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Open Access
CC BY-NC-ND 4.0 · Semin Hear
DOI: 10.1055/s-0045-1812039
Review Article

Are Hearing Aid Benefit and Satisfaction Rates Higher for Traditional or Over-the-Counter Hearing Aids?

Authors

  • Erin M. Picou

    1   Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
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Abstract

Recent regulatory changes in the United States created a category of hearing aids that could be purchased over-the-counter (OTC), directly by a consumer without professional dispensing. Evidence supporting the benefits of OTC hearing aids for adults with perceived mild-to-moderate hearing difficulty is somewhat mixed in the literature. The purpose of this study is to compare hearing aid benefits and satisfaction rates for OTC and traditional, provider-dispensed hearing aids within the MarkeTrak 25 survey data. Results of the survey demonstrate robust benefits and high satisfaction rates for both OTC and traditional hearing aids. However, there are some differences in trends between OTC and traditional hearing aids. Specifically, within owners of traditional hearing aids, there is remarkable stability in terms of benefits, satisfaction rates (83% of hearing aid owners are satisfied), and net promoter scores (+30 points for promoters relative to detractors). These values are essentially unchanged over the last several years, suggesting the introduction of the formal OTC hearing aid category has not affected the benefit or satisfaction rates of traditional hearing aids. The OTC hearing aids themselves have similar benefits as traditional hearing aids, although slightly lower satisfaction rates (76% of OTC hearing aid owners are satisfied). Compared to owners of traditional hearing aids, owners of OTC hearing aids were less likely to be satisfied with the size and reliability of their hearing aids, although they were more likely to be satisfied with the price of the hearing aids. The current data also highlight the importance of professional services, even within the group of OTC hearing aid owners. Not only did most OTC hearing aid owners (approximately 80%) utilize some type of professional service, but those who did receive professional support were more likely to be satisfied with their hearing aids than were those who did not receive professional services. Therefore, although the OTC hearing aids are beneficial and consumers are satisfied with them, professional support continues to be an important and beneficial aspect in the OTC category of hearing aids.

Keywords

hearing aid - over-the-counter - benefit - satisfaction - professional services


Publication History

Article published online:
11 November 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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