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Exploring barriers to hearing help-seeking using behavioral economics: a qualitative study.

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Summary

Behavioral Economics (BE) insights reveal cognitive biases like minimizing hearing loss and deferring action hinder help-seeking. Addressing these biases through awareness and reframing interventions can encourage earlier engagement with hearing services.

Keywords:
Hearing lossbehavioural economicshearing aidshearing help-seekingqualitative

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Area of Science:

  • Behavioral Economics
  • Hearing Health
  • Health Psychology

Background:

  • Hearing difficulties are prevalent but often lead to delayed help-seeking from professionals.
  • Understanding the psychological and contextual factors influencing help-seeking decisions is crucial for effective interventions.

Purpose of the Study:

  • To explore the factors influencing decisions to seek professional help for hearing difficulties.
  • To apply Behavioural Economics (BE) principles and the OECD ABCD framework to understand these influences.

Main Methods:

  • A qualitative approach using semi-structured interviews with 15 adults (aged 57-81) experiencing untreated hearing difficulties.
  • Thematic analysis of interview data, interpreted through the lens of BE and the OECD ABCD framework.

Main Results:

  • Participants minimized hearing difficulties, attributing them to aging or external factors, and relied on coping strategies.
  • Stigma, uncertainty, and perceived high thresholds for professional help delayed action, reflecting cognitive biases such as loss aversion and external attribution.
  • Participants expressed future intentions to seek help but consistently deferred action.

Conclusions:

  • A BE perspective provides a nuanced understanding of psychological and contextual barriers to hearing help-seeking.
  • Interventions should raise awareness of hearing difficulties and reframe help-seeking to address cognitive biases, promoting earlier engagement with hearing services.