Skip to main content
×
Home

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

  • R Powell (a1), A Wearden (a1), S M Pardesi (a1) and K Green (a2)
Abstract
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.

Copyright
Corresponding author
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
References
Hide All
1 Action on Hearing Loss, 2011. Bone conduction hearing aids. In: http://www.actiononhearingloss.org.uk/supporting-you/factsheets-and-leaflets/hearing-aids.aspx [31 July 2015]
2 Snik A, Mylanus E, Proops D, Wolfaardt J, Hodgetts W, Somers T et al. Consensus statements on the BAHA system: where do we stand at present? Ann Otol Rhinol Laryngol Suppl 2005;195:212
3 NHS Commissioning Board Clinical Reference Group for Specialised Ear surgery. Clinical Commissioning Policy: Bone Anchored Hearing Aids. In: http://www.england.nhs.uk/wp-content/uploads/2013/04/d09-p-a.pdf [31 July 2015]
4 Ear Community. BAHA Cost and Insurance Information. In: http://earcommunity.com/hearing-loss/baha-technology/baha-cost-and-insurance-information/ [29 January 2016]
5 Siau D, Dhillon B, Andrews R, Green KMJ. Bone-anchored hearing aids and unilateral sensorineural hearing loss: why do patients reject them? J Laryngol Otol 2015;129:321–5
6 Siau RTK, Dhillon B, Siau D, Green KMJ. Bone-anchored hearing aids in conductive and mixed hearing losses: why do patients reject them? Eur Arch Otorhinolaryngol 2016;273:3117–22
7 Andersen HT, Schrøder SA, Bonding P. Unilateral deafness after acoustic neuroma surgery: subjective hearing handicap and the effect of the bone-anchored hearing aid. Otol Neurotol 2006;27:809–14
8 Schrøder SA, Ravn T, Bonding P. BAHA in single-sided deafness: patient compliance and subjective benefit. Otol Neurotol 2010;31:404–8
9 Zawawi F, Kabbach G, Lallemand M, Daniel SJ. Bone-anchored hearing aid: why do some patients refuse it? Int J Pediatr Otorhinolaryngol 2014;78:232–4
10 Burkey JM, Berenholz LP, Lippy WH. Latent demand for the bone-anchored hearing aid: the Lippy Group experience. Otol Neurotol 2006;27:648–52
11 Kompis M, Pfiffner F, Krebs M, Caversaccio MD. Factors influencing the decision for Baha in unilateral deafness: the Bern benefit in single-sided deafness questionnaire. Adv Otorhinolaryngol 2011;71:103–11
12 Håkansson B, Líden G, Tjellström A, Ringdahl A, Jacobsson M, Carlsson P et al. Ten years of experience with the Swedish bone-anchored hearing system. Ann Otol Rhinol Laryngol Suppl 1990;151:116
13 Snik AFM, Jorritsma FF, Cremers CWRJ, Beynon AJ, van den Berge NW. The super-bass bone-anchored hearing aid compared to conventional hearing aids. Audiological results and the patients’ opinions. Scand Audiol 1992;21:157–61
14 Festinger L. A Theory of Cognitive Dissonance. Stanford, California: Standford University Press, 1957
15 Jonas E, Schulz-Hardt S, Frey D, Thelen N. Confirmation bias in sequential information search after preliminary decisions: an expansion of dissonance theoretical research on selective exposure to information. J Pers Soc Psychol 2001;80:557–71
16 Hart W, Albarracín D, Eagly AH, Brechan I, Lindberg MJ, Merrill L. Feeling validated versus being correct: a meta-analysis of selective exposure to information. Psychol Bull 2009;135:555–88
17 Nelissen RC, Mylanus EAM, Cremers CWRJ, Hol MKS, Snik AFM. Long-term compliance and satisfaction with percutaneous bone conduction devices in patients with congenital unilateral conductive hearing loss. Otol Neurotol 2015;36:826–33
18 House JW, Kutz JW Jr., Chung J, Fisher LM. Bone-anchored hearing aid subjective benefit for unilateral deafness. Laryngoscope. 2010;120:601–7
19 Gatehouse S, Noble W. The Speech, Spatial and Qualities of Hearing Scale (SSQ). Int J Audiol 2004;43:8599
20 Pai I, Kelleher C, Nunn T, Pathak N, Jindal M, O'Connor AF et al. Outcome of bone-anchored hearing aids for single-sided deafness: a prospective study. Acta Otolaryngol 2012;132:751–5
21 Niparko JK, Cox KM, Lustig LR. Comparison of the bone anchored hearing aid implantable hearing device with contralateral routing of offside signal amplification in the rehabilitation of unilateral deafness. Otol Neurotol 2003;24:73–8
22 Hol MK, Bosman AJ, Snik AF, Mylanus EA, Cremers CW. Bone-anchored hearing aid in unilateral inner ear deafness: a study of 20 patients. Audiol Neurootol 2004;9:274–81
23 Cox RM, Alexander GC. The abbreviated profile of hearing aid benefit. Ear Hear 1995;16:176–86
24 Hol MK, Bosman AJ, Snik AF, Mylaus EA, Cremers CW. Bone-anchored hearing aids in unilateral inner ear deafness: an evaluation of audiometric and outcome measurements. Otol Neurotol 2005;26:9991006
25 Gatehouse S. Glasgow hearing aid benefit profile: derivation and validation of a client-centered outcome measure for hearing aid services. J Am Acad Audiol 1999;10:80103
26 Hol MK, Spath MA, Krabbe PF, van der Pouw CT, Snik AF, Cremers CW et al. The bone anchored hearing aid: quality of life assessment. Arch Otolaryngol Head Neck Surg 2004;130:394–9
27 Brooks R. EuroQol: the current state of play. Health Policy 1996;37:5372
28 Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I: Conceptual framework and item selection. Med Care 1992;30:473–83
29 Ventry IM, Weinstein B. The hearing handicap inventory for the elderly: a new tool. Ear Hear 1982;3:128–34
30 Powell RH, Burrell SP, Cooper HR, Proops DW. The Birmingham bone anchored hearing aid programme: paediatric experience and results. J Laryngol Otol 1996;110(suppl 21):21–9
31 Newman CW, Sandridge SA, Wodzisz LM. Longitudinal benefit from and satisfation with the BAHA system for patients with acquired unilateral sensorineural hearing loss. Otol Neurotol 2008;29:1123–31
32 Wazen JJ, Spitzer J, Ghossaini SN, Kacker A, Zschommler A. Results of the bone-anchored hearing aid in unilateral hearing loss. Laryngoscope 2001;111:955–8
33 Mylanus EAM, Snik AFM, Cremers CWRJ. Patients’ opinions of bone-anchored vs conventional hearing aids. Arch Otolaryngol Head Neck Surg 1995;121:421–5
34 Hol MK, Snik AF, Mylanus EA, Cremers CW. Long-term results of bone-anchored hearing aid wearers who had previously used air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 2005;131:321–5
35 Mylanus EAM, van der Pouw CTM, Snik AFM, Cremers CWRJ. Intraindividual comparison of the bone anchored hearing aid and air-conduction hearing aids. Arch Otolaryngol Head Neck Surg 1998;124:271–6
36 Badran K, Bunstone D, Arya AK, Suryanarayanan R, Mackinnon N. Patient satisfaction with the bone-anchored hearing aid: a 14-year experience. Otol Neurotol 2006;27:659–66
37 Dutt SN, McDermott AL, Jelbert A, Reid AP, Proops DW. Day to day use and service-related issues with the bone-anchored hearing aid: the Entific Medical Systems questionnaire. J Laryngol Otol 2002;116(suppl 28):20–8
38 Bance M, Abel SM, Papsin BC, Wade P, Vendramini J. A comparison of the audiometric performance of bone anchored hearing aids and air conduction hearing aids. Otol Neurotol 2002;23:912–19
39 Sanders DA. Hearing aid orientation and counseling. In: Pollack MC, ed. Amplification for the Hearing Impaired. New York: Grune & Stratton, 1975:343–91
40 The MOS SF-36 Health Survey. Boston: Medical Outcomes Trust, 1994
41 Barbara M, Biagini M, Lazzarino AI, Monini S. Hearing and quality of life in a south European BAHA population. Acta Otolaryngol 2010;130:1040–7
42 Robinson K, Gatehouse S, Browning G. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996;105:415–22
43 de Wolf MJF, Leijendeckers JM, Mylanus EAM, Hol MKS, Snik AFM, Cremers CWRJ. Age-related use and benefit of the bone-anchored hearing aid compact. Otol Neurotol 2009;30:787–92
44 Kramer S, Goverts S, Dreschler W, Boymans M, Festen JM. International Outcome Inventory for Hearing Aids (IOI-HA): results from the Netherlands. Int J Audiol 2002;41:3641
45 de Wolf MJF, Shival M-LC, Hol MKS, Mylanus EAM, Cremers CWRJ, Snik AFM. Benefit and quality of life in older bone-anchored hearing aid users. Otol Neurotol 2010;31:766–72
46 Hinderink JB, Krabbe PF, Van Den BP. Development and application of a health-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire. Otolaryngol Head Neck Surg 2000;123:756–65
47 Dutt SN, McDermott A-L, Jelbert A, Reid AP, Proops DW. The Glasgow benefit inventory in the evaluation of patient satisfaction with the bone-anchored hearing aid: quality of life issues. J Laryngol Otol 2002;2002(suppl 28):714
48 Dutt SN, McDermott AL, Burrell SP, Cooper HR, Reid AP, Proops DW. Patient satisfaction with bilateral bone-anchored hearing aids: the Birmingham experience. J Laryngol Otol 2002;116(suppl 28):3746
49 McDermott AL, Dutt SN, Reid AP, Proops DW. An intra-individual comparison of the previous conventional hearing aid with the bone-anchored hearing aid: the Nijmegen group questionnaire. J Laryngol Otol 2002;116(suppl 28):1519
50 Fuchsmann C, Tringali S, Disant F, Buiret G, Dubreuil C, Froehlich P et al. Hearing rehabilitation in congenital aural atresia using the bone-anchored hearing aid: audiological and satisfaction results. Acta Otolaryngol 2010;130:1343–51
51 Gardell ISK, Andresen K, Faber CE, Wanscher JH. Bone-anchored hearing aids are effective and associated with a high degree of satisfaction. Dan Med J 2015;62:A5108.
52 Satisfaction with Amplification in Daily Living (SADL). In: www.harlmephis.org/index.php/clinical-applications/sadl/ [15 December 2015]
53 Rasmussen J, Olsen SO, Nielsen LH. Evaluation of long-term patient satisfaction and experience with the Baha® bone conduction implant. Int J Audiol 2012;51:194–9
54 Gillett D, Fairley JW, Chandrashaker TS, Bean A, Gonzalez J. Bone-anchored hearing aids: results of the first eight years of a programme in a district general hospital, assessed by the Glasgow benefit inventory. J Laryngol Otol 2006;120:537–42
55 Proops DW. The Birmingham bone anchored hearing aid programme: surgical methods and complications. J Laryngol Otol Suppl 1996;110 (Suppl21):712
56 Ho EC, Monksfield P, Egan E, Reid A, Proops D. Bone-anchored hearing aid: patient satisfaction with the Cordelle device. Otol Neurotol 2009;30:793–9
57 Mace ATM, Isa A, Cooke LD. Patient quality of life with bone-anchored hearing aid: 10-year experience in Glasgow, Scotland. J Laryngol Otol 2009;123:964–8
58 McLarnon CM, Davison T, Johnson IJ. Bone-anchored hearing aid: comparison of benefit by patient subgroups. Laryngoscope 2004;114:942–4
59 McNeil ML, Gulliver M, Morris DP, Bance M. Quality of life improvement for bone-anchored hearing aid users and their partners. J Laryngol Otol 2011;125:554–60
60 Nelissen RC, Mylanus EAM, Kunst HPM, Pennings RJE, Snik AFM, Hol MKS. A new bone-anchored hearing implant: short-term retrospective data on implant survival and subjective benefit. Eur Arch Otorhinolaryngol 2013;270:3019–25
61 Saroul N, Gilain L, Montalban A, Giraudet F, Avan P, Mom T. Patient satisfaction and functional results with the bone-anchored hearing aid (BAHA). Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:107–13
62 Stephens D, Board T, Hobson J, Cooper H. Reported benefits and problems experienced with bone-anchored hearing aids. Br J Audiol 1996;30:215–20
63 Stephens SDG, Meredith R. Qualitative reports of hearing aid benefit. Clin Rehabil 1991;5:225–9
64 Tjellström A, Håkansson B. The bone-anchored hearing aid. Design principles, indications, and long-term clinical results. Otolaryngol Clin North Am 1995;28:5372
65 Tringali S, Grayeli AB, Bouccara D, Sterkers O, Chardon S, Martin C et al. A survey of satisfaction and use among patients fitted with a BAHA. Eur Arch Otorhinolaryngol 2008;265:1461–4
66 Wazen JJ, Young DL, Farrugia MC, Chandrasekhar SS, Ghossaini SN, Borik J et al. Successes and complications of the Baha system. Otol Neurotol 2008;29:1115–19
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 13
Total number of PDF views: 111 *
Loading metrics...

Abstract views

Total abstract views: 455 *
Loading metrics...

* Views captured on Cambridge Core between 26th January 2017 - 24th November 2017. This data will be updated every 24 hours.