Changes in attitudes toward hearing loss and hearing aids and their association with hearing‑aid abandonment among experienced older adults hearing‑aid users

  • 0Departamento de Fonoaudiología, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

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Summary

This summary is machine-generated.

Shifting attitudes toward hearing loss and hearing aids predict hearing aid abandonment in older adults. Increased social support can positively influence attitudes, potentially reducing abandonment rates.

Area Of Science

  • Audiology
  • Gerontology
  • Public Health

Background

  • High hearing aid abandonment rates persist despite their role in managing age-related hearing loss.
  • Limited understanding exists regarding attitude changes over time and their impact on hearing aid use.
  • Investigating attitudinal shifts and their predictors is crucial for addressing hearing aid abandonment.

Purpose Of The Study

  • To examine if changes in attitudes toward hearing loss and hearing aids correlate with social and clinical factors.
  • To determine if attitudinal changes predict hearing aid abandonment in older adults.

Main Methods

  • A prospective longitudinal study followed 31 older adults for 6 years after hearing aid fitting.
  • Attitudes were assessed using the Spanish Attitudes towards Loss of Hearing Questionnaire (S-ALHQ) at baseline and follow-up.
  • Hearing aid abandonment was self-reported using the International Outcome Inventory for Hearing Aids (IOI-HA).

Main Results

  • Attitudes towards hearing loss and aids showed a slight median increase in positivity.
  • Baseline social support significantly predicted changes in attitudes.
  • Negative attitudinal shifts increased the risk of hearing aid abandonment (RR=2.11); higher income decreased abandonment risk (RR=0.39).

Conclusions

  • Social support at baseline is a key predictor of attitude changes regarding hearing aids.
  • A shift towards negative attitudes can forecast hearing aid abandonment.
  • Interventions addressing negative attitudinal shifts, particularly coping strategies, may reduce hearing aid abandonment among older adults.

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