Non-regular use of hearing aids
A meta-analysis showed that hearing aids
(HAs) had a medium-to-large effect on health-related quality of life (Chisolm et al.
Despite this, a recent study in National Health Service (NHS) in the United
Kingdom showed that 29% of people (293/1021) do not use their NHS HAs regularly
(i.e., use less than 4 hours per day) (Aazh et al. 2015). The non-regular use was 39.5% for new patients (Aazh et al. 2015). Previous studies in NHS also reported 43% to 45%
for non-regular use (Stephens 2002;
Davis et al. 2007).
In NHS, the choice of HAs is limited. In
other countries, patients may have the choice of several HA makes. Despite
this, non-regular use in NHS is comparable to that found in other countries:
27% and 58% in two Australian studies (Hickson et al.
2010; Stark & Hickson 2004),
42% in Finland (Vuorialho et al.
13% to 31% in four studies conducted in the USA (Kochkin 2010;
Takahashi et al. 2007; Williams et al. 2009),
and 25% in Switzerland (Bertoli et al.
For further detail see Aazh et al (2015).
The exact reasons for non-regular use of
hearing aids is not fully understood (Aazh 2016). However, it seems that the discrepancy between
patients’ expectations (e.g., full restoration of hearing, a “cure”) and what a
hearing aid can offer may contribute to the ambivalence experienced by some (Boothroyd 2007).
A phenomenological study suggested that some patients do not regard HAs as
acceptable solution but agree to get them mainly to please their partner or
family members (Claesen & Pryce
Two systematic reviews concluded that stigma of deafness and self-reported
hearing difficulties are the main barriers to HA use (Knudsen et al.
2010; Jenstad & Moon 2011).
The protocol and clinical manual of
Motivational Interviewing (MI) for hearing aid use taught in this masterclass
synthesises the knowledge gained through decades of research in the field of
rehabilitative audiology and amplification with relevant concepts of modern
psychology and behaviour change. This protocol, which developed by Dr. Hashir
Aazh and his team over the years, describes an evidence-based method which is
feasible to be delivered in day-to-day outpatient audiology clinics and fine
tuned base on in-depth evaluation and qualitative assessment of patients’
feedback and the outcome of clinical research.
Aazh, H. (2016).
Patients' experience of motivational interviewing for hearing aid use: A
qualitative study embedded within a pilot randomised controlled trial. J Phonet and Audiol, 2, 1-13.
Aazh, H., Prasher, D., Nanchahal, K., et al. (2015). Hearing-aid use
and its determinants in the UK National Health Service: A cross-sectional study
at the Royal Surrey County Hospital. Int
J Audiol, 54, 152-161.
Bertoli, S., Staehelin, K., Zemp, E., et al. (2009). Survey on
hearing aid use and satisfaction in Switzerland and their determinants. Int J Audiol, 48, 183-95.
Boothroyd, A. (2007). Adult aural rehabilitation: what is it and
does it work? Trends Amplif, 11, 63-71.
Chisolm, T. H., Johnson, C. E., Danhauer, J. L., et al. (2007). A
systematic review of health-related quality of life and hearing aids: final
report of the American Academy of Audiology Task Force On the Health-Related
Quality of Life Benefits of Amplification in Adults. J Am Acad Audiol, 18,
Claesen, E., & Pryce, H. (2012). An exploration of the
perspectives of help-seekers prescribed hearing aids. Prim Health Care Res Dev, 13,
Davis, A., Smith, P., Ferguson, M., et al. (2007). Acceptability,
benefit and costs of early screening for hearing disability: a study of
potential screening tests and models. Health
Technol Assess, 11, 1-294.
Hickson, L., Clutterbuck, S., & Khan, A. (2010). Factors
associated with hearing aid fitting outcomes on the IOI-HA. Int J Audiol, 49, 586-95.
Jenstad, L., & Moon, J. (2011). Systematic review of barriers and
facilitators to hearing aid uptake in older adults. Audiology Research, 1,
Knudsen, L. V., Oberg, M., Nielsen, C., et al. (2010). Factors
influencing help seeking, hearing aid uptake, hearing aid use and satisfaction
with hearing aids: a review of the literature. Trends Amplif, 14,
Kochkin, S. (2010). MarkeTrak VIII: Consumer satisfaction with
hearing aids is slowly increasing. The
Hearing Journal, 63, 19-20.
Stark, P., & Hickson, L. (2004). Outcomes of hearing aid fitting
for older people with hearing impairment and their significant others. Int J Audiol, 43, 390-8.
Stephens, D. (2002). The International Outcome Inventory for Hearing
Aids (IOI-HA) and its relationship to the Client-oriented Scale of Improvement
(COSI). Int J Audiol, 41, 42-7.
Takahashi, G., Martinez, C. D., Beamer, S., et al. (2007).
Subjective measures of hearing aid benefit and satisfaction in the NIDCD/VA
follow-up study. J Am Acad Audiol, 18, 323-49.
Vuorialho, A., Karinen, P., & Sorri, M. (2006). Effect of
hearing aids on hearing disability and quality of life in the elderly. Int J Audiol, 45, 400-5.
Williams, V. A., Johnson, C. E., & Danhauer, J. L. (2009).
Hearing aid outcomes: effects of gender and experience on patients' use and
satisfaction. J Am Acad Audiol, 20, 422-32; quiz 459-60.