Hearing Impairment (HI)

Hearing impairment (HI) is a disorder in any part of the auditory system which affects the hearing ability, thus interfering the speech and communication abilities.  A person with hearing thresholds over 25dB HL can be regarded as having HI, which can be classified into five degrees:

Mild (26-40 dB)difficult to identify soft sound such as whispering
Moderate (41-55 dB)unable to hear clearly what others are saying during conversation
Moderately severe (56-70 dB)unable to clearly hear loud noises such as telephone ring
Severe (71-90 dB)can only hear very loud noises and sounds such as shouting
Profound (over 90 dB)difficult to perceive any sound

  • Poor or limited responses to environmental sound and external stimulation
  • Looking attentively and intensively at the presenter’s face and mouth when listening
  • Misunderstanding of verbal exchanges and frequent repetition are required when following rapid interactions such as group discussions and debates.
  • Severe language and articulation problems in learning
  • Struggles with understanding the content of videos or audio clips without subtitles

  • Confirm the student's preferred mode of communication (e.g., face-to-face, email) 
  • Speak clearly and slowly without exaggerating mouth movements 
  • Pause between sentences or phrases to ensure the student has understood before continuing 
  • Choose quiet environments for discussions to minimise background noise 
  • Offer pertinent information in writing, such as directions and schedules
  • Summarise key points discussed to reinforce understanding 
  • Sit on the side of the student's better ear allows for clearer sound quality, or opposite the student to enable lip-reading

  • Encourage students to sit where they have a clear line of sight
  • Ensure proper lighting for students who rely on lip-reading or sign interpretation
  • Utilise assistive listening and real-time captioning devices provided by the student (if any)
  • Reduce background noise to improve hearing conditions
  • Enable real-time captioning for online classes
  • Provide lecture materials and subtitles for audio-visual materials before class to aid preparation
  • Allow audio/video recordings of lectures for revision
  • Discuss special learning and exam arrangements privately with students
  • Encourage students to express their needs and preferences regarding accommodations

  • Consider flexibility in time and format for assignments and tests that require oral and listening assessments
  • Allow alternatives / extended time for exams (recommended by professionals)
  • Provide clear written instructions during tests and exams
  • Arrange a separate room for exams/tests to minimise distractions if possible
  • Adapt grading criteria to focus on content and understanding rather than language proficiency