Using hearing aids may contribute to better functioning in the everyday lives of hearing-impaired older individuals. We introduce an integrative concept for the efficient use of hearing aids that involves both satisfaction with, and behaviour towards, hearing aids. We review theoretical and empirical work on the predictors of the efficient use of hearing aids in everyday life. Furthermore, we contend that the use of hearing aids requires improved understanding of the variability of hearing demands within specific contexts of everyday life (e.g. conversation with family members, listening to music). The efficiency of hearing aid use thus depends on the fit of situational demands, personal resources, and the specific configuration of the hearing aid device. We propose an integrative person-environment-fit model that advances concepts of selection, optimisation, and compensation to hearing aid efficiency. We discuss the implications of this model for research and for practitioners in the field of gerontology.

1.
Chien W, Lin FR: Prevalence of hearing aid use among older adults in the United States. Arch Intern Med 2012;172:292-293.
2.
Hougaard S, Ruf S: EuroTrak I: A consumer survey about hearing aids in Germany, France, and the UK. Hear Rev 2011;18:12-28.
3.
Gopinath B, Schneider J, Hartley D, Teber E, McMahon CM, Leeder SR, Mitchell P: Incidence and predictors of hearing aid use and ownership among older adults with hearing loss. Ann Epidemiol 2011;21:497-506.
4.
Wiesner M, Tesch-Römer C: Hörgerätebenutzung im Alter: Der Zusammenhang zwischen Intention und Verhalten. [Use of hearing aids in old age: the relation between intention and behavior]. Z Gerontol Geriatr 1996;29:273-279.
5.
Nabelek AK, Freyaldenhoven MC, Tampas JW, Burchfiel SB, Muenchen RA: Acceptable noise level as a predictor of hearing aid use. J Am Acad Audiol 2006;17:626-639.
6.
Cox RM, Alexander GC, Gray GA: Personality, hearing problems, and amplification characteristics: contributions to self-report hearing aid outcomes. Ear Hear 2007;28:141-162.
7.
Lindenberger U, Lövdén M, Schellenbach M, Li S-C, Krüger A: Psychological principles of successful aging technologies: a mini-review. Gerontology 2008;54:59-68.
8.
Lin FR, Niparko JK, Ferrucci L: Hearing loss prevalence in the United States. Arch Intern Med 2011;171:1851-1853.
9.
Smeeth L, Fletcher AE, Siu-Woon Ng E, Stirling S, Nunes M, Breeze E, Bulpitt CJ, Jones D, Tulloch A: Reduced hearing, ownership, and use of hearing aids in elderly people in the UK - the MRC trial of the assessment and management of older people in the community: a cross-sectional survey. Lancet 2002;359:1466-1470.
10.
World Health Organization: Prevention of Blindness and Deafness. Geneva, WHO, 2004.
11.
Gates GA, Mills JH: Presbycusis. Lancet 2005;366:1111-1120.
12.
Chisolm TH, Willott JF, Lister JJ: The aging auditory system: anatomic and physiologic changes and implications for rehabilitation. Int J Audiol 2003;42:3-10.
13.
Dalton DS, Cruickshanks KJ, Klein BEK, Klein R, Wiley TL, Nondahl DM: The impact of hearing loss on quality of life in older adults. Gerontologist 2003;43:661-668.
14.
Lin FR: Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci 2011;66A:1131-1136.
15.
Popelka MM, Cruickshanks KJ, Wiley TL, Tweed TS, Klein BEK, Klein R: Low prevalence of hearing aid use among older adults with hearing loss: the epidemiology of hearing loss study. J Am Geriatr Soc 1998;46:1075-1078.
16.
Tesch-Römer C: Psychological effects of hearing aid use in older adults. J Gerontol B Psychol Sci Soc Sci 1997;52B:127-138.
17.
Hartley D, Rochtchina E, Newall P, Golding M, Mitchell P: Use of hearing aids and assistive listening devices in an older Australian population. J Am Acad Audiol 2010;21:642-653.
18.
Laplante-Levesque A, Knudsen LV, Preminger JE, Jones L, Nielsen C, Oberg M, Lunner T, Hickson L, Naylor G, Kramer SE: Hearing help-seeking and rehabilitation: perspectives of adults with hearing impairment. Int J Audiol 2012;51:93-102.
19.
Wahl H-W, Schilling O, Becker S: Age-related macular degeneration and change in psychological control: role of time since diagnosis and functional ability. J Gerontol B Psychol Sci Soc Sci 2007;62B:90-97.
20.
Baltes MM, Lang FR: Everyday functioning and successful aging: the impact of resources. Psychol Aging 1997;12:433-443.
21.
Hallberg LR, Carlsson SG: A qualitative study of strategies for managing a hearing impairment. Br J Audiol 1991;25:201-211.
22.
Brooks DN, Hallam RS: Attitudes to hearing difficulty and hearing aids and the outcome of audiological rehabilitation. Br J Audiol 1998;32:217-226.
23.
Öberg M, Marcusson J, Nägga K, Wressle E: Hearing difficulties, uptake, and outcomes of hearing aids in people 85 years of age. Int J Audiol 2012;51:108-115.
24.
Erber NP: Use of hearing aids by older people: Influence of non-auditory factors (vision, manual dexterity). Int J Audiol 2003;42:21-25.
25.
Lunner T: Cognitive function in relation to hearing aid use. Int J Audiol 2003;42(suppl 1):s49-s58.
26.
Corna LM, Wade TJ, Streiner DL, Cairney J: Corrected and uncorrected hearing impairment in older Canadians. Gerontology 2009;55:468-476.
27.
Horgas AL, Wilms H-U, Baltes MM: Daily life in very old age: everyday activities as expression of successful living. Gerontologist 1998;38:556-568.
28.
Kochkin S: Why my hearing aids are in the drawer: the consumer's perspective. Hear J 2000;53:34-42.
29.
McCormack A, Fortnum H: Why do people fitted with hearing aids not wear them? Int J Audiol 2013;52:360-368.
30.
Cohen-Mansfield J, Taylor JW: Hearing aid use in nursing homes. Part 2: Barriers to effective utilization of hearing aids. J Am Med Dir Assoc 2004;5:289-296.
31.
Saunders GH, Frederick MT, Silverman S, Papesh M: Application of the health belief model: development of the hearing beliefs questionnaire (HBQ) and its associations with hearing health behaviors. Int J Audiol 2013;52:558-567.
32.
Bertoli S, Bodmer D, Probst R: Survey on hearing aid outcome in Switzerland: associations with type of fitting (bilateral/unilateral), level of hearing aid signal processing, and hearing loss. Int J Audiol 2010;49:333-346.
33.
Lawton MP, Nahemow L: Ecology and the aging process; in Eisdorfer C, Lawton MP (eds): The Psychology of Adult Development and Aging. Washington, American Psychological Association, 1973, pp 619-674.
34.
Baltes PB, Baltes MM: Psychological perspectives on successful aging: the model of selective optimization with compensation; in Baltes PB, Baltes MM (eds): Successful Aging: Perspectives from the Behavioral Sciences. New York, Cambridge University Press, 1990, pp 1-34.
35.
Freund AM, Baltes PB: Life-management strategies of selection, optimization, and compensation: measurement by self-report and construct validity. J Pers Soc Psychol 2002;82:642-662.
36.
Gignac MAM, Cott C, Badley EM: Adaptation to disability: applying selective optimization with compensation to the behaviors of older adults with osteoarthritis. Psychol Aging 2002;17:520-524.
37.
John D, Lang FR: Adapting to unavoidable loss during adulthood: a thinking-aloud study with video vignettes. GeroPsych 2012;25:73-82.
38.
Lang FR, Rieckmann N, Baltes MM: Adapting to aging losses: do resources facilitate strategies of selection, compensation, and optimization in everyday functioning? J Gerontol B Psychol Sci Soc Sci 2002;57B:501-509.
39.
Lang FR, Rohr MK, Williger B: Modeling success in lifespan psychology: the principles of selection, optimization, and compensation; in Fingerman K, Berg C, Antonucci T, Smith J (eds): Handbook of Lifespan Development. New York, Springer, 2011, pp 57-85.
40.
Baltes MM, Carstensen LL: Social-psychological theories and their applications to aging: from individual to collective; in Bengtson VL, Schaie KW (eds): Handbook of Theories of Aging. New York, Springer, 1999, pp 209-226.
41.
Marsiske M, Lang FR, Baltes MM, Baltes PB: Selective optimization with compensation: Life-span perspectives on successful human development; in Dixon RA, Bäckman L (eds): Compensating for Psychological Deficits and Declines: Managing Losses and Promoting Gains. Hillsdale, Lawrence Erlbaum Associates, 1995, pp 35-79.
42.
Baltes MM, Carstensen LL: The process of successful ageing. Ageing Soc 1996;16:397-422.
43.
Hallberg LRM, Erlandsson SI, Carlsson SG: Coping strategies used by middle-aged males with noise-induced hearing loss, with and without tinnitus. Psychol Health 1992;7:273-288.
44.
Kricos PB: Audiologic management of older adults with hearing loss and compromised cognitive/psychoacoustic auditory processing capabilities. Trends Amplif 2006;10:1-28.
45.
Harkins J, Tucker P: An internet survey of individuals with hearing loss regarding assistive listening devices. Trends Amplif 2007;11:91-100.
46.
Wahl H-W, Becker S, Burmedi D, Schilling O: The role of primary and secondary control in adaptation to age-related vision loss: a study of older adults with macular degeneration. Psychol Aging 2004;19:235-239.
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