Getting used to hearing aids: The geriatric users’ perspective in Gauteng, South Africa

Abstract

One of the most prominent demographic phenomena of the 21st century is a growing aging population. Presbycusis is the most common form of sensorineural hearing loss that impacts the aging population, leading to negative biopsychosocial consequences. The primary clinical management and intervention for people with presbycusis is the use of amplification devices such as hearing aids. However, despite the negative consequences of hearing loss, hearing aid usage is low amongst users. Research indicates both positive and negative reasons why people who have been fitted with hearing aids do not wear them. However, there is a lack of context specific evidence detailing what impacts getting used to consistently wearing hearing aids in South Africa, particularly in the geriatric population. The current study explored the perspective of elderly hearing aid users in Gauteng, South Africa, to determine the factors influencing their use of hearing aids and the impact of follow-up hearing aid sessions. A qualitative narrative design was used via focus groups sessions to obtain data. Non-probability, purposive sampling was used to recruit participants from three preselected retirement homes/care homes in Johannesburg, Gauteng. Each focus groups discussion was transcribed, and thematic content analysis was conducted. The dissertation has critically identified factors which influence getting used to consistently wearing hearing aids in the geriatric population, the effectiveness of follow-up sessions post hearing aid fitting and the significant role of the audiologist. Successfully adapting to the hearing aid through consistent usage is dependent on how often the hearing aid user wears it, as well as their ability to handle the hearing aid in terms of manipulation and maintenance. Through the findings related to how to easily guide hearing aid use and manipulation, audiologists can explore alternative and effective means to deliver rehabilitation to maximise hearing aid benefit and support users in the process of getting used to consistently wearing hearing aids. Lastly, the quality of life of the geriatric population can be improved through consistent hearing aid use.