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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

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Published on: March 24, 2023

Expectations, prefitting counseling, and hearing aid outcome.

Gabrielle H Saunders¹, M Samantha Lewis, Anna Forsline

¹National Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, OR 97207, USA. Gabrielle.Saunders@va.gov

Journal of the American Academy of Audiology

|July 10, 2009

Summary

Effective hearing aid counseling, especially with real-world listening demonstrations, can improve user expectations and satisfaction. Positive expectations are key to successful hearing aid outcomes and overall quality of life.

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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Published on: January 25, 2016

Area of Science:

Audiology
Hearing Healthcare
Patient Counseling

Background:

High expectations for hearing aids correlate with better outcomes, but excessively high expectations may lead to disappointment.
Counseling patients with unrealistic expectations before hearing aid fitting is suggested, though its effectiveness is debated.

Purpose of the Study:

To assess if prefitting counseling supplemented with real-world listening demonstrations alters new hearing aid users' expectations and increases satisfaction compared to verbal-only counseling.
To examine the relationship between prefitting expectations and postfitting outcomes, and the impact of hearing aid fine-tuning.

Main Methods:

Sixty new hearing aid users (55-81 years, symmetrical sensorineural hearing loss) were fitted with digital hearing aids.
Participants were randomized into groups receiving counseling with or without auditory demonstrations, with variations in hearing aid fine-tuning.
Expectations were measured pre- and post-counseling; outcomes were assessed after 8-10 weeks of use.

Main Results:

Prefitting counseling demonstrated small but significant effects on expectations, with no difference between counseling types in changing expectations.
Participants found auditory demonstrations enjoyable and beneficial.
Positive expectations were linked to more positive hearing aid outcomes, and fine-tuning proved beneficial.

Conclusions:

Prefitting counseling is advantageous for hearing aid outcomes, particularly for addressing quality of life and self-image expectations.
It is crucial to manage unrealistic expectations cautiously to avoid discouraging patients.
Positive expectations about hearing aids' psychosocial impact are vital for successful adoption.