Factors influencing hearing aid selection : a qualitative user perspective

Abstract

Purpose: This study explored key factors that influence adult hearing aid users’ choice of hearing aids. Method: A cross-sectional, retrospective qualitative research design was employed using content analysis of semi-structured interviews. Participants were recruited from the HearingTracker and Lexie Hearing user database. Results: A total of 40 participants with an average age of 65 (14.6 SD) years were included. The majority were bilateral, behind-the-ear (82.5%) hearing aid users that obtained their device from a hearing health care professional (90%). Four categories with 13 sub-categories were identified that influenced hearing aid selection which included i) Device Characteristics ii) External Factors, iii) Device form-factor and iv) Sound quality. The most prominent category was device characteristics which included the following sub-categories: cost, bluetooth-connectivity, self-adjustment, general features, and rechargeability. External factors (n=24) included audiologist recommendations, online informational resources, and the lifestyle of the patient with device form-factor was linked to physical attributes of the hearing aid and included cosmetics, comfort and style (n=12) of the device. Sound quality (n=11) included natural sound perception and music appreciation. Conclusion: Key considerations such as the device characteristics, external factors, device form-factor and sound quality of the device influenced the selection of a hearing device. Our findings emphasize the need for convenient, technologically advanced features and suggest future research should focus on the role of online resources and emerging technologies. Collaboration between hearing healthcare professionals and manufacturers to address individualized needs will improve the selection process and boost future satisfaction.