Baixa adesão à reabilitação auditiva: causas e impacto na satisfação de usuários de um serviço público no sul do Brasil
Low adherence to hearing rehabilitation: causes and impact on the satisfaction of users of a public service in southern Brazil
Brenda Larissa de Souza da Silva; Rejane Londero; Fernanda Soares Aurélio Patatt
Resumo
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Abstract
Purpose: To investigate the reasons for low adherence to treatment with hearing aids among adults and older adults attended in a public service in the Southern Region of Brazil, and to verify whether there is an association with sociodemographic and contextual variables, as well as to examine the relationship with the level of satisfaction with amplification among these individuals.
Methods: A total of 201 hearing aid users participated, all with devices in good working condition and an average daily use (datalogging) of less than eight hours per day. Sociodemographic and contextual information was collected through oral interviews and review of medical records. Satisfaction with hearing aid use was assessed using the Satisfaction With Amplification in Daily Life questionnaire.
Results: Reduced perception of hearing-related disadvantages was the most frequent reason for insufficient device use (17.9%), especially among users with less than three hours of daily use. Concerning technical factors, fear of damaging the device (16.6%) was the most frequently reported, particularly among those who used the devices between three and six hours per day. Emotional issues were more frequently reported by women (p = 0.008), whereas fear of damaging the device was more prevalent among men (38.46%; p = 0.010) and was associated with occupation (p = 0.044). Overall and subscale scores indicated high satisfaction with hearing aids.
Conclusion: The most common reasons for low hearing aid use were reduced perception of hearing-related disadvantages and fear of damaging the device, which were associated with sex and occupation. Despite these barriers, users reported overall satisfaction with the device.
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References
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Submitted date:
09/27/2025
Accepted date:
03/15/2026
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