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Solution adoption Question 01

Can focusing on positive listening experiences improve hearing aid outcomes?

Solution adoption Question 01

The challenge

Overcoming negative bias in the use of hearing aid

Negativity bias is a psychological phenomenon where negative experiences feel more significant than positive ones. In hearing care, this means that hearing aid benefits can be overshadowed by difficult listening situations, negatively influencing user satisfaction and, in turn, hearing aid use.

 

Research in positive psychology has shown that intentionally focusing on positive emotional experiences can help counteract negativity bias.

Our approach

Investigating positive listening experiences

We conducted a series of studies to determine whether Positive Focus, an intervention that encourages hearing aid users to reflect on positive listening experiences, could improve hearing aid outcomes.

 

We assessed the effects of Positive Focus on hearing aid benefit and satisfaction in both first-time and experienced users across three studies. In a subsequent follow-up study, we examined how emotional responses to everyday sounds may influence the effectiveness of the Positive Focus intervention

 

In all four studies, participants were divided into two groups: one group documented and reflected on positive experiences, while the control group continued using their hearing aids as usual.

 
We primarily evaluated:

 

  • Self-reported hearing aid satisfaction
  • Self-reported hearing aid benefit
  • Measured speech-in-noise abilities

 

Our approach

Evaluating the Positive Focus intervention

Study 1: Three-Week Trial investigating experienced self-reported hearing aid benefit and satisfaction (21 Experienced Users)

  • Participants in the PF group engaged in short-term Positive Focus reflection.
  • • The Positive Focus intervention led to significant improvements in user satisfaction and self-reported hearing aid benefit after only two weeks.

 

Study 2: Six-Month Trial investigating experienced self-reported hearing aid benefit and satisfaction (38 First-Time Users)

  • Significant gains in self-reported hearing aid benefit and satisfaction were observed after just two weeks of exposure to the positive focus intervention.
  • Improvements in self-reported hearing aid benefit and satisfaction were sustained over the six-month follow-up period, even as Positive Focus engagement declined..

 

Study 3: Two-Week Trial investigating measured speech-in-noise abilities (30 Experienced Users)

  • The Positive Focus intervention led to significant improvement in speech-in-noise performance after only two weeks.

 
Study 4: Three-Week trial exploring how emotional responses to everyday sounds influence effectiveness of the Positive Focus intervention (30 Experienced Users)

  • Positive Focus works best for those who are less naturally inclined to experience pleasant emotional responses to sounds that are typically perceived as enjoyable. This highlights the potential for more personalized hearing care.
  • Screening emotional responses to pleasant sounds may help tailor hearing interventions, such as Positive Focus, more effectively.

"Sounds I heard to some extent "with a filter" before I got hearing aids, but just tonight more intense than they usually are - a nice experience"

Key insights

Lasting impact of positive focus

Overall, the Positive Focus studies highlight the importance of encouraging hearing aid users to focus on positive listening experiences to improve both short- and long-term outcomes.

 

The results from first-time users suggest that reflecting on positive listening experiences during the critical hearing aid onboarding period can have lasting effects.

 

 

 

Looking ahead Enhancing hearing aid outcomes

Future research focus

Our research continues to investigate positive listening experiences from multiple perspectives. As the research program evolves, we aim to better understand how behavioral and psychological factors contribute to successful hearing rehabilitation and how these insights can inform more person-centered approaches to hearing care.

Real-world impact

A simple yet effective approach to hearing care

By integrating Positive Focus into audiological care, we can:

 

  • Help hearing aid users develop lasting positive perceptions of their devices.

 

  • Support clinicians in using Positive Focus to improve patient satisfaction and long-term hearing aid use.

 

Our research suggests that successful hearing rehabilitation involves more than improving audibility alone. Alongside hearing technology, behavioral and psychological factors may influence how people adapt to hearing aids and experience everyday listening.

 

Related Publications

Explore our research on Positive Focus

Researchers involved

Partners Universities