“…Extensive qualitative research has explored factors associated with hearing aid adoption and use. Many factors have been linked with low hearing aid adoption and use, including younger age (Popelka et al, 1998;Gopinath et al, 2011), low severity of hearing loss (Popelka et al, 1998;Jenstad and Moon, 2011;Meyer and Hickson, 2012;Guerra-Zúñ iga et al, 2014), discouragement from significant others (Fischer et al, 2011;Gopinath et al, 2011), disappointment with hearing aids (Laplante-Lévesque et al, 2013;Linssen et al, 2013), difficulty in using hearing aids (Desjardins and Doherty, 2009;Guerra-Zúñ iga et al, 2014), not enough support or information (Solheim et al, 2012;Laplante-Lévesque et al, 2013;Lane and Clark, 2016), vanity or stigma (Wallhagen, 2010;Jenstad and Moon, 2011;David and Werner, 2016), cost (Lupsakko et al, 2005;Fischer et al, 2011;Gopinath et al, 2011), and fear of technology (Meyer and Hickson, 2012;Guerra-Zúñ iga et al, 2014). Several systematic reviews on the issue of low hearing aid adoption and use also exist; however, findings on what determines successful hearing aid adoption and use have varied considerably (Knudsen et al, 2010;Jenstad and Moon, 2011;Ng and Loke, 2015).…”