Narratives of identity: understanding the experiences of adults with hearing loss who use hearing aids

Int J Audiol. 2020 Mar;59(3):186-194. doi: 10.1080/14992027.2019.1683626. Epub 2019 Oct 30.

Abstract

Objective: We aimed to determine the identities that adults with hearing loss construct when telling stories about their experiences with hearing loss and hearing aids. Determining and understanding these identities is important because research shows that who a person believes themselves to be has implications for how they approach their healthcare, along with their emotional and physical wellbeing.Design: We employed a qualitative narrative approach. We then used thematic narrative analysis to identify emergent identities across stories gathered from hearing aid users. These themes allowed us to assign emergent identities to the hearing-aid users.Study Sample: Thirty adults with hearing loss who reported using their hearing aids during all waking hours.Results: Five identities emerged from the hearing-aid users' narratives: (1) the satisfied user, (2) the overcomer, (3) the dispassionate user, (4) the frustrated and resigned user, and (5) the griever.Conclusion: These findings are a first step to improving theoretical and clinical insights into the perspectives and experiences of satisfied hearing-aid users following diagnosis of their hearing loss and their hearing aid fittings. Such insights could ultimately improve hearing healthcare providers' abilities to employ person-centered care while helping adults with hearing loss seek out, implement, and adhere to treatment.

Keywords: Hearing aids; hearing loss; identities; narrative sensemaking; thematic narrative analysis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Hearing Aids / psychology*
  • Hearing Loss / psychology*
  • Hearing Loss / rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / psychology*
  • Personal Narratives as Topic
  • Persons With Hearing Impairments / psychology*
  • Qualitative Research
  • Young Adult