Taking Charge of Your Hearing

Your audiologist tells you that you have hearing loss and that you may benefit from wearing hearing aids. What do you do about it? The way you react often depends on your own motivation to make the change.

Prendre son audition en main Accepting your hearing loss and deciding to take action to improve your situation is part of a personal process, which can take some time. In fact, only one in five people who could benefit from wearing hearing aids makes an appointment. Most people wait until their hearing loss prevents them from communicating, even under favourable listening conditions, before seeing a professional.

A Long Process

Some psychologists (Prochaska and DiClemente) have introduced the concept of stages of change. As a person moves through the stages, the idea of change becomes more and more positive. In other words, it’s normal to question yourself and go through a range of emotions.

The model has six stages:

Pre-contemplation

At this stage, a person does not intend to change. They deny the problem.
My wife tells me that I’m making her repeat herself, but she’s the one who’s not speaking loud enough!

Contemplation

The person is aware that there’s a problem, but isn’t sure if they want to change. I know I’m hard of hearing, but other people will just have to talk to me louder!

Preparation

The person is preparing to change.I know I have hearing loss. I think I’ll go see an audiologist to get the facts straight.

Action

At this stage, the person takes a concrete step or action to improve the situation. I’ve made an appointment with an audiologist to have my hearing assessed.

Maintenance

The person continues their efforts. I’m following the professionals’ recommendations and wearing my hearing aids.

Termination

The person is aware of the progress they’ve made, and it’s part of their lifestyle. I can’t do without my hearing aids anymore!

The duration of each stage varies from person to person. It takes an average of ten years for a person to recognize that they have hearing loss and take control of their hearing.

Generally, people who see a hearing health professional on their own are in the contemplation or preparation stage. They know they have hearing loss and are interested in learning more about their hearing. On the other hand, people who make an appointment because a healthcare professional or loved one encourages them to do so are often in the pre-contemplation stage. They are not always ready to deal with their hearing loss because to them, there is no problem.

Self-stigmatization is another obstacle to getting help. This phenomenon involves consciously or unconsciously associating the hearing loss with something negative, like aging. This can lead people with hearing loss to hide their difficulties from those around them. This can involve avoiding unfavourable listening situations, which can lead some people to isolate themselves. Talking about your listening difficulties to other people with hearing loss can be a great help to overcome this self-stigmatization.

The first step towards this change is to have your hearing assessed. Make an appointment as soon as you feel ready!

Don't forget!

An assessment by an audioprosthetist is required to determine which hearing aid suits the patient's needs.

- DAVIS, A., SMITH, P., FERGUSON, M., STEPHENS, D. et GIANOPOULOS, I. Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health Technology Assessment–Southampton, 11(42). 2007. 
- GAGNÉ, J. P., SOUTHALL, K. et JENNINGS, M. B. Stigma and self-stigma associated with acquired hearing loss in adults. Hearing review, 18(8), 16-22. 2011. 
- PROCHASKA, J. O. et DICLEMENTE, C. C. The transtheoretical approach. Handbook of psychotherapy integration, 2, 147-171. 2005.