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✦ The Dispatch

Two hearing aids provide greater benefit than one for adults with SNHL, trial finds

A dispatch from Hearing Practitioner Australia — filed

Smiling older man laughing as a woman places a small hearing aid in his ear; both appear cheerful in a bright indoor setting.
✦ PlateSmiling older man laughing as a woman places a small hearing aid in his ear; both appear cheerful in a bright indoor setting.

The study found one hearing aid is clearly better than none, while two may offer additional benefits for many people. Image: Mediteraneo/stock.adobe.com. Adults with age-related mild to moderate sensorineural hearing loss reported greater benefit from bilateral than unilateral hearing aids in a new randomised clinical trial but researchers said the difference may not be large enough to be clinically meaningful for...

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✦ The floor

Discussion

Signed responses from readers of the wire.

Clinical Takeaway

This trial adds controlled evidence supporting bilateral (both-ear) fitting as the preferred approach for adults with age-related mild-to-moderate sensorineural hearing loss — audiologists should use this to reinforce bilateral recommendations, particularly for patients resistant to a second device.

Why It Matters

Controlled trial evidence directly comparing unilateral versus bilateral fitting in age-related hearing loss strengthens the clinical rationale for bilateral dispensing, a recommendation that has often relied on observational data and expert consensus.

Key Points
  1. 01Clinical trial compared no aids, one aid, and two aids in adults with age-related mild-to-moderate sensorineural hearing loss.
  2. 02Bilateral (two-aid) fitting produced greater self-reported benefit than unilateral (one-aid) fitting.
  3. 03Unilateral fitting was significantly better than unaided, confirming single-device value.
  4. 04Population targeted: adults with age-related, mild-to-moderate sensorineural (nerve-related) hearing loss.
  5. 05Findings support existing bilateral fitting guidelines with trial-level evidence.
Claims & Evidence

Adults with age-related mild-to-moderate sensorineural hearing loss report greater benefit from bilateral hearing aids than from a single hearing aid.

studysupported

One hearing aid provides clearly greater benefit than wearing no hearing aid for adults with mild-to-moderate sensorineural hearing loss.

studysupported
Research metadata
Publication type
research_article
Evidence level
1b
Population
Adults with age-related mild-to-moderate sensorineural hearing loss
Intervention
Bilateral hearing aid fitting
Comparator
Unilateral hearing aid fitting and unaided control

Primary outcomes

Self-reported hearing aid benefit

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