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Comparing occupational well-being between cochlear implant users and individuals with hearing loss or typical hearing
V E E Feenstra1, A A Zekveld1, M W Kaandorp1
1Department of Otolaryngology-Head and Neck Surgery, Section Ear & Hearing, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.
International Journal of Audiology
|February 2, 2026
Summary
Cochlear implant (CI) users report better occupational well-being, including improved health and coping strategies, compared to individuals with hearing loss (HL) but without a CI. CI users demonstrate comparable capabilities and well-being to typical hearing individuals.
Area of Science:
- Audiology
- Occupational Health
- Rehabilitation Science
Background:
- Hearing loss (HL) significantly impacts an individual's occupational well-being and daily functioning.
- Cochlear implantation (CI) is a common intervention for severe to profound HL, but its effect on occupational well-being requires further investigation.
- Comparing CI users to individuals with HL without CI and those with typical hearing (TH) provides a comprehensive understanding of CI's impact.
Purpose of the Study:
- To compare the occupational well-being of cochlear implant (CI) users with individuals with hearing loss (HL) without CI and individuals with typical hearing (TH).
- To assess differences in capabilities, working conditions, and overall occupational well-being across these three groups.
Main Methods:
- A cross-sectional study design was employed.
- Validated questionnaires were used to assess occupational well-being outcomes.
- Participants included 98 CI users, 52 individuals with HL without CI, and 54 TH individuals.
Main Results:
- While overall capabilities and working conditions were similar across groups, CI users reported significantly better outcomes than the HL group.
- CI users experienced fewer psychosomatic symptoms, better health, higher acceptance of HL, and more effective verbal coping strategies.
- CI users reported fewer work interruptions and lower perceived noise levels compared to the HL group, with no indication of poorer performance.
Conclusions:
- Cochlear implant users exhibit occupational well-being and capabilities comparable to both hearing loss and typical hearing groups.
- CI users demonstrate greater acceptance of hearing loss, enhanced verbal coping strategies, better work adjustment, and improved health compared to individuals with hearing loss who do not use CI.
- Cochlear implantation appears to positively influence occupational adjustment and well-being in individuals with hearing loss.
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