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Updated: Oct 8, 2025

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
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CI decision making and expectations by older adults.

Angelika Illg1, Timo Bräcker2, Cornelia Batsoulis1

  • 1Department of Otolaryngology, Hannover Medical University, Hannover, Germany.

Cochlear Implants International
|December 29, 2021
PubMed
Summary

Older adults seeking cochlear implants (CI) need better support. Professionals should provide realistic expectations to improve the CI decision-making process for seniors.

Keywords:
Cochlear ImplantElderlyExpectationsHearing Impaired DecisionOlder Adults

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Area of Science:

  • Audiology
  • Gerontology
  • Medical Decision Making

Background:

  • Hearing loss significantly impacts older adults.
  • Cochlear implantation is an option for severe to profound hearing loss.
  • The decision-making process for cochlear implants in older adults requires investigation.

Purpose of the Study:

  • To document and analyze the cochlear implant (CI) decision-making process in hearing-impaired older adults.
  • To identify support needs for older adults undergoing the CI decision process.
  • To enhance care delivery for this demographic.

Main Methods:

  • Interviews conducted with 32 cochlear implant recipients aged 60 years and older.
  • Participants had severe to profound sensorineural hearing loss.
  • Interviews focused on the CI decision-making journey, 3-12 months post-implantation.

Main Results:

  • Limited information was provided by hearing aid acousticians and patient associations.
  • Patients reported high expectations regarding outcomes beyond basic hearing improvement.
  • Despite unmet expectations, nearly all users would recommend a CI after six months of use.

Conclusions:

  • Hearing care professionals can enhance their role in supporting older CI candidates.
  • A collaborative network between hearing care professionals and CI clinics is recommended.
  • Training for professionals is crucial to manage patient expectations and reduce anxiety.