The Nottingham Biomedical Research Centre (BRC) hearing theme has created Reusable Learning Objects (videos/ DVDs) providing advice and information to help people to cope with using hearing aids.
A participatory approach led to the development of C2Hear, influenced by members of the public and hearing-aid users. Randomised Control Trial (RCT) evaluation of efficacy showed improved knowledge, practical skills, hearing-aid use and self-confidence.
Health economic analysis showed C2Hear to be a cost-effective clinical intervention. This has led to license agreement between the partnership between Nottingham University Hospitals NHS Trust, the University of Nottingham, commercial sector partner, PC Werth Ltd, and the charity Action on Hearing Loss, with the C2Hear trade mark registered.
The C2Hear DVD is available through the NHS Supply Framework. The online videos are freely available. A local NHS Clinical Commissioning Group is funding the DVD for new hearing-aid users and take-up is 90%. Five leading UK audiology departments are implementation models for C2Hear and increasing numbers of audiology departments are using C2Hear in clinic for patients and in waiting rooms.
C2Hear videos are hosted on all the key hearing charity websites: Action on Hearing Loss, Hearing Link, Ear Foundation, National Community Hearing Association, and are recommended in the revised BSA practice guidance for adult rehabilitation services. 35% of views are outside the UK, indicating international interest.
We are working with requests to translate into other languages (French, Danish, Hebrew, US-English) with interest from the World Health Organisation for non-English speaking countries and the EM-CLAHRC Centre for Black and Minority Ethnic Health. C2Hear is part of a clinical trial of adult rehabilitation (ACHIEVE-P, NCT02412254) led by John Hopkins University, Baltimore, USA.
The Nottingham BRC hearing theme led on two of the three James Lind Alliance Priority Setting Partnerships (PSP) in ENT and Audiology, which cover two of the most prevalent and burdensome conditions affecting adults in the UK: Tinnitus (2013) and Mild-to-moderate Sensorineural Hearing Loss (2015).
By identifying the ‘top 10’ list of unanswered treatment and research priorities, these JLA PSPs have influenced: