. If the noise level around you is higher than 80dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation 15 AD35 Hearing protection To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 18 AD36 Safe listening Need a new smartphone or ear/ headphones? Prefer devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology 146 Reminder AD37 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 160 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 41 Week ID Theme Message Count Type Notes Suggested Multimedia ID 19 AD38 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Keep the volume on your device below 60% of maximum. 121 Motivation 16 AD39 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume; • use Apps to monitor your risk; • Reduce the time you spend playing 154 Reminder 20 20 AD40 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 171 Reminder AD41 Safe listening Going to see a game? High sound levels at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 153 Reminder 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 42 Week ID Theme Message Count Type Notes Suggested Multimedia ID 21 AD42 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder AD43 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them. 140 Motivation • Replace concert with locally appropriate term 22 AD44 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise- cancelling headphones. 120 Reminder AD45 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Information 12 23 AD46 Need for hearing test When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Check your hearing. Search for hearWHO. 160 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 43 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD47 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 129 Information 24 AD48 Safe listening Do you practice shooting or fireworks? Make sure you use hearing protection to avoid damaging your ears. Limit the time spent in such noisy activities. 151 Information • Shooting and fireworks should be replaced with locally appropriate terms. ‘hearing protection’ can be replaced by ear plugs or other appropriate terms. 12 AD49 Hearing protection To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 25 AD50 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 155 Motivation AD51 Hearing protection Are you first on the dance floor? And the last to leave? Every hour, give your ears a 10-minute break in a quiet place. Prevent irreversible hearing loss. 154 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 44 Week ID Theme Message Count Type Notes Suggested Multimedia ID 26 AD52 Need for hearing test Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use free WHO hearWHO app or consult a professional 159 Reminder AD53 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones. Be SURE to protect your ears in a loud place. 162 Reminder 7 AD54 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 140 Admin • Change “mSafeListening program” to local program name BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 45 Parents or care providers of children This message library contains messages designed to be delivered to those who are involved in supporting/caring for children at risk of developing hearing loss due to unsafe listening behaviours, especially parents and teachers. The messages are designed to support people to understand hearing loss and engage in behaviours required to promote safe listening practices among children they may care for or work with. These messages should be adapted for the local population and context following consultation with local parents and children (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [child name] If possible, insert the child’s name if not available use “your child” or “your children” [name] If possible, insert recipients name (the parent). If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. [he/she/they] If possible, use child’s correct pronoun. If not available use “they”. [him/her/them] If possible, use child’s correct pronoun. If not available use “them”. [his/her/their] If possible, use child’s correct pronoun. If not available use “their”. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 46 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening program. We will be sending you messages to know more about hearing loss and help you guide [your child/ren/child name] to listen safely to music. 149 Admin • Change “mSafeListening” to local program name. 1 PM1 General knowledge Hearing loss is more common than you think! One out of every five people have hearing loss. 92 Information 10 PM2 Need for hearing test Did you know that hearing loss can occur at any age? It’s easy to check your child’s hearing. Ask a health professional and get your child’s ears checked. 154 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 2 PM3 Need for hearing test Do/es [your child/ren/child name] often ask you to repeat what you said? This could be a sign of hearing loss. Ask a health professional and get your child’s ears checked. 142 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 47 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM4 Prevention of hearing loss 60% of hearing loss in children is due to preventable causes! Treating ear infections and avoiding loud sounds can mitigate [your child’s/ren’s/child name’s] risk of hearing loss. 147 Information 3 PM5 Safe listening Many young people permanently damage their ears due to loud sounds heard over headphones and in noisy places. Once you lose your hearing, you cannot get it back. 160 Information PM6 Safe listening If [your child/ren/child name] often • listens to music over headphones • plays loud games • visits noisy places you should learn about safe listening. Watch out for tips#1-4 143 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 48 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 168 Motivation PM8 Safe listening 60% volume is the maximum safe listening limit on a mobile phone. Do you know if [your child/ren/child name] exceed/s this? Talk to [your child/ren/ child name] regularly about it. 145 Information 5 PM9 Safe listening Apps can help to monitor sound exposure on [your child’s/ren’s/child name’s] device. Teach them to use these and stay within safe limits. Search safe listening to know more. 140 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 49 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM10 Safe listening Safe listening tip #2 Teach the SURE way for safe listening in noisy places to [your child/ren/child name]: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 136 Motivation 6 PM11 Safe listening Earplugs reduce the risk of hearing loss when used properly and regularly. Teach your child to insert earplugs using the Roll-Pull-Hold method. 143 Motivation 9 PM12 Safe listening To rest one’s ears when in a noisy place, take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 133 Motivation 7 PM13 Safe listening Safe listening tip #3 When shopping for new electronic devices, prefer those with: • built in safe listening features • noise-cancelling technology 144 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 50 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM14 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 137 Information 8 PM15 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Information • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc PM16 Safe listening Safe listening tip #4 [Your child’s/ren’s/child name] could have hearing loss if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 139 Information 9 PM17 Need for hearing test Heed the warning signs and consult a doctor if [your child/ ren/child name] you suspect that your child may have hearing loss. 98 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 51 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Information 10 PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Reminder PM19 Hearing test Is it safe to get [your child’s/ ren’s/child name’s] hearing tested? Yes! Testing hearing is safe, painless and can be done at any age. Consult a professional to know more. 137 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 11 PM20 Hearing test How well can you hear? Take care of your own hearing too. Download hearWHO on the App store and check your hearing. It only takes 5 minutes. 139 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 52 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM21 Management of hearing loss Don’t panic if [your child/ren/ child name] has/ve hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or therapy. Consult a professional. 155 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 12 PM22 Need for hearing test Unaddressed hearing loss in childhood can affect speech and limit academic performance. Be sure to have [your child’s/ren’s/child name’s] ears examined regularly. 155 Motivation PM23 Ear care Ear infections are common in children. They can cause ear pain or draining/ discharging ears. See a doctor in case you suspect an ear infection. Don’t delay. 156 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 53 Week ID Theme Message Count Type Notes Suggested Multimedia ID 13 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 147 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM25 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Search ‘ear care’ to learn more. 152 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. 14 PM26 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 54 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM27 Ear care Do/es [your child/ren/child name] get ear pain? It’s commonly caused by hard wax or ear infection. Don’t try home remedies as these can cause harm. See a doctor without delay. 147 Information • ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 15 PM28 Safe listening Do/es [your child/ren/child name] often listen to music loud over headphones? Guide them to keep the volume below 60% and listen with CARE. 111 Motivation • Change examples to common local activity 7, 9 PM29 Safe listening Teach [your child/ren/ child name] to listen over headphones with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 138 Motivation 16 PM30 Safe listening Going with [your child/ren/ child name] to see a game? High sound levels at sporting events may damage hearing. Use earplugs for yourself and your child. Set a good example! 144 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 55 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM31 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull- Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Information 9 17 PM32 Safe listening Do/es [your child/ren/child’s name] copy your dress style? Make sure you practice safe listening to encourage them to do the same. Remember tips#1-4. Search 'safe listening' to know more. 157 Motivation PM33 Need for hearing test Do/does [your child/ren/child name] often have ringing in the ear? This could indicate hearing loss. Get their hearing checked and teach them to lower the volume when listening to music. 159 Information 18 PM34 Safe listening Do/es [your child/ren/child name] love concerts? Sound levels at concerts can damage ears permanently. Teach them the SURE way to protect their hearing. 124 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 56 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM35 Safe listening The SURE way to protect your hearing in noisy places is to: • Stay away from loud speakers • Use earplugs regularly • Rest your Ears frequently 137 Motivation 19 PM12 Safe listening To rest one’s ears when in a noisy place take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 132 Reminder PM36 Safe listening Teaching [your child/ren/ child name] to listen to music safely and use ear protection now will help them make safe listening choices as they get older. 123 Motivation • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 20 PM37 Safe listening Buying a smartphone or headphones for [your child/ ren/child name]? Prefer devices with built-in features like volume limiting and sound monitoring. Help protect [your child’s/ren’s/child name’s] hearing. 139 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 57 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM38 Safe listening Does [your child/ren/child name] need new headphones? Noise-cancelling headphones reduce the need to raise volume level and help protect hearing. Invest in a pair, if possible. 149 Information 21 PM39 Safe listening We know you want [your child/ ren/child name] to have the fullest life possible – so teach them how to protect their hearing now. Search ‘safe listening’ online to know more. 145 Motivation PM40 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 164 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 58 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 148 reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM41 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information 23 PM42 Need for hearing test Are [your child’s/ren’s/child name’s] grades falling at school? It could be that [s/he] cannot hear the teacher well. Take [him/her] for a hearing test. Don’t delay. 114 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 59 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM40 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 164 Reminder 24 PM43 Safe listening Over 43 million young people in the world have hearing loss. Teach [your child/ren/child name] to care for their ears. Search ‘safe listening’ and ‘ear care’ online to know more. 150 Motivation PM44 Safe listening [hi]. [your child/ren/child’s name] looks up to you. Be a role model by practicing safe listening yourself. Remember the 'safe listening' tips or search online. 126 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 60 Week ID Theme Message Count Type Notes Suggested Multimedia ID 25 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 152 Reminder PM10 Safe listening Safe listening tip #2 The SURE way to protect your hearing in noisy places is to: • Stay away from loudspeakers • Use earplugs regularly • Rest your Ears frequently 157 Reminder 26 PM13 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 118 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 61 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM16 Safe listening Safe listening tip #4 Get [Your child’s/ren’s/child name’s] hearing checked if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 135 Reminder 27 PM45 Safe listening Hearing loss due to loud sounds is permanent. But, it can be completely avoided through safe listening. To learn more, search ‘safe listening’ online. 150 Motivation Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 62 Suggested multimedia list The following is a list of multimedia descriptions to guide choice of multimedia to accompany messages in the mSafeListening message libraries where they are to be delivered via a modality which allows for this (e.g. social media, app messaging). The descriptions provided are designed to guide the choice of multimedia by the local team. Actual multimedia chosen should include people that are relevant and relatable to the target audience considering aspects such as ethnicity, culture, and age. They should also include culturally relevant or age-appropriate settings and contexts depending on the target audience. ID Multimedia description 1 Image showing one out of five. It can be people with one wearing hearing aid or similar 2 Image of WHO hearWHO application 3 Image of a child unable in a schoolroom, looking confused 4 Image of a person putting a pin or pencil into the ear 5 Image of a Q-tip/cotton bud or other locally relevant materials with a red cross over it 6 Image a person listening to music over headphones and enjoying 7 Image of Make Listening Safe egg with headphones 8 Image of a safe listening app displaying OK i.e., no risk of hearing loss 9 Image of earplugs 10 Image of a smiling person wearing hearing aids and listening to music 11 Image of people standing close by with music in the background. One is speaking and other is saying ‘What?’ BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 63 ID Multimedia description 12 Image of a cracker being burst. It could include a word to indicate a loud sound like ‘bang’ or of someone shooting a gun (as locally most suitable) 13 Image of a baby being held by a smiling parent, with a person checking the child’s hearing using a hand-held device (OAE machine) 14 Image of a celebrity/well known person who has hearing loss, OR image of a child/young person (can be using hearing aids/ implants) and someone else speaking to them while facing the person. 15 Image or Gif showing the Roll-Pull-Hold method of inserting earplugs 16 Image of a volume bar or tab showing volume level positioned below 60% 17 Image of someone in a public transport with headphones 18 Image of hearing test of an adolescent 19 Image of a noise meter mobile app/ or depiction of noise level 20 Image of teenager playing a loud video game e.g., a war game or car-racing etc and surrounded with a speaker and wearing a gaming headphone 21 Image of a calm, relaxed person, may be looking like on ear break World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland website: www.who.int/initiatives/behealthy e-mail: bhbm@who.in

A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries A toolkit on how to implement mSafeListening Web Annex mSafeListening message libraries BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 2 Be he@lthy, be mobile: a handbook on how to implement mSafeListening. Web Annex. mSafeListening message libraries ISBN (WHO) 978-92-4-004480-7 (electronic version) ISBN (ITU) 978-92-61-36331-4 (electronic version) © World Health Organization and International Telecommunication Union, 2022 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. 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The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO or ITU be liable for damages arising from its use. This publication forms part of the document entitled Be he@lthy, be mobile: a handbook on how to implement mSafeListening. It is being made publicly available for transparency purposes and information. Design and layout by 400 communications. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 3 This document provides a library of messages for use in hearing loss awareness/education/prevention mHealth programmes. These messages have been crafted based on best practice and insight and have been co-produced with members of the target audience to ensure relevance and applicability. However, best practice strongly advises that these messages are used as a basis for interventions; and should be adapted, updated and altered to suit the specific needs of your target audience or community and local context/environment. The message library is split into sub-libraries based on the following target audiences: 1. General population (ID: GP1-GP53) 2. Adolescents that are exposed to loud sounds (ID: AS1- AS47) 3. Adults that are exposed to loud sounds (ID: AD1-AD54) 4. Parents or care providers of children (ID: PM1-PM45) Each sub-library is designed to be delivered on its own i.e. a user will only receive the messages from one library depending on which target audience they belong. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 4 General population This message library contains messages designed to be delivered to the general population who wish to learn more about hearing loss and safe listening. The messages are designed to support people to understand hearing loss, engage in behaviours required to promote hearing health and safe listening. These messages should be adapted for the local population and context following consultation with relevant local groups (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over a 6-month period, with approximately 2 messages per week. It is recommended that the timing of delivery each week is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 5 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening” to local program name. • Change “your child” to “children” or “a child” depending on end-user type. 1 GP1 General knowledge about hearing loss Hearing loss is commoner than you think! One out of every five people has hearing loss. 88 Information 1 GP2 Need for hearing test Do you often ask people to repeat themselves? This could be a sign of hearing loss. Download the free WHO hearWHO app and check your hearing. 141 Motivation 2 GP3 Need for hearing test In children, hearing loss can affect speech and academic performance. Be sure to have your child's ears checked regularly by a health care provider. 148 Information 3 GP4 Causes of hearing loss Birth problems, ear infections, loud sounds/noise, use of certain medicines, and old age are some of the common causes of hearing loss. 136 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 6 Week ID Theme Message Count Type Notes Suggested Multimedia ID 3 GP5 Prevention of hearing loss Did you know that many causes of hearing loss can be prevented? Treating ear infections and avoiding loud sounds can mitigate your risk of hearing loss. 152 Information GP6 Hearing loss prevention Want to avoid ear infections? DON’T: • put oil, Q-tips/cotton buds, hopi candles, sticks, home remedies in your ear • swim in dirty water • share earphones/earplugs with others 160 Motivation • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 4 GP7 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 153 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. GP8 Ear care Want to get the wax out of your ear? Never attempt to do it yourself or let an untrained person do it for you. See a trained health worker or doctor instead. 156 Motivation 4 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 7 Week ID Theme Message Count Type Notes Suggested Multimedia ID 5 GP9 Ear care Ears feeling itchy? Using Q-tips or any other object for scratching can harm the ear canal and ear drum. You should consult a doctor instead. 141 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP10 Ear care Having ear pain? It is commonly caused by hard wax or infection in the ear. Don’t try home remedies as these can harm your ears. See a doctor without delay. 156 Motivation • Replace home remedies with remedies that are used locally e.g., hot oil etc 6 GP11 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 152 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 GP12 Safe listening Do you know that you could get permanent hearing loss by listening to loud music? Search ‘safe listening’ online and learn how to protect your hearing. 151 Information 6 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 8 Week ID Theme Message Count Type Notes Suggested Multimedia ID 7 GP13 Safe listening Many people damage their hearing due to loud sounds heard over headphones. Keep the volume down and limit the time engaged in noisy pastimes. 141 Information 7 GP14 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Information 8 GP15 Safe listening Safe listening tip#1 If you use headphones, listen with CARE • Cut the volume to below 60% • Use Apps to monitor your exposure • REduce the time spent listening 153 Motivation 16 GP16 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Motivation 8 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 9 Week ID Theme Message Count Type Notes Suggested Multimedia ID 9 GP17 Safe listening Safe listening tip #2 In loud places be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs regularly • Rest your Ears frequently 182 Motivation GP18 Safe listening To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Motivation 15 10 GP19 Safe listening To rest your ears in a loud place, take frequent and short breaks away from loud sounds e.g., for 10 minutes every hour. 121 Motivation 11 GP20 Safe listening Q. How to know that a place is too loud? A. If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing. 163 Motivation 11 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 10 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP21 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 133 Motivation 12 GP22 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Motivation • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc 17 GP23 Safe listening Some smartphones come with safe listening features like volume limiting and sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 126 Motivation 13 GP24 Safe listening Safe listening tip #4 Heed the warning signs and consult a doctor if you have • persistent ringing/ buzzing in the ear • difficulty in following conversations 155 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 11 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP25 Hearing testing Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 14 GP26 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 9 GP27 Hearing testing Is it safe to get your hearing tested? Yes. Hearing testing is safe, painless and can be done at any age, even in babies. Consult a professional to know more. 158 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 15 GP28 Management of hearing loss Don’t panic if you have hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or rehab. Consult a professional. 163 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. GP29 Hearing loss management Hearing loss can be present at birth or develop later in life. It is possible to identify and address it at any age. Early action is the key to success. 152 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 12 Week ID Theme Message Count Type Notes Suggested Multimedia ID 16 GP30 Hearing loss management Were you advised to use a hearing aid? Don’t hesitate, don’t delay. Using it can avoid you missing important words or misunderstanding what people say. 152 Support 10 GP31 Ear care Having ear wax is normal and it keeps your ears clean. If it gets collected and blocks the ear, it should only be removed by a trained health worker or doctor. 159 Information 17 GP32 Ear care About to put a Q-tip in your ear? Read the warning on its pack first. It is only meant to clean ears from outside. Putting it in the ear can cause damage. 154 Reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 GP33 Ear care Ear pain is commonly caused by hard wax or an ear infection. Don’t try home remedies as these can harm your ears. See a doctor without delay. 141 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 13 Week ID Theme Message Count Type Notes Suggested Multimedia ID 18 GP34 Signs of hearing loss You could have hearing loss if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation • have persistent ringing/buzzing in the ear 161 Information GP35 Need for hearing testing If you think that you may have hearing loss, don’t wait. Download hearWHO now and check your hearing or consult a professional. 127 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 19 GP36 Safe listening Do you often have ringing in the ear? Don’t let it become permanent. Adopt safe listening practices to protect your hearing. Consult a doctor if it persists. 156 Reminder GP37 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 14 Week ID Theme Message Count Type Notes Suggested Multimedia ID 20 GP38 Noise at workplace Is your workplace very noisy? To avoid hearing loss: • use ear protection whenever there is noise around you, • avoid loud sounds during breaks. 146 Reminder • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 9 GP39 Safe listening How to know if a place is too loud? If you have to shout to be heard by someone at an arm’s length from you, it’s too noisy. Follow safe listening tips. 153 Reminder 11 21 GP40 Safe listening Using headphones for tele- working? CARE to protect your ears: • Cut the volume to below 60% • use Apps to monitor your exposure • REst your ears whenever possible 158 Reminder GP41 Safe listening Tired of working with headphones on all day? Your ears may be too. Give them a break by avoiding noisy pastimes and places during your off-hours. 145 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 15 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 GP42 Safe listening Did you know that some smartphones and headphones allow you to limit the maximum sound level? Prefer such devices and limit the volume to prevent hearing loss. 159 Motivation 8 GP43 Safe listening Going to a loud club tonight? Be SURE that your ears are protected: • Stay away from loudspeakers • Use earplugs • Rest your Ears for 10 minutes after every hour 156 Reminder • The term ‘club’ can be substituted by one locally relevant, such as disco, concert, event, arena etc 23 GP44 Safe listening Do you practice shooting guns or play with fireworks? Use ear protection to avoid damaging your ears. Limit the time spent in such noisy activities. 153 Reminder • Shooting and fireworks should be replaced with locally appropriate terms. ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 12 GP45 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 16 Week ID Theme Message Count Type Notes Suggested Multimedia ID 24 GP46 Safe listening Can you enjoy your favourite pastimes while avoiding hearing loss? Yes! Keep the volume down, limit time spent in loud activities, and use earplugs in noisy places. 163 Reminder GP47 Hearing loss prevention Worried about your children developing hearing loss? Practice safe listening and teach them about it. Be a role model. 120 Support 25 GP48 Hearing testing Can children get a hearing test? Is it safe? Hearing can be safely checked even in a new born baby. Consult a health professional to get more information. 155 Support • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 13 GP49 Management of hearing loss Can someone with hearing loss communicate and work? Yes! If hearing loss is identified early and proper care provided, there is no limit to what they can achieve. 162 Support 26 GP50 Management of hearing loss Do you know anyone with hearing loss? When speaking to them, make sure that you face them and speak clearly and slowly. Don’t shout or exaggerate lip movements. 160 Support 14 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 17 Week ID Theme Message Count Type Notes Suggested Multimedia ID GP51 Hearing loss prevention Do you hear well? Great! Keep it that way. How? It’s simple: Listen with care, practice safe listening, and you’ll be a step closer to hearing for life! 152 Support 7 27 GP52 Signs of hearing loss Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use WHO hearWHO app or consult a professional. 155 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context. 2 GP53 General knowledge 5% of the world's population has disabling hearing loss. Find out how to care for your ears by searching online for 'WHO ear care’ and ‘safe listening’. 152 Reminder 28 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin • Change “mSafeListening” to local program name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 18 Adolescents that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adolescents that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support the adolescents to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with local parents and adolescents (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. [role model] Add name of local celebrity or role model who wears glasses. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 19 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening. We will be sending you messages to support you in knowing more about hearing loss and its prevention. 130 Admin • Change “mSafeListening programme” to local programme name. 1 AS1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 143 Information 6 AS2 Hearing loss Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AS3 Safe listening It is possible to enjoy music and avoid hearing loss at the same time! Learn how to listen safely and enjoy a lifetime of music. Watch out for safelistening tips#1-4. 166 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 20 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS4 Safe listening Safe listening tip#1 When using headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 155 Motivation 3 AS5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AS6 Safe listening You can use Apps to monitor the sound exposure on your device and hearing loss risk. Use these and stay within safe limits. Search safe listening to know more. 159 Information 19 4 AS7 Safe listening Safe listening tip #2 In loud places, be SURE to protect your hearing: • Stay away from sound sources e.g., loudspeakers • Use earplugs • Rest your Ears frequently 156 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 21 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS8 Safe listening Earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 158 Information 9 5 AS9 Use of earplugs Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 152 Information 15 AS10 Safe listening To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Motivation 6 AS11 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Motivation AS12 Safe listening Some smartphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 125 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 22 Week ID Theme Message Count Type Notes Suggested Multimedia ID 7 AS13 Safe listening Noise-cancelling ear/headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Motivation • Replace subway with locally appropriate terms e.g., train, bus, underground, metro etc. 17 AS14 Safe listening Earphones or headphones? It doesn’t matter as long as you listen with CARE • Cut volume to below 60% • use Apps to monitor exposure • REduce time 139 Motivation 8 AS15 Sign of hearing loss Tip #4 Do you: • persistently hear a ringing/ buzzing sound or • have difficulty in following conversations? If yes, ask your parents to take you for a hearing test now. 163 Information AS16 Hearing test Hearing testing is easy, painless, and can be done at any age. Heed the warning signs and consult a doctor for a hearing test. 126 Support 18 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 23 Week ID Theme Message Count Type Notes Suggested Multimedia ID 9 AS17 Hearing loss Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder AS18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 10 AS19 Hearing loss Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 126 Reminder AS20 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear • swim in dirty water • ignore ear pain See a doctor! 142 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 24 Week ID Theme Message Count Type Notes Suggested Multimedia ID 11 AS21 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. AS22 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 151 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 5 12 AS23 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information AS24 Sign of hearing loss Do you have difficulty in hearing what your teacher is saying in class? This could indicate hearing loss. Get your hearing checked. 131 Support 13 AS25 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 25 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS26 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Motivation 14 AS27 Safe listening The louder you listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 160 Motivation 16 AS28 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 158 Reminder 15 AS29 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Motivation 11 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 26 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS30 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Reminder 19 16 AS31 Use of ear plug [hi] [name]. If the noise level around you is higher than 85dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation AS32 Safe listening To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 21 17 AS33 Safe listening Need a new smartphone or headphones? Look for devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology Discuss with your parents 172 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 27 Week ID Theme Message Count Type Notes Suggested Multimedia ID AS34 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 166 Motivation 19 AS35 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Take care and avoid hearing loss. Keep the volume on your device below 60% of maximum. 154 Motivation 18 AS36 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume • use Apps to monitor your risk • Reduce the time you spend playing 155 Motivation 20 AS37 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 170 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 28 Week ID Theme Message Count Type Notes Suggested Multimedia ID 19 AS38 Use of ear plugs Going to see a game? Loud sounds at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 144 Reminder 15 AS39 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder 20 AS40 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them and use earplugs. 155 Reminder 9 AS41 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise- cancelling headphones. Discuss with your parents. 147 Reminder • Replace bus or train with locally appropriate terms e.g., subway, underground, metro etc. 17 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 29 Week ID Theme Message Count Type Notes Suggested Multimedia ID 21 AS42 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Motivation 12 AS43 Signs of hearing loss When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Get your hearing checked. 146 Reminder 11 22 AS44 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 130 Information AS45 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 156 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 30 Week ID Theme Message Count Type Notes Suggested Multimedia ID 23 AS46 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones. Be SURE to protect your ears in a loud place. 162 Motivation AS47 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 123 Admin • Change “mSafeListening programme” to local programme name. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 31 Adults that are exposed to loud sounds in recreational settings This message library contains messages designed to be delivered to adults that may be at risk of developing hearing loss due to unsafe listening behaviours. The messages are designed to support people to understand how their loud sounds heard by them can damage hearing and to guide them for adopting safe listening practices. These messages should be adapted for the local population and context following consultation with people that are likely to be exposed to the risk of unsafe listening (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [name] If possible, insert recipients name. If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hey, Hello. This should be appropriate to the adolescent age group. If not possible then remove. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 32 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to the mSafeListening programme. We will be sending you messages over the next 6 months to support you to care for your hearing and avoid hearing loss. 159 Admin • Change “mSafeListening programme” to local programme name. 1 AD1 Safe listening [hi] [name]. Do you enjoy listening to music? Do you like it loud? Loud sounds can permanently damage your ears. Search safe listening tips to learn more. 141 Reminder • Change activity to suit local population. 6 AD2 Safe listening Do you know how loud sounds affect ears? Loud sounds damage sensory cells inside your ears. This can lead to hearing loss or ringing in the ear (tinnitus). 154 Information 2 AD3 Safe listening It is possible to enjoy listening to music and avoid hearing loss. Learn how to listen safely and enjoy a lifetime of music. Watch out for safe listening tips. 159 Motivation 7 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 33 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD4 Safe listening Safe listening tip#1 When using ear/headphones, listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 159 Motivation 3 AD5 Safe listening 60% of maximum volume is the safe listening limit on a device. Do you know if you exceed this? Staying within this limit will reduce the risk to your hearing. 158 Information 16 AD6 Safe listening Some Apps can help to monitor sound exposure on your device. Learn how to use these and stay within safe limits. Search safe listening to know more. 148 Support 19 4 AD7 Safe listening Using headphones for work? • Keep the volume below 60% • Take a quiet break when possible • Avoid noisy pastimes and places during your off-hours 137 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 34 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD8 Safe listening Safe listening tip #2 The SURE way for hearing protection in noisy places (clubs, discos) is to: -Stay away from loudspeakers, -Use earplugs regularly -Rest your Ears frequently 175 Motivation 5 AD9 Hearing protection An earplug is a simple device that is inserted in the ear canal to protect your hearing. Earplugs can be of different types. Search earplugs online to know more. 161 Information 9 AD10 Hearing protection Earplugs reduce the risk of hearing loss when they are used properly and regularly. Insert earplugs using the Roll-Pull-Hold method to protect your ears. 153 Motivation 15 6 AD11 Hearing protection To rest your ears when in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 128 Reminder 21 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 35 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD12 Safe listening How to know that a place is too loud? If you have to raise your voice to be heard by someone standing close by, it is too loud. Be SURE. Protect your hearing 156 Information 11 7 AD13 Noise at workplace Noisy workplace? Be SURE to • Stay away from sound sources • Use earplugs regularly • Rest your Ears frequently in noise-free spaces 126 Reminder AD14 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 129 Information 8 AD15 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect your hearing. 140 Support 19 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 36 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD16 Safe listening Noise-cancelling ear/headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 149 Reminder 9 AD17 Safe listening Earphones or headphones? It doesn’t matter which of the two you use so long as you listen with CARE • Cut volume to below 60% • use Apps to monitor risk • REduce time 160 Motivation AD18 Safe listening Tip #4 Heed the warning signs and consult a doctor if you: • persistently hear a ringing/ buzzing sound, or • have difficulty in following conversations 146 Reminder 10 AD19 Need for hearing test Check your hearing once a year with the free WHO hearWHO app. Consult a doctor if your hearing score is below 50. Search ‘hearWHO FAQs’ online to know more. 156 Support 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 37 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD20 Need for hearing test Ringing or buzzing in the ear without any external sound is called ‘tinnitus’. If its persistent, you should consult a doctor. 127 Reminder 11 AD21 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs can help to save your hearing. Search ‘safe listening’ online to know more. 153 Reminder 8 AD22 Ear care Hearing loss can also be due to reasons other than loud sounds. Ear infections are another preventable cause of hearing loss. 124 Information 12 AD23 Ear care To avoid ear infections, DON’T: • put oil, cotton buds, sticks, or home remedies in your ear; • swim in dirty water; • ignore ear pain. 128 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 38 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD24 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Learn more by searching ear care. 166 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. 13 AD25 Ear care Is your ear itching, paining or feeling blocked? Don’t put anything in the ear. See a trained health worker or doctor. Don’t go to an untrained person. 150 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. 4 AD26 Ear care Do you share your earphones with others? That could lead to ear infection. Keep them to yourself. 98 Information 14 AD27 Need for hearing test Do you have difficulty in hearing what your friends are saying around you? This could indicate hearing loss. Get your hearing checked. 134 Reminder AD28 Safe listening Imagine life with bad sound quality. Hearing loss due to noise is permanent. There’s no going back once the damage is done. Listen safely. Avoid hearing loss. 158 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 39 Week ID Theme Message Count Type Notes Suggested Multimedia ID 15 AD29 Safe listening To listen safely when using ear/ headphones, take CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 149 Reminder AD30 Safe listening The louder your listen, the shorter the time available for listening safely. By turning the volume down, you can listen for longer without harming your hearing. 159 Motivation 16 AD31 Safe listening Do your feet ache after a night out? Your ears may be hurting too. Be SURE to: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 157 Reminder AD32 Safe listening You know a place is too loud if you have to raise your voice to be heard by someone who is at an arm’s length from you. Be SURE to protect your ears. 149 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 40 Week ID Theme Message Count Type Notes Suggested Multimedia ID 17 AD33 Safe listening Did you know you can check the sound level around you with apps? Search the app store for ‘noise meter’. Use it to monitor the noise levels around you. 151 Support AD34 Hearing protection [hi] [name]. If the noise level around you is higher than 80dB, use earplugs to reduce your risk of hearing loss. Roll-Pull-Hold to use them properly! 137 Motivation 15 AD35 Hearing protection To rest your ears in a noisy place take frequent, short breaks away from loud sounds e.g., for 10 minutes after every hour. 123 Reminder 18 AD36 Safe listening Need a new smartphone or ear/ headphones? Prefer devices with • built in features like volume limiting and sound monitoring • noise-cancelling technology 146 Reminder AD37 Safe listening Many smartphones now come with safe listening features. Check your device’s health app to find the hearing data. This can tell you how safely you are listening. 160 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 41 Week ID Theme Message Count Type Notes Suggested Multimedia ID 19 AD38 Safe listening Are few minutes of loud music worth damaging your hearing for ever? Keep the volume on your device below 60% of maximum. 121 Motivation 16 AD39 Safe listening [hi] [name]. Do you play video games? Loud gaming sounds may damage your ears. Take CARE: • Cut the volume; • use Apps to monitor your risk; • Reduce the time you spend playing 154 Reminder 20 20 AD40 Safe listening Are those around you swaying to your music? This means the volume is loud enough to damage your hearing. Turn it down. Keep below 60% of maximum volume and keep listening. 171 Reminder AD41 Safe listening Going to see a game? High sound levels at sporting events can damage hearing. Take along earplugs and use them properly to protect your ears and hearing. 153 Reminder 15 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 42 Week ID Theme Message Count Type Notes Suggested Multimedia ID 21 AD42 Safe listening Going for a party? Have a fun time! Make sure not to stand or sit close to loudspeakers or amplifiers. Take care of your ears and keep enjoying the music. 154 Reminder AD43 Safe listening [hi] [name]. Do you enjoy concerts? Mind where you stand or sit. Sound levels are highest close to sound sources like loudspeakers. Stay away from them. 140 Motivation • Replace concert with locally appropriate term 22 AD44 Safe listening Have to turn the volume up when on a train or bus? This is due to the background noise. Try noise- cancelling headphones. 120 Reminder AD45 Safe listening Think fireworks & explosives damage your hearing? Listening to your favourite band on max volume every day does the same. Turn it down & prevent hearing loss. 158 Information 12 23 AD46 Need for hearing test When you are in a busy restaurant, do you often ask your friends to repeat themselves? This could indicate hearing loss. Check your hearing. Search for hearWHO. 160 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 43 Week ID Theme Message Count Type Notes Suggested Multimedia ID AD47 Need for hearing test Hearing loss can occur at any age. It may not be immediately noticeable. Hearing testing is very easy. A doctor can tell you more. 129 Information 24 AD48 Safe listening Do you practice shooting or fireworks? Make sure you use hearing protection to avoid damaging your ears. Limit the time spent in such noisy activities. 151 Information • Shooting and fireworks should be replaced with locally appropriate terms. ‘hearing protection’ can be replaced by ear plugs or other appropriate terms. 12 AD49 Hearing protection To use earplugs properly, make sure to follow the Roll-Pull-Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Reminder 15 25 AD50 Safe listening Imagine if you heard bells chime in your ear 24/7. Constant ringing in the ears may be an early sign of hearing loss. Practice safe listening to prevent it. 155 Motivation AD51 Hearing protection Are you first on the dance floor? And the last to leave? Every hour, give your ears a 10-minute break in a quiet place. Prevent irreversible hearing loss. 154 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 44 Week ID Theme Message Count Type Notes Suggested Multimedia ID 26 AD52 Need for hearing test Check your hearing if you: • tend to raise the volume • often ask people to repeat • miss out parts of conversation Use free WHO hearWHO app or consult a professional 159 Reminder AD53 Safe listening Hearing loss due to loud sounds can be avoided! To keep enjoying your favourite sounds: Take CARE when using headphones. Be SURE to protect your ears in a loud place. 162 Reminder 7 AD54 Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. Keep listening safely. 140 Admin • Change “mSafeListening program” to local program name BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 45 Parents or care providers of children This message library contains messages designed to be delivered to those who are involved in supporting/caring for children at risk of developing hearing loss due to unsafe listening behaviours, especially parents and teachers. The messages are designed to support people to understand hearing loss and engage in behaviours required to promote safe listening practices among children they may care for or work with. These messages should be adapted for the local population and context following consultation with local parents and children (please see notes at the beginning of this document). There may be a need to add additional messages to address key issues for the local population. The messages in this library are designed to be delivered over approximately 6-months. It is recommended that the time of day that the messages are delivered is random to support engagement. The following tokens are used to tailor the messages to support greater engagement: [child name] If possible, insert the child’s name if not available use “your child” or “your children” [name] If possible, insert recipients name (the parent). If not possible then remove. [hi] Insert culturally appropriate greeting e.g., Hi, Hello, Kia ora. If not possible then remove. [he/she/they] If possible, use child’s correct pronoun. If not available use “they”. [him/her/them] If possible, use child’s correct pronoun. If not available use “them”. [his/her/their] If possible, use child’s correct pronoun. If not available use “their”. BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 46 Week ID Theme Message Count Type Notes Suggested Multimedia ID 0 Admin [hi] [name]. Welcome to mSafeListening program. We will be sending you messages to know more about hearing loss and help you guide [your child/ren/child name] to listen safely to music. 149 Admin • Change “mSafeListening” to local program name. 1 PM1 General knowledge Hearing loss is more common than you think! One out of every five people have hearing loss. 92 Information 10 PM2 Need for hearing test Did you know that hearing loss can occur at any age? It’s easy to check your child’s hearing. Ask a health professional and get your child’s ears checked. 154 Motivation • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 2 PM3 Need for hearing test Do/es [your child/ren/child name] often ask you to repeat what you said? This could be a sign of hearing loss. Ask a health professional and get your child’s ears checked. 142 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 47 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM4 Prevention of hearing loss 60% of hearing loss in children is due to preventable causes! Treating ear infections and avoiding loud sounds can mitigate [your child’s/ren’s/child name’s] risk of hearing loss. 147 Information 3 PM5 Safe listening Many young people permanently damage their ears due to loud sounds heard over headphones and in noisy places. Once you lose your hearing, you cannot get it back. 160 Information PM6 Safe listening If [your child/ren/child name] often • listens to music over headphones • plays loud games • visits noisy places you should learn about safe listening. Watch out for tips#1-4 143 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 48 Week ID Theme Message Count Type Notes Suggested Multimedia ID 4 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 168 Motivation PM8 Safe listening 60% volume is the maximum safe listening limit on a mobile phone. Do you know if [your child/ren/child name] exceed/s this? Talk to [your child/ren/ child name] regularly about it. 145 Information 5 PM9 Safe listening Apps can help to monitor sound exposure on [your child’s/ren’s/child name’s] device. Teach them to use these and stay within safe limits. Search safe listening to know more. 140 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 49 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM10 Safe listening Safe listening tip #2 Teach the SURE way for safe listening in noisy places to [your child/ren/child name]: • Stay away from loudspeakers, • Use earplugs regularly • Rest your Ears frequently 136 Motivation 6 PM11 Safe listening Earplugs reduce the risk of hearing loss when used properly and regularly. Teach your child to insert earplugs using the Roll-Pull-Hold method. 143 Motivation 9 PM12 Safe listening To rest one’s ears when in a noisy place, take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 133 Motivation 7 PM13 Safe listening Safe listening tip #3 When shopping for new electronic devices, prefer those with: • built in safe listening features • noise-cancelling technology 144 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 50 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM14 Safe listening Some smartphones and headphones come with features like volume limiting and apps for sound monitoring. Prefer these to protect [your child’s/ren’s/child name’s] hearing. 137 Information 8 PM15 Safe listening Noise-cancelling headphones reduce the need to raise volume level when there is background noise e.g, in a subway. Invest in a pair, if possible. 145 Information • Replace -subway- with locally appropriate terms e.g., underground, metro, train, bus etc PM16 Safe listening Safe listening tip #4 [Your child’s/ren’s/child name] could have hearing loss if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 139 Information 9 PM17 Need for hearing test Heed the warning signs and consult a doctor if [your child/ ren/child name] you suspect that your child may have hearing loss. 98 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 51 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Information 10 PM18 Safe listening Keeping the volume down, limiting exposure to loud sounds, and using earplugs in noisy places, can protect [your child’s/ren’s/child name’s] hearing. Search ‘safe listening’ online to know more. 160 Reminder PM19 Hearing test Is it safe to get [your child’s/ ren’s/child name’s] hearing tested? Yes! Testing hearing is safe, painless and can be done at any age. Consult a professional to know more. 137 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 11 PM20 Hearing test How well can you hear? Take care of your own hearing too. Download hearWHO on the App store and check your hearing. It only takes 5 minutes. 139 Motivation • The term App store can be replaced by Google playstore or others as appropriate locally 2 BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 52 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM21 Management of hearing loss Don’t panic if [your child/ren/ child name] has/ve hearing loss. Depending on the cause, it can be addressed by medicines, surgery, hearing aids, implants or therapy. Consult a professional. 155 Information • The term ‘professional’ can be substituted by doctor, audiologist, health worker, or other terms specific to the local context 12 PM22 Need for hearing test Unaddressed hearing loss in childhood can affect speech and limit academic performance. Be sure to have [your child’s/ren’s/child name’s] ears examined regularly. 155 Motivation PM23 Ear care Ear infections are common in children. They can cause ear pain or draining/ discharging ears. See a doctor in case you suspect an ear infection. Don’t delay. 156 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 53 Week ID Theme Message Count Type Notes Suggested Multimedia ID 13 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 147 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM25 Ear care Did you know that your ears clean themselves? Putting cotton buds, Q-tips, sticks, hopi candles or oil in your ears can damage them. Search ‘ear care’ to learn more. 152 Information • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally. 14 PM26 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 54 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM27 Ear care Do/es [your child/ren/child name] get ear pain? It’s commonly caused by hard wax or ear infection. Don’t try home remedies as these can cause harm. See a doctor without delay. 147 Information • ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 15 PM28 Safe listening Do/es [your child/ren/child name] often listen to music loud over headphones? Guide them to keep the volume below 60% and listen with CARE. 111 Motivation • Change examples to common local activity 7, 9 PM29 Safe listening Teach [your child/ren/ child name] to listen over headphones with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 138 Motivation 16 PM30 Safe listening Going with [your child/ren/ child name] to see a game? High sound levels at sporting events may damage hearing. Use earplugs for yourself and your child. Set a good example! 144 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 55 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM31 Use of ear plugs To use earplugs properly, make sure to follow the Roll-Pull- Hold method. Regular use of earplugs in noisy places can considerably reduce hearing loss risk. 155 Information 9 17 PM32 Safe listening Do/es [your child/ren/child’s name] copy your dress style? Make sure you practice safe listening to encourage them to do the same. Remember tips#1-4. Search 'safe listening' to know more. 157 Motivation PM33 Need for hearing test Do/does [your child/ren/child name] often have ringing in the ear? This could indicate hearing loss. Get their hearing checked and teach them to lower the volume when listening to music. 159 Information 18 PM34 Safe listening Do/es [your child/ren/child name] love concerts? Sound levels at concerts can damage ears permanently. Teach them the SURE way to protect their hearing. 124 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 56 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM35 Safe listening The SURE way to protect your hearing in noisy places is to: • Stay away from loud speakers • Use earplugs regularly • Rest your Ears frequently 137 Motivation 19 PM12 Safe listening To rest one’s ears when in a noisy place take frequent and short breaks away from loud sounds e.g., for 10 minutes after every hour. 132 Reminder PM36 Safe listening Teaching [your child/ren/ child name] to listen to music safely and use ear protection now will help them make safe listening choices as they get older. 123 Motivation • ‘ear protection’ can be replaced by ear plugs or other appropriate terms. 20 PM37 Safe listening Buying a smartphone or headphones for [your child/ ren/child name]? Prefer devices with built-in features like volume limiting and sound monitoring. Help protect [your child’s/ren’s/child name’s] hearing. 139 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 57 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM38 Safe listening Does [your child/ren/child name] need new headphones? Noise-cancelling headphones reduce the need to raise volume level and help protect hearing. Invest in a pair, if possible. 149 Information 21 PM39 Safe listening We know you want [your child/ ren/child name] to have the fullest life possible – so teach them how to protect their hearing now. Search ‘safe listening’ online to know more. 145 Motivation PM40 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 164 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 58 Week ID Theme Message Count Type Notes Suggested Multimedia ID 22 PM24 Ear care To avoid ear infections: DON’T put oil, cotton buds, or home remedies in [your child’s/ren’s/ child name’s] ear. Guide them not to swim in dirty water; or share earphones with others. 148 reminder • Replace with locally appropriate terms e.g., q-tips, cotton buds, ear buds or similar terms that are more suitable locally may be used. ‘Home remedies’ may be replaced by common remedies that people use e.g., hot oil etc 5 PM41 Ear care Trying to get wax out of [your child’s/ren’s/child name’s] ear? Don’t do it. See a trained health worker or doctor. Don’t put anything in the ear. Don’t go to an untrained person. 145 Information 23 PM42 Need for hearing test Are [your child’s/ren’s/child name’s] grades falling at school? It could be that [s/he] cannot hear the teacher well. Take [him/her] for a hearing test. Don’t delay. 114 Support BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 59 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM40 Hearing testing Did you check your child’s eyes? Teeth? What about ears? Hearing loss is common and can be detected at any age. Take your child for a routine ear and hearing check. 164 Reminder 24 PM43 Safe listening Over 43 million young people in the world have hearing loss. Teach [your child/ren/child name] to care for their ears. Search ‘safe listening’ and ‘ear care’ online to know more. 150 Motivation PM44 Safe listening [hi]. [your child/ren/child’s name] looks up to you. Be a role model by practicing safe listening yourself. Remember the 'safe listening' tips or search online. 126 Motivation BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 60 Week ID Theme Message Count Type Notes Suggested Multimedia ID 25 PM7 Safe listening Safe listening tip#1 If [your child/ren/child name] use/s headphones, teach them to listen with CARE • Cut the volume to below 60% • use Apps to monitor risk to hearing • REduce the time spent listening 152 Reminder PM10 Safe listening Safe listening tip #2 The SURE way to protect your hearing in noisy places is to: • Stay away from loudspeakers • Use earplugs regularly • Rest your Ears frequently 157 Reminder 26 PM13 Safe listening Safe listening tip #3 When shopping for new devices, prefer those with: • built in safe listening features • noise-cancelling technology 118 Reminder BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 61 Week ID Theme Message Count Type Notes Suggested Multimedia ID PM16 Safe listening Safe listening tip #4 Get [Your child’s/ren’s/child name’s] hearing checked if they: • tend to raise the volume • often ask you to repeat • have unclear speech • complain of ringing in the ear 135 Reminder 27 PM45 Safe listening Hearing loss due to loud sounds is permanent. But, it can be completely avoided through safe listening. To learn more, search ‘safe listening’ online. 150 Motivation Admin [hi] [name]. You have now finished the mSafeListening program, thanks for taking part. We hope you have found the messages useful. 119 Admin BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 62 Suggested multimedia list The following is a list of multimedia descriptions to guide choice of multimedia to accompany messages in the mSafeListening message libraries where they are to be delivered via a modality which allows for this (e.g. social media, app messaging). The descriptions provided are designed to guide the choice of multimedia by the local team. Actual multimedia chosen should include people that are relevant and relatable to the target audience considering aspects such as ethnicity, culture, and age. They should also include culturally relevant or age-appropriate settings and contexts depending on the target audience. ID Multimedia description 1 Image showing one out of five. It can be people with one wearing hearing aid or similar 2 Image of WHO hearWHO application 3 Image of a child unable in a schoolroom, looking confused 4 Image of a person putting a pin or pencil into the ear 5 Image of a Q-tip/cotton bud or other locally relevant materials with a red cross over it 6 Image a person listening to music over headphones and enjoying 7 Image of Make Listening Safe egg with headphones 8 Image of a safe listening app displaying OK i.e., no risk of hearing loss 9 Image of earplugs 10 Image of a smiling person wearing hearing aids and listening to music 11 Image of people standing close by with music in the background. One is speaking and other is saying ‘What?’ BE HE@LTHY BE MOBILE A toolkit on how to implement mSafeListening. Web Annex: mSafeListening message libraries 63 ID Multimedia description 12 Image of a cracker being burst. It could include a word to indicate a loud sound like ‘bang’ or of someone shooting a gun (as locally most suitable) 13 Image of a baby being held by a smiling parent, with a person checking the child’s hearing using a hand-held device (OAE machine) 14 Image of a celebrity/well known person who has hearing loss, OR image of a child/young person (can be using hearing aids/ implants) and someone else speaking to them while facing the person. 15 Image or Gif showing the Roll-Pull-Hold method of inserting earplugs 16 Image of a volume bar or tab showing volume level positioned below 60% 17 Image of someone in a public transport with headphones 18 Image of hearing test of an adolescent 19 Image of a noise meter mobile app/ or depiction of noise level 20 Image of teenager playing a loud video game e.g., a war game or car-racing etc and surrounded with a speaker and wearing a gaming headphone 21 Image of a calm, relaxed person, may be looking like on ear break World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland website: www.who.int/initiatives/behealthy e-mail: bhbm@who.in