Effectiveness of interventions promoting hearing health or preventing music-induced hearing loss and/or other auditory symptoms related to musical practice: A Systematic review

Authors

DOI:

https://doi.org/10.33871/2317417X.2025.22.10839

Keywords:

music, students, hearing loss, noise-induced, Health Promotion

Abstract

This research discusses the effectiveness of educational programs and preventive interventions aimed at promoting hearing health among musicians. The World Health Organization (WHO) highlights the risk of hearing loss due to noise exposure, including among musicians, where the prevalence of music-induced hearing loss (MIHL) can be significant. We emphasize the need for multidisciplinary approaches, integrating fields such as Music and Audiology, to mitigate these risks. The systematic review, conducted in line with the PRISMA 2020 protocol, focused on studies that evaluated the impact of hearing health interventions on musicians. The review identified four relevant studies, mostly from the United States and Australia, published between 2014 and 2022. These studies primarily focused on the use of hearing protection devices and educational programs to prevent hearing loss. The interventions showed effectiveness in increasing knowledge about hearing protection, changing harmful behaviors, and adopting safe practices. We concluded that while existing studies are limited in number and geographic scope, they demonstrate the efficacy of these programs. More research, especially targeting university music students, are important to develop more comprehensive and effective hearing health interventions tailored to the unique needs of musicians.

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References

Bramati, L.; Allenstein Gondim, L. M.; Schmidt, L.; Lüders, D.; Verissimo Meira Taveira, K.; Néron, N.; Miranda De Araujo, C.; Lacerda, A. B. M. Effectiveness of educational programs in hearing health: a systematic review and meta-analysis. International Journal of Audiology, [s.l.], p. 1-12, 2024. DOI: 10.1080/14992027.2024.2313025

Brennan-Jones, C. G., Tao, K. F. M., Tikka, C., & Morata, T. C. (2020). Cochrane corner: interventions to prevent hearing loss caused by noise at work. International journal of audiology, 59(1), 1–4. https://doi.org/10.1080/14992027.2019.1633479

Burland, K., & Pitts, S. (2007). Becoming a music student: Investigating the skills and attitudes of students beginning a music degree. Arts and Humanities in Higher Education, 6(3), 289–308. https://doi.org/10.1177/1474022207080847

Chesky K. (2011). Schools of music and conservatories and hearing loss prevention. Int. J. Audiol. 50, S32–S37. doi: 10.3109/14992027.2010.540583

Crawford, K., Willenbring, K., Nothwehr, F., Fleckenstein, S., & Anthony, T. R. (2023). Evaluation of hearing protection device effectiveness for musicians. International journal of audiology, 62(3), 238–244. https://doi.org/10.1080/14992027.2022.2035831

Di Stadio, A., Dipietro, L., Ricci, G., Della Volpe, A., Minni, A., Greco, A., De Vincentiis, M., & Ralli, M. (2018). Hearing loss, tinnitus, hyperacusis, and diplacusis in professional musicians: A systematic review. International Journal of Environmental Research and Public Health, 15(10), 2120. https://doi.org/10.3390/ijerph15102120

Ismail, S., Mahzair, A., & Zakaria, J. (2022). Participation interest in orchestra class among degree students in UiTM Faculty of Music. Environment-Behaviour Proceedings Journal, 7(SI9), 347–352. https://doi.org/10.21834/ebpj.v7iSI9.4283

Joanna Briggs Institute. (2017). Checklist for systematic reviews and research syntheses. https://jbi.global/sites/default/files/2019-05/JBI_Critical_Appraisal-Checklist_for_Systematic_Reviews2017_0.pdf

Khan, K. M., Bielko, S. L., & McCullagh, M. C. (2018). Efficacy of hearing conservation education programs for youth and young adults: A systematic review. BMC Public Health, 18(1), 1286. https://doi.org/10.1186/s12889-018-6190-9

McGinnity, S., Beach, E. F., Mulder, J., & Cowan, R. (2018). Caring for musicians' ears: insights from audiologists and manufacturers reveal need for evidence-based guidelines. International journal of audiology, 57(sup1), S12–S19. https://doi.org/10.1080/14992027.2017.1405288

Nelson, N. L., Killion, M. C., Lentz, J. J., & Kidd, G. R. (2020). Hearing protection success: Musicians have a favorable response to hearing protection and listeners are unable to identify music produced by musicians wearing hearing protection. Journal of the American Academy of Audiology, 31(10), 763–770. https://doi.org/10.1055/s-0040-1713422

O’Brien, I., Driscoll, T., Williams, W., & Ackermann, B. (2014). A clinical trial of active hearing protection for orchestral musicians. Journal of Occupational and Environmental Hygiene, 11(7), 450–459. https://doi.org/10.1080/15459624.2013.875188

O’Brien, I., Driscoll, T., & Ackermann, B. (2015). Description and evaluation of a hearing conservation program in use in a professional symphony orchestra. Annals of Occupational Hygiene, 59(3), 265–276. https://doi.org/10.1093/annhyg/meu095

Page M J, McKenzie J E, Bossuyt P M, Boutron I, Hoffmann T C, Mulrow C D et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews BMJ 2021; 372 :n71 doi:10.1136/bmj.n71

Pouryaghoub, G., Mehrdad, R., & Pourhosein, S. (2017). Noise-induced hearing loss among professional musicians. Journal of Occupational Health, 59(1), 33–37. https://doi.org/10.1539/joh.16-0217-OA

Portnuff, C., & Claycomb, S. (2019). Hearing protection use in recreational music exposure: A review and analysis of the literature. World Health Organization.

World Health Organization (WHO), 2021 – Deafness and hearing loss -available in < https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss> access: November 26, 2025.

Zhao, F., Manchaiah, V. K., French, D., & Price, S. M. (2010). Music exposure and hearing disorders: An overview. International Journal of Audiology, 49(1), 54–64. https://doi.org/10.3109/14992020903202520

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Published

2025-12-03

How to Cite

Kovalski, M., Nota Simões, P., Néron, N., Yeung, M., Lüders, D., & Bender Moreira de Lacerda, A. (2025). Effectiveness of interventions promoting hearing health or preventing music-induced hearing loss and/or other auditory symptoms related to musical practice: A Systematic review. InCantare, 22(1), 1–14. https://doi.org/10.33871/2317417X.2025.22.10839