Argumentum ad Ignorantiam: Smartphone-Connected Listening Devices

Abstract

In this article, we review the current literature assessing the application and benefits of connected hearing technologies, as well as their potential to improve accessibility to and affordability of hearing healthcare. Over the past decade, there has been a proliferation of hearing devices that connect wirelessly to smartphone technologies via Bluetooth. These devices include (1) smartphone-connected hearing aids that must be obtained from a licensed audiologist or hearing aid dispenser; (2) direct-to-consumer devices, such as personal sound amplification products; and (3) smartphone-based hearing aid applications (or apps). Common to all these connected devices is that they permit the user to self-adjust and customize their device programs via an accompanying smartphone app. There has been a growing body of literature assessing connected hearing devices in adults living with hearing loss. Overall, the evidence to date supports the notion that all connected hearing devices can improve accessibility to and affordability of amplification. It is unclear, however, whether connected technologies are a clinically effective alternative to traditional hearing aids. Even so, the impact of connectivity is especially pertinent given the sudden disruption caused by the recent global COVID-19 pandemic, whereby connected technologies enable patients to receive treatment through mobile-based, tele-audiology platforms.

Knowledge and Expectations of Hearing Aid Apps Among Smartphone Users and Hearing Professionals: Cross-sectional Survey

“…They evaluated the self-reported benefits and satisfaction in a small case series in a single center [ 20 , 21 ]. Performance and satisfaction show wide variations according to app, operation system, and type of headphones [ 18 ]. However, previous studies did not comprehensively evaluate the awareness and associated factors of SHAAs in a cross-sectional multicenter survey.…”

“…Some SHAAs have separate channels and advanced functions, such as noise reduction and acoustic feedback suppression [ 17 ]. Until now, it was not clear whether SHAAs were clinically effective and could be an alternative device to traditional HAs [ 18 ]. In addition, their level of patient satisfaction is generally lower than that with conventional HAs [ 19 ].…”

Consensus on connected hearing health technologies and service delivery models in the UK: a Delphi review

“…When they are released the guidelines will also function to regulate and clarify the role of PSAPs. In response to this legislative change in the US, there has been extensive discussion, peer-reviewed proposals, and position statements generated from consumer, industry, and professional stakeholders (Jilla et al, 2018;Kimball et al, 2018;Maidment & Amlani, 2020). To meet the anticipated increased need in the US, industry is preparing to increase production and availability of OTC products that meet the definition of a hearing aid in this new category.…”

Effect of Determinants of Health on the Hearing Care Framework: An Economic Perspective

“…4 5 Recently, the advent of streaming sound and wireless connectivity between hearing aids and consumer electronic products to smartphones has provided the user with greater control over their listening preferences. 2 6…”

“…4,5 Recently, the advent of streaming sound and wireless connectivity between hearing aids and consumer electronic products to smartphones has provided the user with greater control over their listening preferences. 2,6 Developments in technology have enhanced innovative business model opportunities and new hearing care market segments that extend beyond the traditional brick-andmortar setting (see Brice and colleagues, this issue 7 ). From a healthcare standpoint, these new opportunities and segments underscore the full potential of hearing care in improving the overall well-being (i.e., physical, psychological, functional, social) and QoL for people experiencing sensory loss and perceptual difficulties.…”