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Understanding the low uptake of bone-anchored hearing aids: a review

Published online by Cambridge University Press:  26 January 2017

R Powell ,
A Wearden ,
S M Pardesi  and
K Green
R Powell*
Affiliation:
School of Health Sciences & Manchester Centre for Health Psychology, University of Manchester, UK
A Wearden
Affiliation:
School of Health Sciences & Manchester Centre for Health Psychology, University of Manchester, UK
S M Pardesi
Affiliation:
School of Health Sciences & Manchester Centre for Health Psychology, University of Manchester, UK
K Green
Affiliation:
Department of Otolaryngology, Manchester Royal Infirmary, Central Manchester Foundation Trust, UK
*
Address for correspondence: Dr R Powell, School of Health Sciences, University of Manchester, Coupland 1 Building, Oxford Road, Manchester M13 9PL, UK E-mail: rachael.powell@manchester.ac.uk
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Abstract

Background:

Bone-anchored hearing aids improve hearing for patients for whom conventional behind-the-ear aids are problematic. However, uptake of bone-anchored hearing aids is low and it is important to understand why this is the case.

Method:

A narrative review was conducted. Studies examining why people accept or decline bone-anchored hearing aids and satisfaction levels of people with bone-anchored hearing aids were reviewed.

Results:

Reasons for declining bone-anchored hearing aids included limited perceived benefits, concerns about surgery, aesthetic concerns and treatment cost. No studies providing in-depth analysis of the reasons for declining or accepting bone-anchored hearing aids were identified. Studies of patient satisfaction showed that most participants reported benefits with bone-anchored hearing aids. However, most studies used cross-sectional and/or retrospective designs and only included people with bone-anchored hearing aids.

Conclusion:

Important avenues for further research are in-depth qualitative research designed to fully understand the decision-making process for bone-anchored hearing aids and rigorous quantitative research comparing satisfaction of people who receive bone-anchored hearing aids with those who receive alternative (or no) treatments.

Keywords

Hearing AidsBone-Anchored Hearing AidsPatient SatisfactionDecision MakingHearing LossCorrection of Hearing Impairment
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 3 , March 2017 , pp. 190 - 201
Copyright
Copyright © JLO (1984) Limited 2017 

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