Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Gallagher, Nicola; Woodside, Jayne V.

doi:10.3766/jaaa.16148

Cited by 28 publications

(52 citation statements)

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“…Hearing aid success is often defined as consistent and proper use of hearing aids [Fischer et al, 2011;Chien and Lin, 2012;McCormack and Fortnum, 2013;Gallagher and Woodside, 2018]. Given the link between patientperceived benefit and hearing aid acquisition and use, PROMs may help guide patients toward successful hearing rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…PROMs may also help providers direct changes in hearing aid use to maximize perceived benefit and examine non-audiologic factors that are commonly cited as leading to increased success with hearing aids. These include increased family support, access to counselling, hearing aid comfort, ease of hearing aid use, and a favorable cost-benefit ratio of the hearing aid device [McCormack and Fortnum, 2013;Gallagher and Woodside, 2018]. These factors are more difficult to predict using audiologic measures of hearing aid benefit alone.…”

Section: Discussionmentioning

confidence: 99%

“…A second limitation of this study is the absence of certain subject demographics, which may contribute to hearing aid use and benefit. Studies have linked consistent use of hearing aids with perceived cost-benefit ratio, social pressure/encouragement, comfort, and ease of hearing aid use rather than specific audiologic outcomes [McCormack and Fortnum, 2013;Gallagher and Woodside, 2018]. As such, subject demographics, such as income, education, comfort with technology, and perceived social support, may play a role in determining self-perceived hearing aid benefit or may modify the relationship between audiologic measures and these outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures

et al. 2020

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Purpose: To determine the contributions to hearing aid benefit of patient-reported outcomes and audiologic measures. Methods: Independent review was conducted on audiologic and patient-reported outcomes of hearing aid benefit collected in the course of a middle ear implant FDA clinical trial. Unaided and aided data were extracted from the preoperative profiles of 95 experienced hearing aid users, and the relationships between a patient-reported outcome and audiologic measures were assessed. The following data were extracted: unaided and aided pure-tone or warble-tone thresholds (PTA), word recognition in quiet (NU-6), Speech Perception in Noise (low-/high-context SPIN), and patient-reported benefit (Abbreviated Profile of Hearing Aid Benefit, APHAB). Hearing aid benefit was defined as the difference in thresholds or scores between unaided and aided conditions, as measured in the sound field. Correlations were computed among audiologic measures and global APHAB and subscale scores of hearing aid benefit. Results: Significant improvements in all audiologic measures and APHAB scores were observed comparing unaided to aided listening (all p < 0.001). However, correlations between audiologic and patient-reported measures of aided performance or hearing aid benefit were low-to-weak or absent. No significant correlations were found between aided audiologic measures (PTA, NU-6, SPIN) and any aided APHAB scores (all p > 0.0125), and significant relationships for hearing aid benefit were absent with only few exceptions. Hearing aid benefit defined by global APHAB using NU-6 and SPIN scores showed significant but weak positive correlations (r = 0.37, p < 0.001; r = 0.28, p = 0.005, respectively) and ease of communication APHAB subscale scores (r = 0.32, p < 0.001; r = 0.33, p = 0.001, respectively). Conclusion: Hearing aid benefit assessed with audiologic measures were poor predictors of patient-reported benefit. Thus, patient-reported outcomes may provide a unique assessment of patient-perceived benefit from hearing aids, which can be used to direct hearing aid programming, training, or recommendations of alternative hearing services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures

et al. 2020

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“…Raising awareness of hearing problems by implementing feasible screening methods should lead to a higher number of older adults receiving proper hearing rehabilitation. This is especially important in people with severe hearing loss (i.e., a PTA ≥ 60 dB) who are more likely to adopt the use of a hearing aid and have reported a higher QOL due to hearing rehabilitation [46][47][48].…”

Section: Discussionmentioning

confidence: 99%

The effective screening tools for detecting hearing loss in elderly population: HHIE-ST Versus TSQ

et al. 2021

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Background Globally increasing number of elders is concerned. Hearing loss process in older adults cannot be avoided. An effective screening tool for hearing loss is essential for proper diagnosis and rehabilitation, which can improve QOL in older adults. Methods This prospective-diagnostic test study evaluates the diagnostic value of Thai version of the Hearing Handicap Inventory for Elderly Screening (HHIE-ST) and the Thai Single Question (TSQ) surveys in screening hearing disability in 1109 Thai participants aged 60 years and older in communities in four provinces in Thailand. The HHIE-ST consisted of 10 selected questions from the validated HHIE-Thai version. A TSQ survey was developed to have the same meaning as an English Single Question survey. The participants answered both questionnaires, and a standard audiometry test assessed with air conduction from 250 to 8000 Hz was included as a gold standard. Results The prevalence of hearing disability was 38.34%. The HHIE-ST achieved a sensitivity of 88.96% (95% CI 85.77–91.64) and specificity of 52.19% (95% CI 48.24–56.13) for diagnosis hearing disability in Thai older adults, whereas the TSQ yielded a sensitivity of 88.73% and a specificity of 55.93%. A combined test including the HHIE-ST and TSQ achieved better performance with sensitivity of 85.29% and specificity of 60.13%. Conclusions Either the HHIE-ST or the TSQ is a sensitive and useful tool for screening hearing disability in Thai older adults. Using the HHIE-ST together with the TSQ resulted in a better screening tool for detecting moderate hearing loss older adults who will benefit and recommended for hearing rehabilitation. Trial registration The study is registered with the following number in the Thai Clinical Trials Registry: TCTR20151015003. Date of registration October 14, 2015.

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“…This is especially important in people with severe hearing loss (i.e., a PTA ≥ 60 dB) who are more likely to adopt the use of a hearing aid and have reported a higher QOL due to hearing rehabilitation. (45)(46)(47) Ensuring that validated questionnaires are adopted and applied across different cultural contexts while retaining the reliability and validity of the original version is a challenge. For our study, we found that the reliability was very good for our Thai version and that our internal consistency was higher than that achieved by Swedish version and comparable to that of the original version.…”

Section: Discussionmentioning

confidence: 99%

The Effective Screening Tools for Detecting Hearing Loss in Elderly Population: HHIE-ST Versus TSQ

Chayaopas

Kasemsiri

Thanawirattananit

et al. 2020

Preprint

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BackgroundGlobally increasing number of elders is concerned. Hearing loss process in elderly cannot be avoided. An effective screening tool for hearing loss is essential for proper diagnosis and rehabilitation, which can improve QOL in elderly individuals.MethodsThis prospective-diagnostic test study evaluates the diagnostic value of Thai version of the Hearing Handicap Inventory for Elderly Screening (HHIE-ST) and the Thai Single Question (TSQ) surveys in screening hearing disability in 1109 Thai elderly participants aged 60 years and older in communities in four provinces in Thailand. The HHIE-ST consisted of 10 selected questions from the validated HHIE-Thai version. A TSQ survey was developed to have the same meaning as an English Single Question survey. The participants answered both questionnaires, and a standard audiometry test assessed with air conduction from 250 to 8000 Hz was included as a gold standard.ResultsThe prevalence of hearing disability was 38.34%. The HHIE-ST achieved a sensitivity of 88.96% (95% CI 85.77–91.64) and specificity of 52.19% (95% CI 48.24–56.13) for diagnosis hearing disability in Thai elderly subjects, whereas the TSQ yielded a sensitivity of 88.73% and a specificity of 55.93%. A combined test including the HHIE-ST and TSQ achieved better performance with sensitivity of 85.29% and specificity of 60.13%.ConclusionsEither the HHIE-ST or the TSQ is a sensitive and useful tool for screening hearing disability in Thai elderly subjects. Using the HHIE-ST together with the TSQ resulted in a better screening tool for detecting moderate hearing loss elderly individuals who will be benefit and recommended for hearing rehabilitation.Trial RegistrationThe study is registered with the following number in the Thai Clinical Trials Registry: TCTR20151015003. URL: http://www.clinicaltrials.in.th/index.php?tp=regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=1562

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Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Cited by 28 publications

References 44 publications

Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures

Assessment of Hearing Aid Benefit Using Patient-Reported Outcomes and Audiologic Measures

The effective screening tools for detecting hearing loss in elderly population: HHIE-ST Versus TSQ

The Effective Screening Tools for Detecting Hearing Loss in Elderly Population: HHIE-ST Versus TSQ

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