Adherence and continuity to the use of hearing aid: scope review

Chiriboga, Laura Franco; Midlej, Gabriela Marques; Almeida, Kátia de; Couto, Christiane Marques do

doi:10.1590/2317-6431-2022-2704en

Laura Franco Chiriboga

designed the study

selected and analyzed the papers

edited the paper

Programa de Pós-graduação (Doutorado), Departamento de Desenvolvimento Humano e Reabilitação, Faculdade de Ciências Médicas - FCM, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.

http://orcid.org/0000-0001-5859-3847

Gabriela Marques Midlej

search

selection

analysis of the papers

Pesquisadora independente - Santos (SP), Brasil.

http://orcid.org/0000-0001-9839-7429

Kátia de Almeida

reviewed the paper

Faculdade de Ciências Médicas da Santa Casa de São Paulo - FCMSCSP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-4247-6966

Christiane Marques do Couto

designed the study

reviewed the paper

Departamento de Desenvolvimento Humano e Reabilitação, Faculdade de Ciências Médicas - FCM, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.

http://orcid.org/0000-0002-3708-7299

Conflict of interests: No.

Authors’ contribution: LFC designed the study, selected and analyzed the papers, and edited the paper; GMM helped with the search, selection, and analysis of the papers (double-blind pair); KA reviewed the paper; CMC designed the study and reviewed the paper as a supervisor.

Corresponding author: Laura Franco Chiriboga. E-mail: laura.chiriboga@hotmail.com

Source	Strategy
PubMed	((Hearing Aids[MeSH Terms]) OR (“Hearing Aids”[Title/Abstract] OR “Aid, Hearing”[Title/Abstract] OR “Aids, Hearing”[Title/Abstract] OR “Hearing Aid”[Title/Abstract] OR “Ear Molds”[Title/Abstract] OR “Ear Mold”[Title/Abstract] OR “Mold, Ear”[Title/Abstract] OR “Molds, Ear”[Title/Abstract])) AND ((Patient Compliance[MeSH Terms]) OR (“Patient Compliance”[Title/Abstract] OR “Compliance, Patient”[Title/Abstract] OR “Patient Adherence”[Title/Abstract] OR “Adherence, Patient”[Title/Abstract] OR “Patient Cooperation”[Title/Abstract] OR “Cooperation, Patient”[Title/Abstract] OR “Client Compliance”[Title/Abstract] OR “Client Compliances”[Title/Abstract] OR “Compliance, Client”[Title/Abstract] OR “Client Adherence”[Title/Abstract] OR “Adherence, Client”[Title/Abstract] OR “Treatment Compliance”[Title/Abstract] OR “Compliance, Treatment”[Title/Abstract] OR “Treatment Compliances”[Title/Abstract] OR “Therapeutic Compliance”[Title/Abstract] OR “Compliance, Therapeutic”[Title/Abstract] OR “Therapeutic Compliances”[Title/Abstract] OR “Patient Non-Compliance”[Title/Abstract] OR “Non-Compliance, Patient”[Title/Abstract] OR “Patient Non Compliance”[Title/Abstract] OR “Patient Noncompliance”[Title/Abstract] OR “Noncompliance, Patient”[Title/Abstract] OR “Patient Nonadherence”[Title/Abstract] OR “Nonadherence, Patient”[Title/Abstract] OR “Non-Adherent Patient”[Title/Abstract] OR “Non Adherent Patient”[Title/Abstract] OR “Non-Adherent Patients”[Title/Abstract] OR “Patient, Non-Adherent”[Title/Abstract] OR “Patient Non-Adherence”[Title/Abstract] OR “Non-Adherence, Patient”[Title/Abstract] OR “Patient Non Adherence”[Title/Abstract]))
PubMed PMC	((Hearing Aids[MeSH Terms]) OR (“Hearing Aids”[Title/Abstract] OR “Aid, Hearing”[Title/Abstract] OR “Aids, Hearing”[Title/Abstract] OR “Hearing Aid”[Title/Abstract] OR “Ear Molds”[Title/Abstract] OR “Ear Mold”[Title/Abstract] OR “Mold, Ear”[Title/Abstract] OR “Molds, Ear”[Title/Abstract])) AND ((Patient Compliance[MeSH Terms]) OR (“Patient Compliance”[Title/Abstract] OR “Compliance, Patient”[Title/Abstract] OR “Patient Adherence”[Title/Abstract] OR “Adherence, Patient”[Title/Abstract] OR “Patient Cooperation”[Title/Abstract] OR “Cooperation, Patient”[Title/Abstract] OR “Client Compliance”[Title/Abstract] OR “Client Compliances”[Title/Abstract] OR “Compliance, Client”[Title/Abstract] OR “Client Adherence”[Title/Abstract] OR “Adherence, Client”[Title/Abstract] OR “Treatment Compliance”[Title/Abstract] OR “Compliance, Treatment”[Title/Abstract] OR “Treatment Compliances”[Title/Abstract] OR “Therapeutic Compliance”[Title/Abstract] OR “Compliance, Therapeutic”[Title/Abstract] OR “Therapeutic Compliances”[Title/Abstract] OR “Patient Non-Compliance”[Title/Abstract] OR “Non-Compliance, Patient”[Title/Abstract] OR “Patient Non Compliance”[Title/Abstract] OR “Patient Noncompliance”[Title/Abstract] OR “Noncompliance, Patient”[Title/Abstract] OR “Patient Nonadherence”[Title/Abstract] OR “Nonadherence, Patient”[Title/Abstract] OR “Non-Adherent Patient”[Title/Abstract] OR “Non Adherent Patient”[Title/Abstract] OR “Non-Adherent Patients”[Title/Abstract] OR “Patient, Non-Adherent”[Title/Abstract] OR “Patient Non-Adherence”[Title/Abstract] OR “Non-Adherence, Patient”[Title/Abstract] OR “Patient Non Adherence”[Title/Abstract]))
Scopus	(TITLE-ABS-KEY (“Hearing Aids” OR “Aid, Hearing” OR “Aids, Hearing” OR “Hearing Aid” OR “Ear Molds” OR “Ear Mold” OR “Mold, Ear” OR “Molds, Ear”) AND TITLE-ABS-KEY (“Patient Compliance” OR “Compliance, Patient” OR “Patient Adherence” OR “Adherence, Patient” OR “Patient Cooperation” OR “Cooperation, Patient” OR “Client Compliance” OR “Client Compliances” OR “Compliance, Client” OR “Client Adherence” OR “Adherence, Client” OR “Treatment Compliance” OR “Compliance, Treatment” OR “Treatment Compliances” OR “Therapeutic Compliance” OR “Compliance, Therapeutic” OR “Therapeutic Compliances” OR “Patient Non-Compliance” OR “Non-Compliance, Patient” OR “Patient Non Compliance” OR “Patient Noncompliance” OR “Noncompliance, Patient” OR “Patient Nonadherence” OR “Nonadherence, Patient” OR “Non-Adherent Patient” OR “Non Adherent Patient” OR “Non-Adherent Patients” OR “Patient, Non-Adherent” OR “Patient Non-Adherence” OR “Non-Adherence, Patient” OR “Patient Non Adherence”))
Web of Science	TOPIC: (“Hearing Aids” OR “Aid, Hearing” OR “Aids, Hearing” OR “Hearing Aid” OR “Ear Molds” OR “Ear Mold” OR “Mold, Ear” OR “Molds, Ear”) AND TOPIC: (“Patient Compliance” OR “Compliance, Patient” OR “Patient Adherence” OR “Adherence, Patient” OR “Patient Cooperation” OR “Cooperation, Patient” OR “Client Compliance” OR “Client Compliances” OR “Compliance, Client” OR “Client Adherence” OR “Adherence, Client” OR “Treatment Compliance” OR “Compliance, Treatment” OR “Treatment Compliances” OR “Therapeutic Compliance” OR “Compliance, Therapeutic” OR “Therapeutic Compliances” OR “Patient Non-Compliance” OR “Non-Compliance, Patient” OR “Patient Non Compliance” OR “Patient Noncompliance” OR “Noncompliance, Patient” OR “Patient Nonadherence” OR “Nonadherence, Patient” OR “Non-Adherent Patient” OR “Non Adherent Patient” OR “Non-Adherent Patients” OR “Patient, Non-Adherent” OR “Patient Non-Adherence” OR “Non-Adherence, Patient” OR “Patient Non Adherence”) Indices=SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, ESCI Estimated timeframe=Every year
Embase	'hearing aid'/syn AND 'patient compliance'/syn
Cochrane Library	(“Hearing Aids” OR “Aid, Hearing” OR “Aids, Hearing” OR “Hearing Aid” OR “Ear Molds” OR “Ear Mold” OR “Mold, Ear” OR “Molds, Ear”):ti,ab,kw AND (“Patient Compliance” OR “Compliance, Patient” OR “Patient Adherence” OR “Adherence, Patient” OR “Patient Cooperation” OR “Cooperation, Patient” OR “Client Compliance” OR “Client Compliances” OR “Compliance, Client” OR “Client Adherence” OR “Adherence, Client” OR “Treatment Compliance” OR “Compliance, Treatment” OR “Treatment Compliances” OR “Therapeutic Compliance” OR “Compliance, Therapeutic” OR “Therapeutic Compliances” OR “Patient Non-Compliance” OR “Non-Compliance, Patient” OR “Patient Non Compliance” OR “Patient Noncompliance” OR “Noncompliance, Patient” OR “Patient Nonadherence” OR “Nonadherence, Patient” OR “Non-Adherent Patient” OR “Non Adherent Patient” OR “Non-Adherent Patients” OR “Patient, Non-Adherent” OR “Patient Non-Adherence” OR “Non-Adherence, Patient” OR “Patient Non Adherence”):ti,ab,kw

Author and year	Factors for acquiring ^* * A reason appears in more than one column when it might influence more than one way; ^, ^ The absence of “n” or percentage (%) indicates that neither was mentioned in the study	Factors for not acquiring* ^, **
Alberti & Brown (1980) (⁶6 Alberti PW, Brown T. The effectiveness of a hearing aid delivery system. J Otolaryngol. 1980;9(3):266-70. PMid:7431475.)		· Little benefit (n=10).
		· Difficulty handling (n=8).
		· Noisy sound quality (n=5).
		· Overpricing (n=8).
		· Resistance to use (n=6).
		· Don’t feel the need (n=4).
		· Appearance (“too visible”) (n=4).
		· Other impairments (“I am too old and sick”).
Franks & Beckmann (1985) (²⁹29 Franks JR, Beckmann NJ. Rejection of hearing aids: attitudes of a geriatric sample. Ear Hear. 1985;6(3):161-6. http://dx.doi.org/10.1097/00003446-198505000-00007. PMid:4007302. http://dx.doi.org/10.1097/00003446-19850... )		· Overpricing.
		· Stigma and prejudice.
		· Fear of being “tricked” by the sales team.
		· Noisy sound quality.
		· Discomfort with the HA physical features.
		· Difficulty handling.
		· The attitude of the otolaryngologist or audiologist.
		(Aiming at commercialization and not health)
		· Lack of access to services for hearing recovery.
		· High-pitched sounds - uncomfortable.
Chukuezi (1992) (¹³13 Chukuezi AB. Attitudes to hearing aid use in Nigerian patients. Trop Doct. 1992;22(4):173-4. http://dx.doi.org/10.1177/004947559202200415. PMid:1440892. http://dx.doi.org/10.1177/00494755920220... )		· Discomfort with the HA physical features.
	· Need to communicate properly.	· Stigma and prejudice.
		· Overpricing.
		· Noisy sound quality.
		· Awaiting medicines for hearing loss treatment.
Gussekloo et al. (2003) (³¹31 Gussekloo J, Bont LEA, Von Faber M, Eekhof JAH, Laat JAPM, Hulshof JH, et al. Auditory rehabilitation of older people from the general population - the Leiden 85-plus study. Br J Gen Pract. 2003;53(492):536-40. PMid:14694666.)	· Degree of hearing loss.	· Stigma and prejudice.
	· Difficulty communicating.
	· Impacts of hearing loss on daily life activities.
	· Coping strategies.
Cohen-Mansfield & Taylor (2004) (³²32 Cohen-Mansfield J, Taylor JW. Hearing aid use in nursing homes, part 2 : barriers to effective utilization. J Am Med Dir Assoc. 2004;5(5):289-96. http://dx.doi.org/10.1016/S1525-8610(04)70018-3. PMid:15357886. http://dx.doi.org/10.1016/S1525-8610(04)... )		· Don’t feel the need (n=15).
		· Overpricing (n=3).
Meister et al. (2008) (³³33 Meister H, Walger M, Brehmer D, Von Wedel UC, Von Wedel H. The relationship between pre-fitting expectations and willingness to use hearing aids. Int J Audiol. 2008;47(4):153-9. http://dx.doi.org/10.1080/14992020701843111. PMid:18389410. http://dx.doi.org/10.1080/14992020701843... )	· Perception of hearing difficulty.	· Stigma and prejudice.
	· The expectation of improving quality of life.	· Overpricing.
Laplante-Lévesque et al. (2010) (¹²12 Laplante-Lévesque A, Hickson L, Worrall L. Factors influencing rehabilitation decisions of adults with acquired hearing impairment. Int J Audiol. 2010;49(7):497-507. http://dx.doi.org/10.3109/14992021003645902. PMid:20528667. http://dx.doi.org/10.3109/14992021003645... )	· (1) Convenience.	· (1) Convenience.
	· (2) Adherence and expected results.	· (2) Adherence and expected results.
	· (3) Financial costs.	· (3) Financial costs.
	· (4) Hearing impairment.	· (4) Hearing impairment.
	· (5) Nature of the intervention.	· (5) Nature of the intervention.
	· (6) Experiences, recommendations, and support of others.	· (6) Experiences, recommendations, and support of others.
	· (7) Preventive and temporary solution.	· (7) Preventive and temporary solution.

	These factors influenced both positively and negatively the adoption of HA.	These factors influenced both positively and negatively.
		the adherence to HA prescription.
Abdellaoui & Huy (2013) (⁷7 Abdellaoui A, Huy PTB. Success and failure factors for hearing-aid prescription: results of a French national survey. Eur Ann Otorhinolaryngol Head Neck Dis. 2013;130(6):313-9. http://dx.doi.org/10.1016/j.anorl.2012.09.014. PMid:23725663. http://dx.doi.org/10.1016/j.anorl.2012.0... )	· Specialist’s guidance (37%).	· Overpricing (n = 27).
	· Price (30%).	· Lack of actual interest in hearing improvement (n=20).
	· Effectiveness test (18%).	· The attitude of the otolaryngologist or audiologist (n = 2).
		· Unsatisfactory experiences of family members or friends (n = 1).
		· Other intercurrent health problems (n = 3).
		· Fear of being “tricked” by the sales team (n = 2).

Author and year	Factors that influence negatively ^* *** A reason appears in more than one column when it might influence more than one way; ^, ^ ****** The absence of “n” or percentage (%) indicates that neither was mentioned in the study	Factors that influence positively*^,**	Factors that are indifferent*^,**
Surr et al. (1978) (²¹21 Surr RK, Schuchman GI, Montgomery AA. Factors influencing use of hearing aids. Arch Otolaryngol. 1978;104(12):732-6. http://dx.doi.org/10.1001/archotol.1978.00790120058010. PMid:718532. http://dx.doi.org/10.1001/archotol.1978.... )	· Discomfort in noise situations (32%).	· Perception of the need.
	· Don’t feel the need (31%).	· Training.
	· Discomfort with the HA physical features.	· Monitoring and follow-ups.
	(Issues with its shape) (9%).	· Motivation
	· Perception of little or no benefit (4%).	(Extra-acoustic and psychosocial aspects).
	· High-pitched sounds - uncomfortable (4%).
	· HA technical faults (3%).
	· Uncomfortable sound quality (2%).
	· Stigma and prejudice (4%).
	· Other (not described) (6%).
Sorri et al. (1984) (³⁶36 Sorri M, Luotonen M, Laitakari K. Use and non-use of hearing aids. Br J Audiol. 1984;18(3):169-72. http://dx.doi.org/10.3109/03005368409078944. PMid:6487851. http://dx.doi.org/10.3109/03005368409078... )	· Age: elderly individuals use the product less than younger individuals.
	· They feel unable to use it.
Amedofu et al. (2004) (³⁷37 Amedofu GK, Awuah P, Ocansey G, Antwi B, Brobby GW. Utilization of hearing aids by the hearing-impaired in Ghana. Trop Doct. 2004;34(2):118-20. http://dx.doi.org/10.1177/004947550403400228. PMid:15117152. http://dx.doi.org/10.1177/00494755040340... )	· Don’t feel the need (“very good hearing”) (29%).
	· Stigma and prejudice (“acceptance issues”) due to difficulty handling (21%).
	· Difficulty handling.
	· HA technical faults.
	· Lack of motivation.
Cohen-Mansfield & Taylor (2004) (³²32 Cohen-Mansfield J, Taylor JW. Hearing aid use in nursing homes, part 2 : barriers to effective utilization. J Am Med Dir Assoc. 2004;5(5):289-96. http://dx.doi.org/10.1016/S1525-8610(04)70018-3. PMid:15357886. http://dx.doi.org/10.1016/S1525-8610(04)... )	· HA technical faults (n=12).
	· Discomfort with the HA physical features (n=7).
	· Difficulty handling (n=14).
	· Costs of maintenance and repair.
Kaplan-Neeman et al. (2012) (³⁸38 Kaplan-Neeman R, Muchnik C, Hildesheimer M, Henkin Y. Hearing aid satisfaction and use in the advanced digital era. Laryngoscope. 2012;122(9):2029-36. http://dx.doi.org/10.1002/lary.23404. PMid:22752928. http://dx.doi.org/10.1002/lary.23404... )	· Discomfort in noise situations.
	· Perception of little or no benefit.
Linssen et al. (2013) (³⁹39 Linssen AM, Joore MA, Minten RKH, Van Leeuwen YD, Anteunis LJC. Qualitative interviews on the beliefs and feelings of adults towards their ownership, but non-use of hearing aids. Int J Audiol. 2013;52(10):670-7. http://dx.doi.org/10.3109/14992027.2013.808382. PMid:23829584. http://dx.doi.org/10.3109/14992027.2013.... )	· Perception of little or no benefit.
	· Inadequate expectations regarding HA Inadequate HA adjustments.
	· The attitude of the otolaryngologist or audiologist.
	· The pressure of others to use the HA.
Salonen et al. (2013) (⁴⁰40 Salonen J, Johansson R, Karjalainen S, Vahlberg T, Jero JP, Isoaho R. Hearing aid compliance in the elderly. B-ENT. 2013;9(1):23-8. PMid:23641587.)	· Discomfort in noise situations (73.7%).
	· Discomfort with the HA physical features (10.5%).
	· Acoustic feedback (17.5%).
	· Difficulty handling (3.5%).
	· Costs of maintenance and repair (i.e.: the price of the batteries) (22.8%).
	· Don’t feel the need (“I am so alone that I do not need a hearing device”) (5.3%).
	· Stigma and prejudice (7%).
	· The pressure of others to use the HA (17.5%).
	· Feel unable to use it (3.5%).
Guerra-Zúñiga et al. (2014) (⁴¹41 Guerra-Zúñiga M, Cardemil-Morales F, Albertz-Arévalo N, Rahal-Espejo M. Explicaciones al no uso de audífonos en un grupo de adultos mayores de Santiago de Chile. Un estudio cualitativo. Acta Otorrinolaringol Esp. 2014;65(1):8-14. http://dx.doi.org/10.1016/j.otorri.2013.09.004. PMid:24342699. http://dx.doi.org/10.1016/j.otorri.2013.... )	· Fear of losing the HA (use only in particular situations).	· Support of the family.
	· Individuals with severe loss degrees adhere less (perception of little benefit).	· Sharing social activities.
Iwahashi et al. (2015) (⁴²42 Iwahashi JH, Jardim IDS, Shirayama Y, Yuasa M, Bento RF. Hearing aid use and adherence to treatment in a publicly-funded health service from the city of São Paulo, Brazil. Int Arch Otorhinolaryngol. 2015;19(3):210-5. PMid:26157494.)	· Do not attend the follow-up care sessions
	· Uncomfortable sound quality (29.8%).
	· Perception of little or no benefit (17%).
	· Difficulty handling (14.9%).
	· HA technical faults (14.9%).
	· Inadequate HA adjustments (10.6%).
	· Other impairments (8.5%).
	· Fear of losing the HA (4.3%).
Lee & Noh (2015) (⁴³43 Lee DH, Noh H. Prediction of the use of conventional hearing AIDS in Korean adults with unilateral hearing impairment. Int J Audiol. 2015;54(9):613-9. http://dx.doi.org/10.3109/14992027.2015.1023902. PMid:25812581. http://dx.doi.org/10.3109/14992027.2015.... )	· Type of HA.	· Type of HA.
	· Signal processing method.	· Signal processing method.
	· The number of channels.	· The number of channels.
	· Social and/or work activities.	· Social and/or work activities.
	· Sociobehavioral factors.	· Sociobehavioral factors.
	· Monitoring and follow-ups.	· Monitoring and follow-ups.

Aazh et al. (2015) (¹⁵15 Aazh H, Prasher D, Nanchahal K, Moore BCJ. Hearing-aid use and its determinants in the UK National Health Service: a cross-sectional study at the Royal Surrey County Hospital. Int J Audiol. 2015;54(3):152-61. http://dx.doi.org/10.3109/14992027.2014.967367. PMid:25395258. http://dx.doi.org/10.3109/14992027.2014.... )	· Discomfort in noise situations (59%).
	· Don’t feel the need (can manage without them) (39%).
	· Negative consequences of the use (i.e.: itch, earwax accumulation) (26%).
	· Discomfort with the HA physical features (22%).
	· Difficulty handling (18%).
	· Perception of little or no benefit (18%).
	· Appearance (“I do not like what they look like”) (10%).
	· Stigma and prejudice (“It makes me feel old”) (9%).
	· Other (not described) (53%).
Maeda et al. (2016) (⁴⁴44 Maeda Y, Sugaya A, Nagayasu R, Nakagawa A, Nishizaki K. Subjective hearing-related quality-of-life is a major factor in the decision to continue using hearing aids among older persons. Acta Otolaryngol. 2016;136(9):919-22. http://dx.doi.org/10.1080/00016489.2016.1183817. PMid:27206537. http://dx.doi.org/10.1080/00016489.2016.... )		· Subjective improvement in quality of life.	· Audiological parameters alone
			· Age
			· Speech recognition

Bennett et al. (2016) (⁴⁵45 Bennett RJ, Meyer C, Eikelboom RH. Does clinician continuity influence hearing aid outcomes? Int J Audiol. 2016;55(10):556-63. http://dx.doi.org/10.1080/14992027.2016.1185169. PMid:27224042. http://dx.doi.org/10.1080/14992027.2016.... )			· Continuity of the same audiologist
			*bias of the research being carried out in the same center where the professionals are the same
Carrasco-Alarcón et al. (2018) (¹⁴14 Carrasco-Alarcón P, Morales C, Bahamóndez MC, Cárcamo DA, Schacht ÁC. Adultos mayores que rehúsan usar audífonos: analizando las causas. CoDAS. 2018;30(5):e20170198. http://dx.doi.org/10.1590/2317-1782/20182017198. PMid:30304099. http://dx.doi.org/10.1590/2317-1782/2018... )	· Discomfort in noise situations.
	· Perception of little or no benefit.
	· Discomfort with the HA physical features.
	· They do not have batteries.
Gallagher & Woodside (2018) (⁸8 Gallagher NE, Woodside JV. Factors affecting hearing aid adoption and use: a qualitative study. J Am Acad Audiol. 2018;29(4):300-12. http://dx.doi.org/10.3766/jaaa.16148. PMid:29664724. http://dx.doi.org/10.3766/jaaa.16148... )	· Difficulty handling.
	· Don’t feel the need (They believe they hear well) - They suggest that adherence to regular use occurs when the hearing loss reaches a certain limit (interfering with daily activities, for example).
Ho et al. (2018) (⁹9 Ho EC, Ong WMW, Li K, Zhang H, Bei YTE, Medapati SVR, et al. Factors influencing degree of hearing loss at presentation, hearing aid choice, and usage in first time hearing aid users in Singapore. Int J Audiol. 2018;57(10):776-83. http://dx.doi.org/10.1080/14992027.2018.1476781. PMid:29957077. http://dx.doi.org/10.1080/14992027.2018.... )	· The older, the less prone to use it.
	· The better the hearing, the less prone to use it.
Solheim et al. (2018) (⁴⁶46 Solheim J, Gay C, Hickson L. Older adults’ experiences and issues with hearing aids in the first six months after hearing aid fitting. Int J Audiol. 2018;57(1):31-9. http://dx.doi.org/10.1080/14992027.2017.1380849. PMid:28952841. http://dx.doi.org/10.1080/14992027.2017.... )	· Difficulty handling (25.4%).
	· Uncomfortable sound quality (26.0%).
	· Don’ feel the need (18.8%).
	· Perception of little or no benefit (2.8%).
	· Discomfort with the HA physical features (2.2%)
	· Costs of maintenance and repair (i.e.: the price of the batteries) (4.4%).
	· HA technical faults (8.3%).
	· Fear of losing the HA (2.8%).
	· Stigma and prejudice (1.1%).
	· Other impairments (9.9%).
	· Other (not described) (10.5%).
Fuentes-López et al. (2019) (²⁰20 Fuentes-López E, Fuente A, Valdivia G, Luna-Monsalve M. Effects of auditory and socio-demographic variables on discontinuation of hearing aid use among older adults with hearing loss fitted in the Chilean public health sector. BMC Geriatr. 2019;19(1):245. http://dx.doi.org/10.1186/s12877-019-1260-6. PMid:31481016. http://dx.doi.org/10.1186/s12877-019-126... )	· Perception of little or no benefit (18.2%).
	· Discomfort in noise situations (18.2%).
	· Inadequate HA adjustments (15.6%).
	· Difficulty handling (ex.: control of volume) (15.6%).
	· Quality sound uncomfortable (5.2%).
	· Consequences negative of the use (i.e.: itch, earwax accumulation, skin rashes) (5.2%).
	· Don’t feel the need (2.6%).
	· Other (not described) (53.2%).
Fuentes-López et al. (2019) (⁴⁷47 Fuentes-López E, Fuente A, Valdivia G, Luna-Monsalve M. Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire. PLoS One. 2019;14(12):e0226085. http://dx.doi.org/10.1371/journal.pone.0226085. PMid:31856164. http://dx.doi.org/10.1371/journal.pone.0... )		· Self-efficacy.

[1] Conflict of interests: No.

Brasil

Brasil

Adherence and continuity to the use of hearing aid: scope review

ABSTRACT

Purpose

Research strategy

Selection criteria

Results

Conclusion