Making learning fun: Participatory design of multimedia interactive educational videos for first time hearing aid users by M Brandreth, M Ferguson, J Henderson, M Taylor & H Wharrad

1. Making Learning Fun: Participatory design of
multimedia interactive educational videos for
first time hearing aid users
HEAR-IT STUDY
Mike Taylor, James Henderson & Heather Wharrad
School of Nursing, Midwifery & Physiotherapy
Health E-learning & Media Group
Melanie Ferguson & Marian Brandreth
National Biomedical Unit for Hearing

2. Improving use of hearing aids in new
users
• NIHR Research for Patient Benefit grant
• awarded September 2010 (£235k)

3. Background – about hearing loss
 9m people in the UK have a hearing loss
 2m people have hearing aids
 Non-use of hearing aids: 15-25%
 Costs of non-use:
 To NHS: Annual (2008) = £25m
 To person with hearing loss = communication difficulties
 social withdrawal, reduced quality of life

4. Reasons for non-use (%)
Bertoli Goggins Vuorialho
(2009) (2009) (2006)
 Background noise 52 - 47
 Poor fit and comfort 9 16 28
 Difficulties inserting e/m 9 16 14
 Acoustic feedback - - 12
 Difficulties with batteries - - 17
 Difficulties on the phone - 85 70
 Misunderstanding of progs - 61 -

5. Study aims
Question:
Do interactive multimedia educational learning
objects (RLOs) provided by audiologists at the
hearing aid fitting result in enhanced benefit and
use for first-time hearing aid users?
Phase 1: Development of interactive RLOs

6. Interactive Multimedia learning – theory/evidence
• RLOs enhance student learning, enjoyment and
engagement (Wharrad & Windle 2010; Lymn et al,
2008; Bath-Hextall et al, 2011)
 Students in the elearning environment that
provided interactive video achieved better
learning performance & satisfaction than other
elearning or trad environments (Zhang et al, 2006)
• Increase patient satisfaction and treatment
compliance (Murray et al, 2001)

7. Reusable learning objects
The Mental Health Act

8. What is an RLO?
media assets instructional design
+ activity
+ assessment
+ links
+ interactivity
Stand alone
Addresses a single learning goal

9. Evaluation
The LOs Introduced new concepts clearly The LOs were well integrated
“ A brilliant way to learn”
S. A. Agree Disagree S. D. S. A. Agree Disagree S. D.
“A fun way to learn lots
The LOs were at the right level Interactivity
of information”
S. A. Agree Disagree S. D. V.I. Important Unimportant V.U.

10. Phase I Development of RLOs
Storyboard
workshops
Spec
Review
Develop
Review
Use &
evaluation

11. Community
Patients & Carers Students
Lecturers

12. HA User Workshops

13. Storyboards
Expectations Loop systems

14. Topics

15. Acclimatisation DVD Entry Interface

17. Expectations Quiz

18. Outcome measures
 Hearing aid use
 Self-efficacy and well-being Patient Activation Measure
(PAM)
 Hearing Health Care Intervention Readiness (HHCIR)
 Hospital Anxiety and Depression scale (HADS)
 Learning Interactive questions from RLO on HAs and
communication
 RLO uptake and compliance

19. Top descriptors of RLOs

20. Use of RLO
72% watched the RLOs more than
once, and 40% for 3+ times.

21. Conclusion
 Participatory design/community involvement process
translated well from an educational to healthcare
setting
 Challenge in creating engaging activities (pedagogy)
in a DVD format
 Early analysis suggests DVD is valued (reuse), easy to
use and may reduce anxiety