Uptake and Utilisation of Hearing Aids: User Perspectives on Barriers and Challenges

Abstract

Objective Hearing aids are critical in reducing the impact of hearing loss; however, their adoption and long-term use remain limited. To support improved uptake and sustained use, it is important to understand the challenges and barriers users face. This study explores adult hearing aid users’ perspectives on the barriers and challenges influencing hearing aid uptake and utilisation.

Method This qualitative study was part of a larger project conducted on adult hearing aid users in the United States of America. Participants were recruited from the Lexie Hearing and Hearing Tracker databases. Data which was collected using semi structured interviews was analysed retrospectively using inductive thematic analysis. Results A total number of 33 participants were included in the analysis however; demographic data was only available for 28 of these participants. Ages ranged from 30 to 84 years (mean 68.7, 10.7 SD), with the majority being male (68%; n=19), fitted with unilateral (93%; n=26) or bilateral (7%; n=2) hearing aids. Five main themes emerged: (1) Financial Accessibility and Prioritisation, (2) Psychological and Emotional Factors, (3) Social Perception and Stigma, (4) Gaps in Knowledge, Support, and Information, and (5) Hearing Aid Technology. Within these themes, 15 subthemes emerged. Participants identified affordability as a major barrier to hearing aid uptake and use. Even when clinically indicated, psychological and emotional factors often outweighed the need for hearing aids, contributing to low uptake and use. In addition, despite advances in hearing aid technology and proven benefits, participants reported inadequate informational counselling and limited clinician support as further barriers. These themes highlight the range of challenges faced, including financial constraints, emotional adjustment, stigma, insufficient professional guidance, and unmet expectations in daily life.

Conclusion Hearing aid uptake and use are shaped by financial, psychological, technological, and informational barriers. Addressing these through tailored counselling, structured support, and public awareness is essential to improve uptake and long-term utilisation.