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Natalie Teakle
Published Jul 28, 2026
Speak Up, Listen Up empowers teens with hearing loss to build confidence, practice self-advocacy, and navigate real-world communication challenges in a safe, engaging environment. Bridging the gap between therapy and everyday experiences, Speak Up, Listen Up can help young people develop the skills they need to speak up and thrive.
In today’s evolving rehabilitation landscape, digital tools are increasingly shaping how professionals support people with hearing loss. One of the latest digital rehabilitation developments from MED-EL is Speak Up, Listen Up, an interactive, gamified platform designed to help teens build confidence, strengthen self-advocacy skills, and navigate real-world communication challenges.
Speak Up, Listen Up represents a shift from passive learning to active, experience-based training, and it offers rehabilitation professionals a dynamic way to engage adolescents in meaningful conversations about communication.
Adolescence is a critical developmental period marked by identity formation, increasing independence, and more complex social interactions. For teens with hearing loss and those using hearing implants, this stage means they are expected to manage more kinds of interactions without the support they might have had when they were younger. Adolescence is also a critical time for the formation of their deaf identity as an individual using hearing devices.
Traditional therapy settings often struggle to replicate the messy, unpredictable nature of real-life communication to enable practice. This is where Speak Up, Listen Up can fill a gap in your therapy toolkit.
“Speak Up, Listen Up is interactive and encourages you to work on your communication skills. It helps teens’ confidence in asking other people to say things slower or louder again. What stood out most was how engaging the experience felt. The feedback like ‘Great job’ or ‘That’s not it, try it again’ helps me learn from my mistakes.”
Paula
A teenage cochlear implant recipient
Speak Up, Listen Up is specifically designed for rehabilitation professionals, audiologists, speech-language therapists, and educators who support teenagers with hearing loss who use hearing technology. It is not a standalone curriculum, but a conversation starter and a practice tool to integrate into existing therapy sessions.
Speak Up, Listen Up can be incorporated into hearing implant rehabilitation in several ways:
Use scenarios to initiate discussions about:
Guide teens in identifying:
Pause scenarios to:
It can help teens to:
“It gives young adults more confidence. Asking questions shouldn’t make you anxious. It will encourage teens to try these strategies in real life.”
Paula
A teen cochlear implant recipient
Through Speak Up, Listen Up’s guided, story-based experiences, teens can:
The first scenario is set at a cinema, with additional real-life scenarios in development.
While teens with hearing devices can get a boost of confidence and self-esteem at a time when many may feel insecure, Speak Up, Listen Up offers rehabilitation professionals a fresh, engaging way to support them as they grow, find their voices, and learn to speak up for themselves.
References
Zaidman-Zait, A., & Most, T. (2020). Pragmatics and peer relationships among deaf, hard of hearing, and hearing adolescents. Pediatrics, 146(3), 298-303. https://doi.org/10.1542/peds.2020-0242J
de Jong, T. J., van der Schroeff, M. P., Stapersma, L., & Vroegop, J. L. (2024). A systematic review on the impact of auditory functioning and language proficiency on psychosocial difficulties in children and adolescents with hearing loss. International Journal of Audiology, 63(9), 675-685. https://doi.org/10.1080/14992027.2023.2261074
Punch, R., & Hyde, M. (2011). Social participation of children and adolescents with cochlear implants: A qualitative analysis of parent, teacher, and child interviews. Journal of deaf studies and deaf education, 16(4), 474-493. https://doi.org/10.1093/deafed/enr001
Salehi, S., Tarameshkou, M., Mirahmadi, S., Hashemnia, S., & Hassansheikhi, M. (2022). The Relationship of Pragmatic Language Competency and Self-Esteem in Hearing-Impaired Children. Journal of Arak University of Medical Sciences, 25(3), 464-473. https://doi.org/10.32598/JAMS.25.3.6900.1
Michael, R., & Zidan, H. M. (2018). Differences in self-advocacy among hard of hearing and typical hearing students. Research in developmental disabilities, 72, 118-127. https://doi.org/10.1016/j.ridd.2017.11.005
References
Natalie Teakle
Natalie Teakle is a Speech and Language Therapist and a Rehabilitation Manager at MED-EL. She provides training and mentoring support globally for professionals working in the field of hearing loss and hearing implants.
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The content on this website is for general informational purposes only and should not be taken as medical advice. Please contact your doctor or hearing specialist to learn what type of hearing solution is suitable for your specific needs. Not all products, features, or indications shown are approved in all countries.
Natalie Teakle
Natalie Teakle is a Speech and Language Therapist and a Rehabilitation Manager at MED-EL. She provides training and mentoring support globally for professionals working in the field of hearing loss and hearing implants.
Natalie Teakle
Natalie Teakle is a Speech and Language Therapist and a Rehabilitation Manager at MED-EL. She provides training and mentoring support globally for professionals working in the field of hearing loss and hearing implants.
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The content on this website is for general informational purposes only and should not be taken as medical advice. Please contact your doctor or hearing specialist to learn what type of hearing solution is suitable for your specific needs. Not all products, features, or indications shown are approved in all countries.