Kelsey Mankel, Caitlin N Price, Allie Austin, Mira Milman
{"title":"Survey of Audiologists' Clinical Practice Patterns and Perceptions of Electrophysiological Assessments.","authors":"Kelsey Mankel, Caitlin N Price, Allie Austin, Mira Milman","doi":"10.1044/2026_AJA-25-00334","DOIUrl":"10.1044/2026_AJA-25-00334","url":null,"abstract":"<p><strong>Purpose: </strong>Electrophysiological assessments in audiology are used for neurodiagnostic evaluations, newborn hearing screenings, and estimating auditory thresholds when behavioral responses are unobtainable or unreliable. Nonetheless, evidence suggests that many electrophysiological tools remain underutilized. This study examined current practice patterns, perceptions, and barriers related to electrophysiological testing among audiologists in the United States.</p><p><strong>Method: </strong>An online survey distributed between January and April 2025 yielded 220 eligible responses. Participants answered questions specific to their patient population (i.e., <i>n</i> = 178 regarding adult patients, <i>n</i> = 174 for pediatric patients) to examine potential differences in utilization and perspectives.</p><p><strong>Results: </strong>Nearly 60% of audiologists working with pediatric populations reported using electrophysiological techniques at least monthly compared to approximately 40% of those working with adults. Across specific tests, auditory brainstem response testing was the most frequently used for both populations, followed by electrocochleography and vestibular evoked myogenic potentials. Most respondents rated electrophysiological assessments as very or quite useful and beneficial for at least some or most patient cases. Key barriers included lack of time, financial limitations related to equipment and reimbursement, and population-specific challenges (pediatric populations: setup or recording difficulties including patient cooperation, noise, etc.; adult populations: limited perceived clinical relevance of electrophysiological techniques).</p><p><strong>Conclusions: </strong>These findings underscore both the recognized value of electrophysiological assessments as well as the practical, perceptual, and financial barriers restricting broader implementation. Addressing these challenges at individual, institutional, and national levels may support fuller scope-of-practice adoption and enhance patient care across the field.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33043112.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1060-1077"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xinyue Zou, Yujing Cheng, Ying Shi, Biao Chen, Jingyuan Chen, Yongxin Li, John J Galvin, Qian-Jie Fu
{"title":"The Relationship Between Monaural and Binaural Spectral Resolution in Bilateral Cochlear Implant Users.","authors":"Xinyue Zou, Yujing Cheng, Ying Shi, Biao Chen, Jingyuan Chen, Yongxin Li, John J Galvin, Qian-Jie Fu","doi":"10.1044/2026_AJA-26-00035","DOIUrl":"10.1044/2026_AJA-26-00035","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of the present study was to investigate how monaural performance, interaural asymmetry, and the timing of bilateral implantation (simultaneous, sequential) contribute to binaural spectral ripple discrimination and binaural summation in bilateral cochlear implant (BiCI) users.</p><p><strong>Method: </strong>Twenty Mandarin-speaking adult BiCI users participated in the study. Of the 20 participants, 10 underwent sequential bilateral cochlear implantation, and 10 underwent simultaneous bilateral cochlear implantation. Spectral resolution was assessed using the Spectral-temporally Modulated Ripple Test (SMRT) under both monaural and binaural listening conditions. Binaural summation benefit was quantified as the difference between binaural SMRT scores and monaural SMRT scores in the better performing ear. Interaural performance asymmetry was quantified as the difference in monaural SMRT scores between each cochlear implant (CI) ear tested individually. Binaural and monaural spectral resolutions were compared in terms of SMRT scores, with binaural summation further examined as a function of interaural performance asymmetry.</p><p><strong>Results: </strong>There was no significant difference in binaural or monaural SMRT scores between the simultaneously implanted BiCI (SIM-BiCI) and sequentially implanted BiCI (SEQ-BiCI) groups. Greater interaural performance asymmetry was strongly associated with reduced binaural summation in the SIM-BiCI group (<i>r</i> = -.91, <i>p</i> < .001) and the SEQ-BiCI group (<i>r</i> = -.89, <i>p</i> < .001). SMRT scores with both CIs were significantly correlated with SMRT scores with the poorer performing CI (<i>r</i> = .70, <i>p</i> < .001). Binaural SMRT scores were significantly predicted by a linear combination of SMRT scores with the poorer ear (<i>p</i> < .001) and the laterality of the poorer ear (right or left ear; <i>p</i> = .022).</p><p><strong>Conclusions: </strong>While there was no significant difference in binaural summation between SIM-BiCI and SEQ-BiCI users, binaural summation was strongly and negatively associated with interaural performance asymmetry. This suggests that the binaural benefit for spectral resolution is primarily limited by interaural differences in spectral resolution. Binaural SMRT performance was largely dependent on the spectral resolution of the poorer performing CI, with additional improvement associated with better spectral resolution in the right CI.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1113-1124"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin O'Hagan, Janani Rajendra, Chris Allan, Marlene Bagatto, Ioan Aurelian Curca, Matt Lucas, Ewan Macpherson, Christine Meston, Sheila Moodie, Vijay Parsa, David Purcell, Jack Scott, Susan Scollie, Susan Stanton, Danielle Glista
{"title":"Exploring the Continuing Education Experiences and Needs of Hearing Health Care Professionals: A Survey-Based Study.","authors":"Robin O'Hagan, Janani Rajendra, Chris Allan, Marlene Bagatto, Ioan Aurelian Curca, Matt Lucas, Ewan Macpherson, Christine Meston, Sheila Moodie, Vijay Parsa, David Purcell, Jack Scott, Susan Scollie, Susan Stanton, Danielle Glista","doi":"10.1044/2026_AJA-25-00180","DOIUrl":"10.1044/2026_AJA-25-00180","url":null,"abstract":"<p><strong>Purpose: </strong>Continuing education in hearing health care encompasses a range of opportunities, including formal academic training, professional certification and credentialing, technical or job-specific instruction, professional development events, and personal or general skill enhancement. This study examined the continuing education experiences and needs of hearing health care professionals to inform the design and delivery of future educational initiatives tailored to this workforce.</p><p><strong>Method: </strong>Members of the National Centre for Audiology at the University of Western Ontario developed a three-part, 40-item online survey to gather information from hearing health care professionals regarding demographic characteristics, experiences and needs related to delivery method, financial considerations, education requirements, professional interests, and learning style alignment.</p><p><strong>Results: </strong>Eighty-one professionals aged between 18 and 64 years participated in this survey-based study. Most respondents were from North America and reported previous participation in some form of continuing education opportunity within the past year, with cost reported as a limiting factor to participation. Various learning opportunities, including developing new hands-on skills, were reported to benefit the respondents' learning styles. Future opportunities of interest were noted to include extension courses and professional certifications.</p><p><strong>Conclusions: </strong>This study highlights the importance of continuing education opportunities specific to the professional development of hearing health care professionals. The understanding of past and future continuing education trends informed the need for targeted, accessible opportunities with a focus on active learning opportunities and those available online in real time.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.32288262.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"868-882"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanem Can Sarıoğlu, Buşra Mazooğlu, Furkan Ali Filiz, Ercan Karababa, Mehmet Aslan
{"title":"Cervical and Ocular Vestibular Evoked Myogenic Potentials in Healthy Individuals: Normative Values for Bone Conduction at Different Frequencies.","authors":"Sanem Can Sarıoğlu, Buşra Mazooğlu, Furkan Ali Filiz, Ercan Karababa, Mehmet Aslan","doi":"10.1044/2026_AJA-25-00191","DOIUrl":"10.1044/2026_AJA-25-00191","url":null,"abstract":"<p><strong>Purpose: </strong>The objectives of this study were to establish normative values for the vestibular evoked myogenic potential (VEMP) test in adults and to evaluate test-retest reliability using bone-conducted stimuli at different frequencies.</p><p><strong>Method: </strong>The present study comprised 35 individuals aged 18-40 years. Cervical VEMP and ocular VEMP tests were administered using tone-burst stimuli delivered at 60 dB nHL at frequencies of 250, 500, and 750 Hz with a Radioear B-71 bone vibrator. The initial evaluation was conducted by one clinician, and a subsequent evaluation was performed by a different clinician after a 1-week interval. Wave latencies, interlatencies, amplitudes, and amplitude asymmetry values were analyzed using a test-retest approach.</p><p><strong>Results: </strong>In cervical VEMP assessments using bone-conducted stimuli, intraclass correlation coefficient (ICC) values ranged from .23 to .78 at 250 Hz, from .40 to .75 at 500 Hz, and from .29 to .79 at 750 Hz. In ocular VEMP assessments using bone-conducted stimuli, ICC values across evaluation parameters ranged from .13 to .81 at 250 Hz, from .22 to .67 at 500 Hz, and from .24 to .81 at 750 Hz.</p><p><strong>Conclusion: </strong>Cervical and ocular VEMP tests employing bone-conducted stimuli are considered reliable methods for evaluating the functional integrity of the vestibular system.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"973-982"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
McKenzie Sandroni, Monique Pousson, Lipika Sarangi, Madison Rousse, Jani Johnson
{"title":"Preferences for Over-the-Counter and Prescription Hearing Aid Processing Across Listening Environments.","authors":"McKenzie Sandroni, Monique Pousson, Lipika Sarangi, Madison Rousse, Jani Johnson","doi":"10.1044/2026_AJA-26-00009","DOIUrl":"10.1044/2026_AJA-26-00009","url":null,"abstract":"<p><strong>Purpose: </strong>This study compared listener preferences for nonspeech environmental sounds processed by over-the-counter (OTC) hearing aids (HAs) and premium-level prescription (PRSC) HAs among young adults with typical hearing sensitivity.</p><p><strong>Method: </strong>Seventeen participants completed a within-subject, double-blind, round-robin comparison of recordings obtained from the processed outputs of four receiver-in-canal HAs: two U.S. Food and Drug Administration-approved OTC devices and two premium-level PRSC devices. Sound environments included conversational speech in complex noise, everyday nonspeech environmental sounds, and music. For each environment, each device recording was compared to every other device recording twice, yielding 12 comparisons per condition. Participants selected their preferred device and rated preference strength on a 101-point scale. Preference ratings were converted to tournament-style outcome scores and analyzed using repeated-measures ANOVAs with planned OTC versus PRSC contrasts. Multidimensional scaling (MDS) was used to examine acoustic-perceptual dimensions underlying preference judgments.</p><p><strong>Results: </strong>Across listening environments, planned contrasts indicated higher overall preference for PRSC processing relative to OTC processing for speech in complex noise, nonspeech environmental sounds, and music. Device rankings varied by listening environment, with stronger separation between categories for speech in complex noise and nonspeech environmental sounds and more mixed preferences for music. MDS analyses indicated that perceptual dimensions were context dependent. Preferences for speech in complex noise were associated with spectral emphasis and with combined effects of output level, signal-to-noise ratio, and intermodulation distortion. Preferences for nonspeech environmental sounds and music were more strongly associated with overall level and additional spectral and distortion-related characteristics.</p><p><strong>Conclusions: </strong>Premium-level PRSC HAs were generally preferred in this sample, particularly for speech in complex noise and nonspeech environmental sounds; however, preferences varied across devices and listening environments. These findings highlight the multidimensional nature of sound quality perception and underscore the importance of considering listening context and individual priorities when counseling patients about OTC versus PRSC HA options.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.33249744.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1125-1134"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Auditory Spatial Processing in Patients With Vestibular Migraine.","authors":"Vibha Vinod, Animesh Barman","doi":"10.1044/2026_AJA-25-00325","DOIUrl":"10.1044/2026_AJA-25-00325","url":null,"abstract":"<p><strong>Objective: </strong>Auditory spatial information is decoded in various regions of the central auditory nervous system, beginning at the level of the superior olivary complex. The trigeminovascular system, known to be involved in the pathophysiology of vestibular migraine, innervates the superior olivary complex and several other regions of the auditory nervous system. Thus, processing of binaural cues and, therefore, auditory spatial abilities may be affected in individuals with vestibular migraine. This study aims to compare interaural level difference (ILD), interaural time difference (ITD), Virtual Auditory Space Identification (VASI), and the Spatial subscale of Speech, Spatial and Qualities of Hearing Scale-Kannada (SSQ-K), between individuals with vestibular migraine and healthy controls.</p><p><strong>Design and study sample: </strong>This nonexperimental, cross-sectional study included 17 participants with vestibular migraine and 17 healthy controls aged 20-60 years. ILD, ITD, VASI, and SSQ-K were assessed for both groups.</p><p><strong>Results: </strong>The individuals with vestibular migraine exhibited significant deficits in ILD, ITD, and VASI accuracy scores compared to the control group. The self-perception of auditory spatial abilities was significantly poorer in individuals with vestibular migraine.</p><p><strong>Conclusions: </strong>Individuals with vestibular migraine show deficits in processing binaural cues and auditory spatial perception, impacting communication and quality of life. These findings highlight the need for assessment of spatial processing and the potential role of auditory spatial training as a part of rehabilitation.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1006-1012"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cochlear Implant Mentorship Program for Audiologists to Improve Veteran Outcomes.","authors":"Jessica Preston, Cyndi Trueheart","doi":"10.1044/2026_AJA-25-00310","DOIUrl":"10.1044/2026_AJA-25-00310","url":null,"abstract":"<p><strong>Purpose: </strong>Cochlear implants (CIs) offer substantial benefits to individuals with severe-profound hearing loss who receive limited improvement from traditional amplification. Within the Veterans Health Administration (VHA), access to specialized CI services is challenged by geographic disparities, limited workforce capacity, and inconsistent training opportunities. This tutorial outlines the development, implementation, and outcomes of a national CI mentorship program designed to expand access to and improve the quality of CI care across the VHA.</p><p><strong>Method: </strong>A national needs assessment was administered to VHA audiologists to identify barriers to CI service delivery. Findings highlighted limited numbers of CI-trained providers, significant travel burden for Veterans, and inconsistent availability of aural rehabilitation. In an attempt to increase access for Veterans, a structured mentorship framework was established, pairing experienced CI audiologists with clinicians seeking advanced training. The program blended didactic education, virtual clinical observation, supervised hands-on programming, and ongoing professional development.</p><p><strong>Results: </strong>Over 2 years, the program mentored more than 75 audiologists, expanded telehealth programming capabilities, and supported the establishment of additional CI surgical and programming sites. Survey responses indicated strong gains in clinical competency, confidence, and readiness for independent CI practice, with many mentees maintaining professional collaboration beyond the program year.</p><p><strong>Conclusions: </strong>A structured nationwide mentorship model is a feasible, scalable, and sustainable approach to expanding CI expertise within large integrated health systems. The VHA CI Mentorship Program provides a replicable framework for improving workforce capacity, increasing access to specialized care, and enhancing outcomes for individuals receiving CIs.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"804-818"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuxia Wang, Xin Tian, Xinran Du, Jingjing Guan, Volker Kuehnel, Stefan Launer, Chang Liu
{"title":"Effects of Deep Neural Network-Enhanced Hearing Aids on Categorical Perception of Mandarin Tones.","authors":"Yuxia Wang, Xin Tian, Xinran Du, Jingjing Guan, Volker Kuehnel, Stefan Launer, Chang Liu","doi":"10.1044/2026_AJA-25-00294","DOIUrl":"10.1044/2026_AJA-25-00294","url":null,"abstract":"<p><strong>Purpose: </strong>This study empirically evaluated the impact of deep neural network (DNN)-based noise reduction in hearing aids on the categorical perception of Mandarin Tones 1 and 2 for hard of hearing (HH) listeners in cafeteria noise at 0 and -5 dB signal-to-noise ratios (SNRs), compared to normal-hearing (NH) listeners and traditional hearing aid settings.</p><p><strong>Method: </strong>Twenty NH and 20 HH listeners participated in this study. HH listeners were fitted with commercial hearing aids in two modes: DNN noise reduction enabled (DNNon) and disabled (DNNoff; retaining directional microphone noise reduction technology). Stimuli consisted of a nine-step flat-to-rising tone continuum synthesized from the vowel /a/, presented in quiet and noise conditions. Listeners identified each stimulus as Tone 1 or 2. Linear mixed-effects models were conducted to analyze the effects of listener group, HA setting, and SNR on logistic functions of tone identification such as slopes and boundaries.</p><p><strong>Results: </strong>In quiet, HH listeners with hearing aids showed categorical perception comparable to NH listeners. In noise, tone identification slopes were steeper at 0 dB than -5 dB SNR across groups. HH listeners using HA without DNN processing (DNNoff) tended to yield shallower slopes compared to NH listeners, while with DNN processing enabled (DNNon), identification slopes remained similar to those of NH listeners. Among HH listeners, categorical identification declined progressively across conditions: quiet > DNNon_0dB > DNNon_-5dB > DNNoff_0dB > DNNoff_-5dB. Slopes of tone identification functions correlated negatively with age and pure-tone average, but only in DNNon conditions.</p><p><strong>Conclusions: </strong>DNN-based noise reduction effectively maintains the categorical identification of Mandarin tones for HH listeners. By facilitating perceptual segregation and demonstrating a \"do no harm\" characteristic, that is, suppressing cafeteria noise while preserving essential fundamental frequency contours, the DNN algorithm prevented the severe degradation of categoricality. These findings highlight DNN processing as a valuable tool that addresses the specific perceptual needs of tonal language users in real-world noisy settings.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1031-1045"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum to \"Acoustics of Electronic Stethoscopes for Health Professionals\".","authors":"","doi":"10.1044/2026_AJA-26-00116","DOIUrl":"10.1044/2026_AJA-26-00116","url":null,"abstract":"","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1197"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bin Zeng, Yuanyuan Peng, Tianpei Ma, Zhongjing Pan, Qinghan Zeng, Dan Lu, Zhaoli Meng
{"title":"Knowledge, Attitudes, and Practices Toward Hearing Aids Among the General Public: A Cross-Sectional Survey in Southwest China.","authors":"Bin Zeng, Yuanyuan Peng, Tianpei Ma, Zhongjing Pan, Qinghan Zeng, Dan Lu, Zhaoli Meng","doi":"10.1044/2026_AJA-25-00312","DOIUrl":"10.1044/2026_AJA-25-00312","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess the level of knowledge, attitudes, and education demands related to hearing aids among the general public in Southwest China.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 1,239 participants from Southwest China. A self-designed electronic questionnaire was utilized to assess participants' demographics, knowledge, attitudes, and education demand patterns with respect to hearing aids.</p><p><strong>Results: </strong>A total of 48 participants (3.90%) reported that they had \"never heard\" about hearing aids. A total of 844 participants (68.12%) exhibited a good level of knowledge regarding hearing aids. Factors such as gender, age, education level, profession, self-reported familiarity with hearing aids, monthly income, and willingness to use them significantly influenced the knowledge scores (<i>p</i> < .05). A total of 1,208 participants (97.50%) expressed a willingness to adopt hearing aids. Notably, 1,139 participants (91.90%) preferred to purchase hearing aids from hospitals, with a primary focus on the quality, comfort, and functionality of these devices. Multivariate logistic regression analysis revealed that medical background, higher hearing aid knowledge scores, and a positive inclination toward health education were independent predictors significantly associated with an increased likelihood of hearing aids adoption. A total of 1,051 participants (84.83%) expressed a desire for health education on hearing aids. They preferred to obtain it through \"medical staff\" (61.02%) or the \"Internet\" (54.96%).</p><p><strong>Conclusions: </strong>The general public in this study displayed a basic understanding of and positive attitudes toward the use of hearing aids, and they were eager to obtain professional health education. Therefore, public awareness of hearing aids should be comprehensively improved to better serve patients with hearing loss.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.32914130.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1046-1059"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}