Perspective of Parents of Infants and Children with Hearing Impairment about Hearing Aid Management: A Questionnaire-Based Study

Abstract

Introduction

It is important to understand the intricacies of hearing aid management early in the child's life to appreciate the full benefits of early intervention.

Objective

Identifying aspects of hearing aid management that carers regard as taxing will allow hearing professionals to focus and encourage these areas, potentially leading to higher hearing aid use and better outcomes.

Methods

49 parents of children with hearing impairment participated in the study. Parent Hearing Aid Management Inventory (PHAMI) was used to explore parent access to information and experiences in three domains such as parent skills and confidence in hearing aid management, hearing aid use, and communication with the audiologist using a 4-point rating scale. The data was collected using direct interviews and through Microsoft forms.

Results

The majority of the parents desired information and support in identifying hearing aid options/accessories, obtaining financial assistance for costs, and using a listening stethoscope for determining when the hearing aid was not working. The most common challenges identified by parents as influencing their child's hearing aid use were activities (for example, playing, travelling in the car), and the fear of losing and damaging the hearing aids. Although many parents were pleased with the audiologist's assistance, they desired that the audiologist be more patient and contact them more regularly after the hearing aids were fitted.

Conclusion

Professionals can help with effective device management by addressing parental challenges, collaborating on specific device management goals, and helping as needed.

Keywords

hearing aid management - parent perspective - outcomes - pediatric audiology

Publication History

Received: 25 January 2024

Accepted: 24 May 2025

Article published online:
10 September 2025

• References

• 1 Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics 1998; 102 (05) 1161-1171
• 2 Tomblin JB, Harrison M, Ambrose SE, Walker EA, Oleson JJ, Moeller MP. Language Outcomes in Young Children with Mild to Severe Hearing Loss. Ear Hear 2015; 36 (01) 76S-91S
• 3 Ching TY, Scarinci N, Marnane V, Sjahalam-King J, Button L, Whitfield J. Factors influencing parents' decisions about communication choices during early education of their child with hearing loss: a qualitative study. Deafness Educ Int 2018; 20 (3-4): 154-181
• 4 Nittrouer S, Lowenstein JH, Antonelli J. Parental Language Input to Children With Hearing Loss: Does It Matter in the End?. J Speech Lang Hear Res 2019; 63 (01) 234-258
• 5 Muñoz K, Blaiser K, Barwick K. Parent hearing aid experiences in the United States. J Am Acad Audiol 2013; 24 (01) 5-16
• 6 Muñoz K, Olson WA, Twohig MP, Preston E, Blaiser K, White KR. Pediatric hearing aid use: parent-reported challenges. Ear Hear 2015; 36 (02) 279-287
• 7 Caballero A, Muñoz K, White K, Nelson L, Domenech-Rodriguez M, Twohig M. Pediatric Hearing Aid Management: Challenges among Hispanic Families. J Am Acad Audiol 2017; 28 (08) 718-730
• 8 Muñoz K, Rusk SE, Nelson L. et al. Pediatric Hearing Aid Management: Parent-Reported Needs for Learning Support. Ear Hear 2016; 37 (06) 703-709
• 9 Walker EA, Spratford M, Moeller MP. et al. Predictors of hearing aid use time in children with mild-to-severe hearing loss. Lang Speech Hear Serv Sch 2013; 44 (01) 73-88
• 10 Sjoblad S, Harrison M, Roush J, McWilliam RA. Parents' reactions and recommendations after diagnosis and hearing aid fitting. Am J Audiol 2001; 10 (01) 24-31
• 11 Muñoz K, Preston E, Hicken S. Pediatric hearing aid use: how can audiologists support parents to increase consistency?. J Am Acad Audiol 2014; 25 (04) 380-387
• 12 Moeller MP, Hoover B, Peterson B, Stelmachowicz P. Consistency of hearing aid use in infants with early-identified hearing loss. Am J Audiol 2009; 18 (01) 14-23