Whether acquiring your first hearing device or looking for a replacement, considerations need to go far beyond typical “4 Cs” of Cost, Cosmetics, Convenience, and Comfort.
The type and severity of hearing loss will dictate the right style or model of instrument, ranging from a deep insertion to one behind-the-ear. Convenience and comfort should always trump cosmetics, a lesson often learned after a struggle with a cosmetically appealing product that may be hard to manage.
Good advice is to have a third party attend an evaluation. The amount of information presented can be overwhelming. A partner, friend or family member may know your skill level and preferences. This third party can be the voice of reason about what you can manage on a daily basis, thus solving a problem, not creating a new one. The size and shape of your hearing instrument need to be properly matched, not just to your audiogram, but to your skill level both physically and cognitively.
Simplicity for a novice hearing aid wearer can be very important. Most good digital instruments have controls which can be activated by the dispenser. This allows for ease of use in the beginning, determining the aid to be worn as a fully automatic device. New programs can be added when the wearer is ready to progress.
If a patient has had success with a certain style in the past, a replacement of similar style should be top on the list. If a different style offers features that mean a significant improvement in outcome, then the new style should be considered. Personalization is a process that captures all possible options, then narrows the choice to meet each individual’s need.
Many patients are capable of fully participating in the selection process. Others need more focused guidance. Having a patient professional explain the care and use of your instruments makes the process easier. You are unique. Your hearing rehabilitation plan is too. You are, when selecting a hearing aid, also selecting a partner to insure better hearing for a better life.