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Development and results of a customised theoretical framework-based survey on barriers and enablers to hearing aid uptake and use in older adults.

Created on 22 Jun 2026

Authors

Julia Sarant, Jill Francis, David Harris, Isha Hariname, Charlotte Anderson, Sanne Peters

Published in

International journal of audiology. Volume 65. Issue 3. Pages 303-317. Epub Jul 26, 2025.

Abstract

Current studies have explained only a small proportion of variance in hearing aid (HA) uptake and use. This novel study applied theoretical frameworks of human behaviour to develop surveys to identify further barriers and enablers that could be addressed with behavioural interventions.
Data on hearing healthcare decisions/behaviours and/or acceptability of interventions was extracted from an ongoing systematic review of barriers and enablers to uptake and use of hearing interventions conducted by some of the authors. Two surveys, one each for HA users and non-users, were administered primarily online.
Respondents were 38 adult HA users and 48 non-users in Australia with diagnosed hearing loss recruited across three metropolitan/rural audiology clinics.
Survey responses yielded 5 barriers and 7 enablers not previously identified. Barriers included other health concerns being more important, and lack of knowledge about HAs and trust in service providers. Enablers included the input of others, and the beliefs that HAs are easy to manage and that HAs would make people feel good about themselves.
Applying behavioural frameworks to identify barriers and enablers to hearing aid uptake and use resulted in identification of influences not previously reported. These should be addressed with behavioural interventions.

PMID:
42324721
Bibliographic data and abstract were imported from PubMed on 22 Jun 2026.

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