The "Hearing Aid Effect" 2005

Johnson, Carole E.; Danhauer, Jeffrey L.; Gavin, Reid B.; Karns, Summer Raye; Reith, Amber C.; Lopez, Ilian Priscilla

doi:10.1044/1059-0889(2005/019)

Cited by 26 publications

(9 citation statements)

References 4 publications

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“…Although previous studies have shown conventional in the ear (ITE) models have the lowest visibility rating, and are therefore preferred, among hearing aid styles (Johnson et al., 2005), our findings revealed DTC devices with the ITE style were rated among the least cosmetically appealing. This can be attributed, in part, to the fact that conventional ITE hearing aids are molded to individual wearers’ ears and are thus less obtrusive than the noncustomised style that DTC devices necessarily adopt.…”

Section: Discussioncontrasting

confidence: 76%

Direct-to-Consumer Hearing Devices: Capabilities, Costs, and Cosmetics

et al. 2019

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Direct-to-consumer (DTC) hearing devices can be purchased without consulting a hearing health professional. This project aims to compare 28 DTC devices with the most popular hearing aid supplied by the U.K. National Health Service (NHS). The comparison was based on technical performance, cosmetic acceptability, and the ability to match commonly used gain and slope targets. Electroacoustic performance was evaluated in a 2-cc coupler. Match to prescription target for both gain and slope was measured on a Knowles Electronic Manikin for Acoustic Research using a mild and also a moderate sloping hearing loss. Using an online blinded paired comparison of each DTC and the NHS reference device, 126 participants (50 were hearing aid users and 76 were nonhearing aid users) assessed the cosmetic appearance and rated their willingness-to-wear the DTC devices. The results revealed that higher purchase prices were generally associated with a better match to prescribed gain–frequency response shapes, lower distortion, wider bandwidth, better cosmetic acceptability, and higher willingness-to-wear. On every parameter measured, there were devices that performed worse than the NHS device. Most of the devices were rated lower in terms of aesthetic design than the NHS device and provided gain–frequency responses and maximum output levels that were markedly different from those prescribed for commonly encountered audiograms. Because of the absence or inflexibility of most of the devices, they have the potential to deliver poor sound quality and uncomfortably loud sounds. The challenge for manufacturers is to develop low-cost products with cosmetic appeal and appropriate electroacoustic characteristics.

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Section: Discussioncontrasting

confidence: 76%

Direct-to-Consumer Hearing Devices: Capabilities, Costs, and Cosmetics

et al. 2019

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“…Lacking a theoretical framework, the majority of the studies included in our review were based on a description of the stigmatic attitudes associated with hearing loss and hearing aids (Cienkowski & Pimentel, 2001;Doggett, Stein, & Gans, 1998;Foss, 2014;Gleitman, Goldstein, & Binnie, 1993;Hindhede, 2012;Johnson, Danhauer, & Edwards, 1982;Kelly-Campbell & Plexico, 2012;Kochkin, 1990Kochkin, , 1993Mulac, Danhauer, & Johnson, 1983;Southall, Jennings, & Gagne, 2011;Wallhagen, 2010), and they related almost exclusively to the cognitive aspect of stigma, that is, they described only the stereotypes associated with hearing loss and hearing aids. The most common stereotype associated with hearing aids was "old age" (e.g., hearing aids are for old people, make you look older; Cienkowski & Pimentel, 2001;Gleitman et al, 1993;Hindhede, 2012;Johnson et al, 1982;Kelly-Campbell & Plexico, 2012;Kochkin, 1990Kochkin, , 1993Mulac et al, 1983;Wallhagen, 2010). Other stereotypes reported in the studies included "less communicatively effective when wearing hearing aids" (Johnson et al, 1982;Mulac et al, 1983;Southall et al, 2011), "being deaf" (Hetu, 1996;Hindhede, 2012) "less sociable/friendly" (Doggett et al, 1998;Hindhede, 2012), "looking disabled," "weak," "feeble" (Kochkin, 1993), "comical," "embarrassing," "lonely," and "less confident" (Doggett et al, 1998).…”

Section: Conceptual Issuesmentioning

confidence: 99%

“…The most common stereotype associated with hearing aids was "old age" (e.g., hearing aids are for old people, make you look older; Cienkowski & Pimentel, 2001;Gleitman et al, 1993;Hindhede, 2012;Johnson et al, 1982;Kelly-Campbell & Plexico, 2012;Kochkin, 1990Kochkin, , 1993Mulac et al, 1983;Wallhagen, 2010). Other stereotypes reported in the studies included "less communicatively effective when wearing hearing aids" (Johnson et al, 1982;Mulac et al, 1983;Southall et al, 2011), "being deaf" (Hetu, 1996;Hindhede, 2012) "less sociable/friendly" (Doggett et al, 1998;Hindhede, 2012), "looking disabled," "weak," "feeble" (Kochkin, 1993), "comical," "embarrassing," "lonely," and "less confident" (Doggett et al, 1998).…”

Section: Conceptual Issuesmentioning

confidence: 99%

“…Factors affecting usage of hearing aids and increasing stigma. Stigma was reported as a primary reason for not wearing hearing aids in a significant proportion of studies (33.3%) (Cienkowski & Pimentel, 2001;Johnson et al, 1982;Johnson et al, 2005;Kochkin, 1993Kochkin, , 1994Kochkin, , 2007Mulac et al, 1983). The size and visibility of hearing aids were the main features associated with the reluctance to use them and with the stigma associated with them (Cienkowski & Pimentel, 2001;Johnson et al, 1982;Johnson et al, 2005).…”

Section: Consequences Of Stigmamentioning

confidence: 99%

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Stigma regarding hearing loss and hearing aids: A scoping review.

David

Werner

2016

Stigma and Health

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Stigma regarding hearing loss and hearing aids presents a great challenge, especially because dealing with its consequences in an appropriate and timely manner might be associated with better outcomes for the person with hearing loss, their caregivers, and society. A clear understanding of the stigma concept and its measurement in the area of hearing loss among older adults might advance knowledge in this area and provide better life quality to persons with this problem. The aims of our scoping review were (a) to systematically obtain and evaluate the relevant literature on stigma and hearing loss and (b) to summarize current research findings and draw conclusions for future research and clinical care in this area. A scoping review of the literature published from January 1982 up until December 2014 on stigma and hearing loss among older persons was conducted. Twenty-one relevant publications were identified. Conceptually, the studies concentrated on exploring the meaning and subjective experience associated with stigma, especially public and self stigma. Lacking a theoretical framework, the majority of the studies were based on a description of stigmatic attitudes associated with hearing loss and hearing aids, and they limited themselves to describe almost exclusively the stereotypes associated with hearing-loss and hearing aids. The size and visibility of hearing aids were the main features associated with the reluctance to use them and with the stigma associated with them. More theoretically based and empirically rigorous research is needed in this area.

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“…The wavering sense of worth could be an example of an external attribute that the hearing impaired learners could be receiving from significant and generalised others on feedback towards hearing aids use. Johnson et al (2005), on hearing aid effect shows that despite the improved design and size of hearing aids, there is still stigma amongst some of the students who wear them making them feel different. Wolters et al (2012), further supports the findings by affirming that peer relationship at school is important as it impacts the level of self-esteem.…”

Section: The Influence Of Hearing Aid Use On Self-esteem Among Learne...mentioning

confidence: 99%

Perceptions on Hearing Aid Use and Its Influence on Self-Esteem of Learners With Hearing Impairment in Integrated Settings in Nairobi City County, Kenya

Thiga¹,

Awori²,

Abuom³

2022

JET

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Hearing impairment has been linked to low self-esteem in children. Many teachers have noted that a growing number of students are unwilling to wear hearing aids, even though non-governmental groups such as the Starkey Ear Foundation provide them free of charge. The study aimed to discover how learners with hearing impairment in integrated units in Nairobi City County, Kenya, felt about hearing aid use and how it affected their self-esteem. Peter Burke's Identity Control Theory directed the research. The study was conducted using a descriptive survey design. Headteachers, teachers in charge of learners with hearing impairment, parents, and learners with and without hearing impairment were the target population. A total of 90 participants were surveyed, including 8 headteachers, 15 parents, 8 teachers, 51 learners with hearing impairment who used hearing aids, and 8 learners who did not have hearing problems. Data was gathered by the distribution of questionnaires to learners, parents, and instructors, as well as a complementing interview with the headteachers. Pilot research was undertaken in a Nairobi primary school. Descriptive statistics were used to analyze the quantitative data. The computer programme SPSS version 22.0 was used to do inferential statistics. Thematic analysis was done on qualitative data. The study discovered that learners with hearing loss had generally positive attitudes concerning hearing aid use. Hearing aid use had a weak positive influence on the self-esteem of learners with hearing impairment as per the study's overall findings. The study recommends that the government provide schools with speech therapists/audiologists to follow up on language intervention of learners with hearing impairment who are wearing hearing aids, as well as encourage collaboration of a multi-disciplinary team that includes teachers, parents, headteachers, audiologists/speech therapists to ensure that they benefit from hearing aid use and improve their self-esteem.

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The "Hearing Aid Effect" 2005

Abstract: The findings have implications for counseling potential users who are reluctant to try hearing aids for cosmetic reasons.

Cited by 26 publications

References 4 publications

Direct-to-Consumer Hearing Devices: Capabilities, Costs, and Cosmetics

Direct-to-Consumer Hearing Devices: Capabilities, Costs, and Cosmetics

Stigma regarding hearing loss and hearing aids: A scoping review.

Perceptions on Hearing Aid Use and Its Influence on Self-Esteem of Learners With Hearing Impairment in Integrated Settings in Nairobi City County, Kenya

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