No access
SIG 8 Public Health Audiology
Viewpoint
14 December 2022

Viewpoints on the Implications of Over-The-Counter Hearing Aids

Publication: Perspectives of the ASHA Special Interest Groups
Volume 7, Number 6
Pages 1794-1801

Abstract

Purpose:

The purpose of this article is to offer diverse viewpoints on the potential impact of over-the-counter (OTC) hearing aids on patients and hearing health care professionals. OTC hearing aids are discussed from the perspective of an editor of a hearing industry trade publication, an audiologist and business owner, a hearing aid user and consumer advocate, and a researcher and professor.

Conclusions:

Given the increasing attention surrounding OTCs, there is a need to understand diverse perspectives. The editor provides a historical context and overview of the Food and Drug Administration's OTC regulations and reflects on implications based on nearly 3 decades of experience reporting on the hearing industry. An audiologist provides her perspective on what she has observed among clinicians who appear to either resist or embrace the OTC hearing aid concept and offers recommendations for how to engage with OTCs for the benefit of patients. A hearing aid user and consumer advocate shares how OTCs might impact her own hearing care and comments on how audiologists can support consumers who choose OTCs. Lastly, a researcher offers her response to common concerns based in the literature and comments on the perceived value of OTC hearing aids. This article is concluded with a discussion on future areas of need and recommendations.

Get full access to this article

View all available purchase options and get full access to this article.

References

Abrams, H. B., Chisolm, T. H., McManus, M., & McArdle, R. (2012). Initial-fit approach versus verified prescription: Comparing self-perceived hearing aid benefit. Journal of the American Academy of Audiology, 23(10), 768–778.
Audiology Practices. (2022). Statement from ADA on the FDA OTC Hearing Aid Proposed Rule Provisions for Maximum Sound Output and Gain. https://www.audiologypractices.org/statement-from-ada-on-the-fda-otc-hearing-aid-proposed-rule-provisions-for-maximum-sound-output-and-gain
Berenbrok, L. A., Ciemniecki, L., Cremeans, A. A., Albright, R., & Mormer, E. (2021). Pharmacist competencies for over-the-counter hearing aids: A Delphi study. Journal of the American Pharmacists Association, 61(4), e255–e262.
Callaway, S. L., & Punch, J. L. (2008). An electroacoustic analysis of over-the-counter hearing aids. American Journal of Audiology, 17(1), 14–24.
Chandra, N., & Searchfield, G. D. (2016). Perceptions toward Internet-based delivery of hearing aids among older hearing-impaired adults. Journal of the American Academy of Audiology, 27(6), 441–457.
Chen, C.-H., Huang, C.-Y., Cheng, H.-L., Lin, H. H., Chu, Y.-C., Chang, C.-Y., Lai, Y.-H., Wang, M.-C., & Cheng, Y.-F. (2022). Comparison of personal sound amplification products and conventional hearing aids for patients with hearing loss: A systematic review with meta-analysis. eClinicalMedicine, 46, 101378.
Cheng, C. M., & McPherson, B. (2000). Over-the-counter hearing aids: Electroacoustic characteristics and possible target client groups. International Journal of Audiology, 39(2), 110–116.
Cox, R. M., & Alexander, G. C. (2001). Validation of the SADL questionnaire. Ear and Hearing, 22(2), 151–160.
David, D., & Werner, P. (2016). Stigma regarding hearing loss and hearing aids: A scoping review. Stigma and Health, 1(2), 59–71.
Gal, T. J., Shinn, J., & Huang, B. (2010). Current epidemiology and management trends in acoustic neuroma. Otolaryngology–Head and Neck Surgery, 142(5), 677–681.
Humes, L. E., Rogers, S. E., Quigley, T. M., Main, A. K., Kinney, D. L., & Herring, C. (2017). The effects of service-delivery model and purchase price on hearing-aid outcomes in older adults: A randomized double-blind placebo-controlled clinical trial. American Journal of Audiology, 26(1), 53–79.
Keidser, G., & Convery, E. (2018). Outcomes with a self-fitting hearing aid. Trends in Hearing, 22.
Kirkwood, D. H. (2004). Survey finds most dispensers bullish, but not on over-the-counter devices. Hearing Journal, 57(3), 19–28.
Kochkin, S. (2000). MarkeTrak V: ‘Why my hearing aids are in the drawer.' The Hearing Journal, 53(2), 34–41.
Kochkin, S. (2007). MarkeTrak VII: Obstacles to adult non-user adoption of hearing aids. Hearing Journal, 60(4), 24–51.
Nieman, C. L., Marrone, N., Szanton, S. L., Thorpe, R. J., Jr., & Lin, F. R. (2016). Racial/ethnic and socioeconomic disparities in hearing health care among older Americans. Journal of Aging and Health, 28(1), 68–94.
Penchansky, R., & Thomas, J. W. (1981). The concept of access: Definition and relationship to consumer satisfaction. Medical Care, 19(2), 127–140.
Reed, N. S., Betz, J., Kendig, N., Korczak, M., & Lin, F. R. (2017). Personal sound amplification products vs a conventional hearing aid for speech understanding in noise. JAMA, 318(1), 89–90.
Sabin, A. T., Van Tasell, D. J., Rabinowitz, B., & Dhar, S. (2020). Validation of a self-fitting method for over-the-counter hearing aids. Trends in Hearing, 24, 233121651990058.
Shi, L. F., Doherty, K. A., Kordas, T. M., & Pellegrino, J. T. (2007). Short-term and long-term hearing aid benefit and user satisfaction: A comparison between two fitting protocols. Journal of the American Academy of Audiology 18(6), 482–495.
Solheim, J., & Hickson, L. (2017). Hearing aid use in the elderly as measured by datalogging and self-report. International Journal of Audiology, 56(7), 472–479.
Strawbridge, W. J., Wallhagen, M. I., Shema, S. J., & Kaplan, G. A. (2000). Negative consequences of hearing impairment in old age: A longitudinal analysis. The Gerontologist, 40(3), 320–326.
Tran, N. R., & Manchaiah, V. (2018). Outcomes of direct-to-consumer hearing devices for people with hearing loss: A review. Journal of Audiology & Otology, 22(4), 178–188.
U.S. Food and Drug Administration (FDA). (n.d.). What we do. https://www.fda.gov/about-fda/what-we-do

Information & Authors

Information

Published In

Perspectives of the ASHA Special Interest Groups
Volume 7Number 614 December 2022
Pages: 1794-1801

History

  • Received: Jun 10, 2022
  • Accepted: Jul 3, 2022
  • Published online: Sep 12, 2022
  • Published in issue: Dec 14, 2022

Permissions

Request permissions for this article.

Authors

Affiliations

School of Speech, Language, and Hearing Sciences, San Diego State University, CA
Karl Strom
Kim Cavitt
Audiology Resources, Inc., Chicago, IL
Shari Eberts
Living with Hearing Loss, New York, NY
Jani A. Johnson
School of Communication Sciences and Disorders, University of Memphis, TN

Notes

Disclosure: The authors have declared that no competing financial or nonfinancial interests existed at the time of publication.
Correspondence to Laura Coco: [email protected]
Editor-in-Chief: Dawn Konrad-Martin
Editor: Ishara Ramkissoon
Publisher Note: This article is part of the Forum: Over-the-Counter (OTC) Hearing Aids.

Metrics & Citations

Metrics

Article Metrics
View all metrics



Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Citing Literature

  • An Introduction to the SIG 8 Forum: Over-the-Counter (OTC) Hearing Aids, Perspectives of the ASHA Special Interest Groups, 10.1044/2022_PERSP-22-00143, 7, 6, (1792-1793), (2022).
  • Graduate Audiology Education and Student Perspectives on Over-the-Counter Hearing Aid Devices, Perspectives of the ASHA Special Interest Groups, 10.1044/2022_PERSP-22-00120, 7, 6, (1812-1818), (2022).

Media

Figures

Other

Tables

Share

Share

Copy the content Link

Share