Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: A review of the literature.
Open accessAbstract
OBJECTIVES: This descriptive summary of the literature provides an overview of the available studies (published between January 1980 and January 2009) on correlates of help-seeking behavior for hearing loss, hearing-aid uptake, hearing-aid use, and satisfaction with the device. METHODS: Publications were identified by structured searches in Pubmed and Cinahl and by inspecting the reference lists of relevant articles. The articles covered different stages that a person with hearing impairment may go through: prior to hearing aid fitting, the period covering the fitting and the period post hearing aid fitting. Inclusion of articles occurred according to strict inclusion and exclusion criteria. Data were extracted by two independent researchers. Thirty-nine papers were included that identified 31 factors examined in relation to the four outcome measures. These covered personal factors (e.g., source of motivation, expectation, attitude), demographic factors (e.g., age, gender) and external factors (e.g., cost, counseling). Only two studies covered the actual fitting process. There was only one factor positively affecting all four outcome variables. This was self-reported hearing disability. The vast majority of studies showed no relationship of age and gender with any of the outcome domains. DISCUSSION AND CONCLUSION: Whereas research of the last 28 years yielded valuable information regarding relevant and irrelevant factors in hearing aid health care, there are still many relevant issues that have never been investigated in controlled studies. These are discussed.
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Help-seeking is most positively correlated with self-perceived hearing limitation.
“Help-seeking is found to be most positively correlated with self-perceived hearing limitation (Rademaker et al., 2021; Vestergaard Knudsen et al., 2010) and tinnitus impact on quality of life (Rademaker et al., 2021).”
From Combining the unequal variance signal detection model with the health belief model to optimize shared decision making in tinnitus patients: part 2—patient profiling (2025) · cites this paper as Vestergaard Knudsen et al., 2010
The Results (Table 6; page unavailable) report a positive association between self-reported hearing problems and help-seeking in all three studies summarized. The Discussion calls self-perceived hearing difficulty a very important determinant, but the paper does not establish that it has the strongest positive correlation with help-seeking among all factors. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAge is an irrelevant factor in audiological help seeking.
“Vestergaard Knudsen et al. (2010) similarly found age to be an irrelevant factor in audiological help seeking.”
From Combining the unequal variance signal detection model with the health belief model to optimize shared decision making in tinnitus patients: part 2—patient profiling (2025) · cites this paper as Vestergaard Knudsen et al., 2010
Sex is reported to be an irrelevant factor in audiological help seeking.
“However, in a review of literature by Vestergaard Knudsen et al. (2010), sex is reported to be an irrelevant factor in audiological help seeking.”
From Combining the unequal variance signal detection model with the health belief model to optimize shared decision making in tinnitus patients: part 2—patient profiling (2025) · cites this paper as Vestergaard Knudsen et al., 2010
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Manchaiah, V., Ratinaud, P., Tympas, A., Danermark, B., & Germundsson, P. (2018) · Journal of Audiology and Otology · doi:10.7874/jao.2017.00318 · Cited by 6 · see citing works
Hoetink, A. E., Kaldenbach, S., Lieftink, A., Versnel, H., & Stokroos, R. J. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1451741 · Cited by 3 · see citing works
Lehóczky, Z. Z., Smit, A. L., Kaldenbach, S., Lieftink, A., Versnel, H., Stokroos, R. J., & Hoetink, A. E. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2025.1466354
- Authors
- Vestergaard Knudsen, L., Öberg, M., Nielsen, C., Naylor, G., & Kramer, S. E.
- Affiliations
- Oticon Research Centre, Eriksholm, Snekkersten, Denmark,
- Linköping University (SE)
- Oticon Research Centre, Eriksholm, Snekkersten, Denmark
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- Trends in Amplification
- Publisher
- SAGE Publications
- Published
- 2010-09
- Volume
- 14
- Issue
- 3
- Pages
- 127-154
- ISSN
- 1084-7138 (ISSN-L)
- PMC
- PMC4111466
- OpenAlex
- W2117945314
- Cited by
- 494
- References
- 96
- Citations by year
- 2026: 27 · 2025: 41 · 2024: 25 · 2023: 41 · 2022: 35 · 2021: 46 · 2020: 43 · 2019: 42 · 2018: 41 · 2017: 30 · 2016: 37 · 2015: 25 · 2014: 20 · 2013: 19 · 2012: 11
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Trends in Amplification (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Oticon Fonden
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Social Sciences › Psychology › Developmental and Educational Psychology › Hearing Impairment and Communication
- Keywords
- help-seeking, hearing loss, hearing aid uptake, hearing aid use, hearing aid satisfaction, hearing aid fitting, motivation, expectations, attitudes, cost, counseling, demographic factors
- MeSH terms
- Adaptation, Psychological, Auditory Threshold, Counseling, Demography, Hearing Aids, Humans, Health Knowledge, Attitudes, Practice, Motivation, Patient Compliance, Correction of Hearing Impairment, Risk Factors, Treatment Outcome, Patient Satisfaction, Hearing Loss
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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