Choosing an OTC hearing aid is not easy.
Choosing an OTC hearing aid is not easy.
Over-the-Counter Hearing Aids: A New Pathway to Better Hearing
Aug. 3, 2023 – Ashley Bundy realized that not everyone around her could be mumbling and there must be another reason she was having trouble hearing them.
At 31, Ashley Bundy is now among the growing number of US adults who have taken advantage of the availability of over-the-counter hearing aids. When she was diagnosed earlier this year with mild to moderate hearing loss, she was told she may have to spend upwards of $10,000 on hearing aids. However, after extensive research, she bought a pair over the counter for $1,300 that she controls with an app on her phone.
“Ten thousand dollars is the price of a car,” said Bundy, who lives in Minnesota. “We shouldn’t be punished for not being able to hear.”
Now that she has them, Bundy realized how many things she couldn’t hear before, down to the buzzing overhead lights at the hardware store where she works. But for some – particularly those with more complex hearing loss, the option to bypass an audiologist makes the process more overwhelming and confusing.
Jim Tolbert, a 67-year-old longtime hearing aid user, has what is commonly referred to as “cookie bite” hearing loss. This means he has trouble hearing mid-range frequencies that are about the range of human speech. For this reason, Tolbert needs aids that have many different “channels” or groups of frequencies that can be amplified as needed. The last pair he bought were $3,700 per ear, and he would like to buy more affordable ones if possible. However, his attempts to gather information on how to do it, mostly over social media, have not been successful.
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Tolbert’s experience is a common one given how new over-the-counter options are, said Barbara Kelley, executive director of the Hearing Loss Association of America. The FDA estimates that close to 30 million adults in the U.S. have some degree of hearing loss, but only about 20% seek help. Many people still aren’t familiar with the products and often are unsure whether they should try them.
Though it is too early to know any solid data, anecdotally audiologists are reporting increased appointments related to hearing testing and discussion of options, said Catherine Palmer, PhD, past president of the American Academy of Audiology and director of audiology at the University of Pittsburgh Medical Center.
Palmer said the sheer volume of available products might be a barrier in itself. There is compelling data that shows “people become overwhelmed with too many choices and therefore make no choice.” She added that audiologists are reporting more people coming in with hearing aids that they have purchased but are not sure how to use.
“Dozens of companies now sell hearing aids. Many can be connected to your smartphone via Bluetooth and feature apps that help you tune your device. They are sold at drugstores, big-box stores, and online,” reports Hearing Loss Association of America.
The increased availability and lower prices are more than just conveniences. Research has consistently shown that untreated hearing loss may contribute to a host of health problems. A large study by the National Council on Aging connected hearing loss to stress, anger, depression, loneliness, memory loss, and many other problems. The study showed it could hurt a worker’s chances of earning a raise or promotion. Moreover, new research shows hearing aids could also help stave off dementia.
A randomized trial of almost 1,000 adults aged 70-84 with untreated hearing loss, who also had dementia-related risk factors like diabetes and high blood pressure, found that hearing aids could cut the risk of Alzheimer’s and other dementias by half. This is the largest study on the subject to date and the results were presented at the Alzheimer’s Association International Conference (AAIC) 2023.
The results are bolstering a recent push from advocates and hearing experts for more awareness of hearing loss as a public health issue – one that is often neglected. “Typically, we see it takes people about 5 years after experiencing hearing loss to take a step. Hearing health is so much a part of overall health. We need to protect it, screen for it, be aware of it,” says Kelly from the Hearing Loss Association of America.
However, it’s important to note that not everyone is a suitable candidate for over-the-counter hearing aids. The American Academy of Audiology provides guidelines on who should not get over-the-counter hearing aids, including individuals with certain ear conditions such as malformed or misshapen ears, recent ear drainage, dizziness, or significant ear wax accumulation.
Despite some customer confusion, having hearing aids easily available, at the very least, leads to more interest from consumers in their own hearing health. “Some may start to look at over-the-counter hearing aids and become overwhelmed and therefore seek professional assistance,” says Catherine Palmer, past president of the American Academy of Audiology.
In conclusion, over-the-counter hearing aids offer a new pathway to better hearing for millions of Americans with mild to moderate hearing loss. While some individuals may find the vast array of options overwhelming, the increased availability and lower prices of over-the-counter hearing aids have significant benefits. They not only contribute to improved hearing but also have the potential to alleviate cognitive decline and the associated risks of conditions like dementia. As awareness of hearing loss as a public health issue grows, it is essential to protect and prioritize hearing health, promoting early screening and intervention for those who need it.
