Impact of hearing aid usage on the quality of life of the older adult in KwaZulu-Natal

BACKGROUND: Despite the benefits of hearing aids for patients experiencing presbycusis, their adoption and consistent use in this population remain low. OBJECTIVES: This study explores older adults' experiences with hearing aid use to better understand its perceived impact on the quality of life (QoL) and factors contributing to inconsistent use. METHOD: Adopting a phenomenological approach, semi-structured, in-person interviews were conducted with eight current hearing aid users, aged 67-84 years, presenting with varying degrees of hearing loss. Data were analysed using inductive thematic analysis. RESULTS: The findings revealed four key themes with three sub-themes each, highlighting a perceived positive impact of hearing aid usage on participants' QoL. Improved hearing enhanced communication with family and friends, reduced social isolation and fostered greater participation in social activities. Reduced anxiety and frustration enhanced emotional well-being. Challenges included initial resistance to hearing aids, adaptation difficulties and specific listening environment issues. Socioeconomic factors, such as transportation costs, posed significant barriers for individuals without medical aid coverage, limiting access to audiological services. CONCLUSION: Hearing aid use was perceived to enhance the QoL of older adults by improving social interactions, emotional well-being, cognition and listening comfort. However, uptake remains low because of resistance, adaptation challenges, technological difficulties and socioeconomic disparities. Addressing these barriers through patient education, improved service delivery, and research is essential to allow for an improvement in one's QoL.Contribution: This study provides insights into understanding factors influencing hearing aid usage in older adults who may have unique experiences and challenges related to hearing health.