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The Benefits of Audiologist-Led Hearing Aid Fittings vs. Over-the-Counter Options

The Benefits of Audiologist-Led Hearing Aid Fittings vs. Over-the-Counter Options

By
Dr. John Martinetti
September 19, 2024
7 minute read

Recent changes in hearing aid regulations have brought about new options for those experiencing hearing difficulties. While over-the-counter (OTC) hearing aids provide improved accessibility, they lack the personalized care and expert fitting services offered by professionals. These OTC devices cater to adults with perceived mild to moderate hearing loss but might not effectively address more intricate hearing problems.

Audiologist-led fittings ensure that your hearing aids are precisely tailored to your specific needs using advanced techniques like Real Ear Measurements (REM). This level of personalization is simply not possible with off-the-shelf solutions. Moreover, hearing loss can sometimes be a symptom of underlying health conditions that require medical attention. A professional evaluation can identify these issues and ensure you receive appropriate care.

Managing Complex Hearing Concerns

Over-the-counter (OTC) hearing aids, while suitable for mild to moderate hearing loss, fall short in addressing intricate hearing challenges. Audiologist-led fittings are crucial for individuals with severe to profound hearing loss, asymmetrical hearing loss, tinnitus, balance disorders, or specific listening difficulties in certain environments.

At our practice, we recognize hearing health as a key aspect of overall well-being. Our holistic approach to hearing care involves considering factors like cognitive health, balance, and quality of life. We can offer valuable insights into the interrelation between hearing loss and other health conditions, such as diabetes or cognitive decline.

Additionally, during your hearing evaluation, if we detect underlying medical issues, we can provide appropriate referrals to other healthcare professionals. This integrated approach to healthcare goes beyond what OTC solutions can offer.

Long-Term Cost-Effectiveness of Audiologist-Led Hearing Aid Fittings

While over-the-counter (OTC) hearing aids may initially appear more affordable, audiologist-led fittings can offer superior cost-effectiveness in the long run. Professional fittings increase the likelihood of obtaining the optimal solution from the outset, minimizing the need for ineffective devices or frequent replacements.

Personalized Hearing Aid Selection Process

We recognize that each person's hearing needs are unique. Our approach to hearing aid selection goes beyond simply picking a device off the shelf. We conduct a comprehensive evaluation to find the most suitable hearing solution for your individual circumstances.

Hearing Evaluation Results: We analyze your hearing evaluation results, including the type and degree of your hearing loss, to understand your specific needs.

Lifestyle: We assess your daily activities, such as exposure to noisy environments, concert attendance, and sports participation, to determine the most appropriate hearing aid features.

Physical Abilities: We consider factors like dexterity and vision when recommending hearing aid styles and features. For example, rechargeable hearing aids may be recommended if you have arthritis.

Budget: We understand that hearing aids are a significant investment. We work with you to find a solution that meets your hearing needs while respecting your financial considerations.

Technological Comfort: We consider your comfort level with technology when making recommendations. Some individuals prefer smartphone apps to control their hearing aids, while others prefer simpler options.

Real Ear Measurements: The Gold Standard in Hearing Aid Fitting

Real Ear Measurements (REM) are a cornerstone of professional hearing aid fittings, setting audiologist-led care apart from over-the-counter solutions. This evidence-based technique ensures your hearing aids are precisely programmed to address your unique hearing needs. REM involves placing a small, sensitive microphone in your ear canal while you're wearing your hearing aids. This microphone measures the actual sound output of the devices as they sit in your ear. 

Why is this important? Because every person's ear canal is shaped differently, affecting how sound travels to the eardrum. REM accounts for these individual variations, allowing for truly personalized programming.

At our clinic, we follow a meticulous REM protocol:

  1. Otoscopic Examination: We begin by examining your ear canal to ensure it's clear and healthy.
  2. Probe Tube Calibration: We carefully calibrate the measurement equipment for accuracy.
  3. Real Ear Aided Response (REAR) Measurement: We measure how your hearing aid performs in your ear across different frequencies.
  4. Personalized Adjustments: Based on the REAR results, we fine-tune your hearing aid's amplification levels to match your unique prescription.
  5. Real-World Sound Testing: We verify the settings using various sound stimuli that mimic everyday listening situations.

Without Real Ear Measurement (REM), it's challenging to determine if hearing aids provide the ideal amplification level. Insufficient amplification may impair hearing, while excessive amplification can lead to discomfort or distorted sounds. REM eliminates this guesswork, guaranteeing the delivery of the appropriate level of sound precisely where it's needed.

REM's precision offers substantial benefits for hearing aid performance. It enhances speech comprehension by ensuring accurate amplification across various frequencies, making it easier to distinguish speech sounds, particularly in difficult listening environments. Additionally, it improves listening comfort by minimizing the risk of over-amplification, which can cause discomfort or fatigue.

REM empowers audiologists to fully utilize hearing aids' advanced features, tailoring them to individual requirements. Proper hearing aid fitting from the outset facilitates quicker adaptation and enables users to enjoy the full potential of their devices. Choosing an audiologist that employs REM ensures the investment in better hearing is optimized for individual needs, resulting in enhanced speech understanding, increased comfort, and overall higher satisfaction with hearing aids.

Continuous Care for Optimal Hearing Solutions

The hearing aid fitting is a journey, not a one-time event. By choosing our audiologist-led fittings, you gain access to ongoing support and personalized care. Our commitment to your satisfaction extends beyond the initial fitting. Regular follow-up appointments allow us to fine-tune your devices, ensuring they continue to meet your evolving hearing needs. We are here to address any concerns or questions you may have along the way.

Before making a final decision, we offer a "Hearing Test Drive" approach. This trial period provides an opportunity to experience your hearing aids in real-world situations. It's crucial for you to be completely satisfied with your hearing solution, and this trial period helps us achieve that goal.

As your hearing needs change over time, we're here to make necessary adjustments to your devices. This level of ongoing care is a unique advantage of choosing our services. With OTC hearing aids, you're largely on your own after the initial purchase, which may not be ideal for an ongoing health concern that significantly impacts your life.

Your Next Steps

While OTC hearing aids have increased accessibility to hearing solutions, audiologist-led fittings offer numerous benefits that can significantly improve your hearing experience and overall quality of life. From comprehensive evaluations and customized fittings using Real Ear Measurements to ongoing support and access to advanced technologies, professional care provides a level of personalization and expertise that OTC options can't match. If you're considering hearing aids or want to explore how professional fittings can benefit you, we encourage you to schedule a consultation with Dr. Martinetti. Take the first step towards better hearing today – your future self will thank you!

Written by
Reviewed by
Dr. John Martinetti
Au.D. FAAA, CCC, Director

John Martinetti graduated with the Highest of Honors: “Suma Cum Laude” from C. W. Post, Long Island University with a Bachelors of Arts Degree in Speech and Hearing In 1976. He has earned two Masters Degrees: Speech-Language Pathology in 1978 and Audiology in 1983.

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