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DOI: 10.1055/s-0040-1718711
Argumentum ad Ignorantiam: Smartphone-Connected Listening Devices
Abstract
In this article, we review the current literature assessing the application and benefits of connected hearing technologies, as well as their potential to improve accessibility to and affordability of hearing healthcare. Over the past decade, there has been a proliferation of hearing devices that connect wirelessly to smartphone technologies via Bluetooth. These devices include (1) smartphone-connected hearing aids that must be obtained from a licensed audiologist or hearing aid dispenser; (2) direct-to-consumer devices, such as personal sound amplification products; and (3) smartphone-based hearing aid applications (or apps). Common to all these connected devices is that they permit the user to self-adjust and customize their device programs via an accompanying smartphone app. There has been a growing body of literature assessing connected hearing devices in adults living with hearing loss. Overall, the evidence to date supports the notion that all connected hearing devices can improve accessibility to and affordability of amplification. It is unclear, however, whether connected technologies are a clinically effective alternative to traditional hearing aids. Even so, the impact of connectivity is especially pertinent given the sudden disruption caused by the recent global COVID-19 pandemic, whereby connected technologies enable patients to receive treatment through mobile-based, tele-audiology platforms.
Keywords
hearing aids - hearing loss - personal sound amplification products - smartphone - applicationsPublication History
Article published online:
16 December 2020
© 2020. Thieme. All rights reserved.
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References
- 1 World Health Organisation. Deafness and Hearing Loss Fact Sheet. Accessed September 24, 2020 at: http://www.who.int/mediacentre/factsheets/fs300/en/
- 2 Ferguson MA, Kitterick PT, Chong LY, Edmondson-Jones M, Barker F, Hoare DJ. Hearing aids for mild to moderate hearing loss in adults. Cochrane Database Syst Rev 2017; 9: CD012023
- 3 Valente M, Amlani AM. Cost as a barrier for hearing aid adoption. JAMA Otolaryngol Head Neck Surg 2017; 143 (07) 647-648
- 4 Pronk M, Deeg DJH, Versfeld NJ, Heymans MW, Naylor G, Kramer SE. Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers. Trends Hear 2017; 21: 2331216517744915
- 5 Meyer C, Hickson L. What factors influence help-seeking for hearing impairment and hearing aid adoption in older adults?. Int J Audiol 2012; 51 (02) 66-74
- 6 Southall K, Gagné JP, Jennings MB. Stigma: a negative and a positive influence on help-seeking for adults with acquired hearing loss. Int J Audiol 2010; 49 (11) 804-814
- 7 Wallhagen MI. The stigma of hearing loss. Gerontologist 2010; 50 (01) 66-75
- 8 Vas V, Akeroyd MA, Hall DA. A data-driven synthesis of research evidence for domains of hearing loss, as reported by adults with hearing loss and their communication partners. Trends Hear 2017; 21: 2331216517734088
- 9 Institute of Medicine. Committee on Monitoring Access to Personal Health Care Services: Access to Health Care in America. Washington, DC: National Academies Press; 1993
- 10 Lin FR, Hazzard WR, Blazer DG. Priorities for improving hearing health care for adults: a report from the National Academies of Sciences, Engineering, and Medicine. JAMA 2016; 316 (08) 819-820
- 11 Simpson AN, Matthews LJ, Cassarly C, Dubno JR. Time from hearing aid candidacy to hearing aid adoption: a longitudinal cohort study. Ear Hear 2019; 40 (03) 468-476
- 12 Ruberg K. Untreated disabling hearing loss costs billions – in the US and the rest of the world. Accessed September 24, 2020 at: https://www.hearingreview.com/practice-building/marketing/surveys-statistics/untreated-disabling-hearing-loss-costs-billions-us-rest-world
- 13 Tan HE, Lan NSR, Knuiman MW. et al. Associations between cardiovascular disease and its risk factors with hearing loss – a cross-sectional analysis. Clin Otolaryngol 2018; 43 (01) 172-181
- 14 McKee MM, Stransky ML, Reichard A. Hearing loss and associated medical conditions among individuals 65 years and older. Disabil Health J 2018; 11 (01) 122-125
- 15 Gupta S, Eavey RD, Wang M, Curhan SG, Curhan GC. Type 2 diabetes and the risk of incident hearing loss. Diabetologia 2019; 62 (02) 281-285
- 16 Helzner EP, Contrera KJ. Type 2 diabetes and hearing impairment. Curr Diab Rep 2016; 16 (01) 3
- 17 Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of age-related hearing loss with cognitive function, cognitive impairment, and dementia: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg 2018; 144 (02) 115-126
- 18 Thomson RS, Auduong P, Miller AT, Gurgel RK. Hearing loss as a risk factor for dementia: a systematic review. Laryngoscope Investig Otolaryngol 2017; 2 (02) 69-79
- 19 World Health Organisation. mHealth: New horizons for health through mobile technologies: second global survey on eHealth. Accessed September 24, 2020 at: https://apps.who.int/iris/handle/10665/44607
- 20 Kimball SH, Singh G, John AB, Jenstad LM. Implications and attitudes of audiologists towards smartphone integration in hearing healthcare. Hear Res 2018; 369: 15-23
- 21 Groth J. Hearing aids made for iPhone®. Canadian Audiologist 2014;1(03):
- 22 Ng SL, Phelan S, Leonard M, Galster J. A qualitative case study of smartphone-connected hearing aids: influences on patients, clinicians, and patient–clinician interactions. J Am Acad Audiol 2017; 28 (06) 506-521
- 23 Stake RE. Multiple Case Study Analysis. New York, NY: Guilford; 2006
- 24 Habib A, Maidment DW, Gomez R. et al. What are the benefits of smartphone-connected hearing aids in first-time and existing NHS hearing aid users?. British Academy of Audiology Members Magazine 2019; ; Summer: 6-8
- 25 Groth J, Dyrlund O, Wagener KC. et al. Industry research: fine-tuning outcomes are similar via teleaudiology and face-to-face. Canadian Audiologist 2019;6(02):
- 26 Convery E, Keidser G, McLelland M, Groth J. A smartphone app to facilitate remote patient-provider communication in hearing health care: usability and effect on hearing aid outcomes. Telemed J E Health 2020; 26 (06) 798-804
- 27 Tittle S, Thibodeau L, Panahi IM. et al. Benefits of a smartphone as a remote microphone system. J Acoust Soc Am 2019; 146: 3047-3047
- 28 Chasin M. Overview of smartphone control of hearing aids. Canadian Audiologist 2017;4. Accessed September 24, 2020 at: https://canadianaudiologist.ca/issue/volume-4-issue-4-2017/
- 29 The Hearing Review. President Trump signs OTC hearing aid legislation into law. Accessed September 24, 2020 at: https://www.hearingreview.com/inside-hearing/legislation/president-trump-signs-otc-hearing-aid-legislation-law
- 30 The Hearing Review. Blog: OTC hearing aid proposed regulations likely delayed until at least Q1 2020. Accessed September 24, 2020 at: https://www.hearingreview.com/hearing-products/hearing-aids/otc/blog-otc-hearing-aid-proposed-regulations-likely-delayed-until-at-least-q1-2020
- 31 Callaway SL, Punch JL. An electroacoustic analysis of over-the-counter hearing aids. Am J Audiol 2008; 17 (01) 14-24
- 32 Reed NS, Betz J, Kendig N, Korczak M, Lin FR. Personal sound amplification products vs a conventional hearing aid for speech understanding in noise. JAMA 2017; 318 (01) 89-90
- 33 Chan ZYT, McPherson B. Over-the-counter hearing aids: a lost decade for change. BioMed Res Int 2015; 2015: 827463
- 34 Cheng CM, McPherson B. Over-the-counter hearing aids: electroacoustic characteristics and possible target client groups. Audiology 2000; 39 (02) 110-116
- 35 Voss A, Oeding K, Bankaitis A. et al. How do today's PSAPs stack up in comparison with traditional hearing aids?. Accessed September 24, 2020 at: https://www.hearingreview.com/inside-hearing/research/coupler-real-ear-performance-psaps-hearing-aids
- 36 Smith C, Wilber L, Cavitt K. PSAPs vs hearing aids: an electroacoustic analysis of performance and fitting capabilities. The Hearing Review 2016; 23: 18
- 37 McPherson B, Wong ET. Effectiveness of an affordable hearing aid with elderly persons. Disabil Rehabil 2005; 27 (11) 601-609
- 38 Brody L, Wu Y-H, Stangl E. A comparison of personal sound amplification products and hearing aids in ecologically relevant test environments. Am J Audiol 2018; 27 (04) 581-593
- 39 Almufarrij I, Munro KJ, Dawes P, Stone MA, Dillon H. Direct-to-consumer hearing devices: capabilities, costs, and cosmetics. Trends Hear 2019; 23: 2331216519858301
- 40 Amlani AM, Taylor B, Levy C. et al. Utility of smartphone-based hearing aid applications as a substitute to traditional hearing aids. The Hearing Review 2013; 20: 16-18
- 41 Maidment DW, Ali YHK, Ferguson MA. Applying the COM-B model to assess the usability of smartphone-connected listening devices in adults with hearing loss. J Am Acad Audiol 2019; 30 (05) 417-430
- 42 Maidment DW, Ferguson M. An application of the Medical Research Council's Guidelines for evaluating complex interventions: a usability study assessing smartphone-connected listening devices in adults with hearing loss. Am J Audiol 2018; 27 (3S): 474-481
- 43 De Sousa KC, Moore DR, Motlagh-Zadeh L. et al. Do smartphone hearing aid apps work?. Hear J 2019; 71: 34-37
- 44 Medwetsky L, Kelly K, Bakke M. Earphone models for iPhones: surprising results when used with a hearing app. Accessed September 24, 2020 at: https://www.hearingreview.com/hearing-products/hearing-aids/apps/earphone-models-for-iphones-surprising-results-when-used-with-a-hearing-app
- 45 Amlani AM, Smaldino J, Hayes D, Taylor B, Gessling E. Feasibility of using a smartphone-based hearing aid application to improve attitudes toward amplification and hearing impairment. Am J Audiol 2019; 28 (01) 125-136
- 46 Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr 1974; 2: 328-335
- 47 Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011; 6: 42
- 48 Atkins L, Francis J, Islam R. et al. A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 2017; 12 (01) 77
- 49 Coulson NS, Ferguson MA, Henshaw H, Heffernan E. Applying theories of health behaviour and change to hearing health research: time for a new approach. Int J Audiol 2016; 55 (Suppl. 03) S99-S104
- 50 Medical Research Council. Developing and Evaluating Complex Interventions: New Guidance. London, United Kingdom: 2006
- 51 Olson A, Maidment DW, Ferguson MA. Consensus on the Use of Emerging Hearing Devices and Service Delivery Models in the UK. The Hearing Review 2020; 27 (07) 19-21
- 52 Fabry DA. The future of private practice in audiology. Semin Hear 2016; 37 (04) 369-378
- 53 Humes LE, Rogers SE, Quigley TM, Main AK, Kinney DL, Herring C. The effects of service-delivery model and purchase price on hearing-aid outcomes in older adults: a randomized double-blind placebo-controlled clinical trial. Am J Audiol 2017; 26 (01) 53-79
- 54 Leavitt R, Bentler R, Flexer C. Evaluating select personal sound amplifiers and a consumer-decision model for OTC amplification. The Hearing Review 2018; 25: 10-16
- 55 Sabin AT, Van Tasell DJ, Rabinowitz B, Dhar S. Validation of a self-fitting method for over-the-counter hearing aids. Trends Hear 2020; 24: 2331216519900589
- 56 Gomez R, Habib A, Maidment DW. et al. A smartphone-connected hearing aid app: what the patients say. The Fourth International Meeting on Internet and Audiology. Southampton, United Kingdom: 2019
- 57 GSMA Intelligence. The Mobile Economy 2019. London, United Kingdom: 2019
- 58 Pew Research Centre. Mobile Technology and Home Broadband 2019. Accessed September 24, 2020 at: https://www.pewresearch.org/internet/2019/06/13/mobile-technology-and-home-broadband-2019/
- 59 Amieva H, Ouvrard C, Giulioli C, Meillon C, Rullier L, Dartigues JF. Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: a 25-year study. J Am Geriatr Soc 2015; 63 (10) 2099-2104