Hearing aids are a central part of managing adults with hearing loss. Despite evidence supporting improved listening abilities and quality of life as a result of hearing aid use, device uptake remains poor. People with hearing loss typically take action only after an average of six to 12 years from the initial identification of the loss. Various factors hinder help-seeking and hearing aid uptake, including personal readiness, finances, and stigmatization. Having amplification alternatives within a consumer-driven service delivery model has the potential to increase a person's options and initial access to hearing care. Traditionally, a hearing aid is prescribed after evaluation by a licensed professional. In 2016, the U.S. Food and Drug Administration (FDA) published a non binding guidance document no longer enforcing medical assessment before the provision of amplification, thus allowing alternative self-test diagnostics and hearing devices.