Background: We are observing a silent and disrupting revolution in the hearing health care practice due to the pervasive use of eHealth methods and technologies, in particular mobile apps. This situation is very new, e.g., in the novel interactions and relationship between actors, in the implicit knowledge relevant to actors, and in the acquisition and comprehension of health messages and fragmented, e.g., in knowledge, standardization, regulation, and in methods for quality evaluation, so here we propose a new paradigm. Objectives: We want to contribute to the definition of the boundaries and rules of the new ’eHealth4Hearing’ paradigm. Methods: Starting from the needs perceived by people with hearing disabilities, we formulated a new ’eHealth4Hearing’ paradigm and gave practical examples on its application. Results: The ’eHealth4Hearing’ paradigm is delivering a new patient-centered model where people have (1) tools for at-home checking of hearing status to monitor or to detect early hearing disabilities; (2) tools to acquire meaningful, accurate and personalized information on how their hearing condition may affect their lives and to simulate how different rehabilitation solutions will work for them; (3) tools for self fitting/control of hearing systems; (4) personalized solutions for sound enhancement through smartphones for people that do not require traditional hearing aids; (5) at-home interactive rehabilitation programs adapting to their speech and communication skills. Conclusions: Researches have to be devoted to further boost the potential of ’eHealth4Hearing’ and must address issues concerning safety, privacy, legal regulations, reliability and quality of the apps.

e HealthLAB Department of Electronics Information and Bioengineering Politecnico di Milano Milan Italy

EIIT Institute of Electronics Computer and Telecommunication Engineering CNR National Research Council of Italy Milan Italy

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