Time Matters: Possible Predictors of the Number of Appointments During the First Year After Hearing Aid Fitting.
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| Title: | Time Matters: Possible Predictors of the Number of Appointments During the First Year After Hearing Aid Fitting. |
|---|---|
| Authors: | McCabe, Shannon C.1, Ramirez, Kaitlyn1, Dyer, Sara1, Velenovsky, David1, Muller, Tom1, Kobel, Megan J.1 mkobel@arizona.edu |
| Source: | American Journal of Audiology. Jun2026, Vol. 35 Issue 2, p771-778. 8p. |
| Subject Terms: | *Data analysis, *Retrospective studies, *Clinics, Hearing aid fitting, Medical care use, Research funding, Medical technology, T-test (Statistics), Rehabilitation, Hearing aids, Health insurance, Descriptive statistics, Age distribution, Chi-squared test, Presbycusis, Medical appointments, Medical records, Acquisition of data, One-way analysis of variance, Statistics, Data analysis software, Confidence intervals, Hard of hearing people, Patient aftercare, Time, Medical care costs, Regression analysis |
| Geographic Terms: | Arizona |
| Abstract: | Purpose: Follow-up care after hearing aid fitting is recommended, yet clinicians lack data on the expected number of follow-up appointments needed and which patients require more support. This study aimed to characterize follow-up service utilization during the first year after hearing aid fitting and to determine whether patient, device, or cost-related factors may predict the number of follow-up appointments. Method: A retrospective chart review was conducted on 223 adult patients who received hearing aids at a university-affiliated audiology clinic between May 2022 and April 2023. Demographic, audiological, device-specific, and cost-related data were extracted. The number of follow-up appointments over 1 year was used as the primary outcome. Negative binomial regression analyses were performed to identify predictors of follow-up service utilization. Results: Patients attended an average of 4.1 follow-up appointments (range: 1-16), with most attending three to five visits. No significant effects were observed for gender, degree of hearing loss, or language. Effects of age and prior hearing aid experience were identified with older patients and those with over 10 years of prior hearing aid use attending more appointments. Device factors, including dispensing of accessories and dispensing of standard-level technology, were associated with increased follow-up utilization. Patients with higher out-of-pocket (OOP) costs or no insurance coverage attended more appointments, though cost and technology level exhibited interdependencies. Conclusions: Overall, most adult hearing aid patients attended approximately three to five appointments over the first year, and most demographic and audiometric factors did not predict follow-up appointment attendance. However, on average, patients with higher OOP costs and those with an accessory attended more appointments. Clinicians can use these data to provide evidence-based counseling to patients and to inform clinical decision making. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 194359747 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Time Matters: Possible Predictors of the Number of Appointments During the First Year After Hearing Aid Fitting. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22McCabe%2C+Shannon+C%2E%22">McCabe, Shannon C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramirez%2C+Kaitlyn%22">Ramirez, Kaitlyn</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Dyer%2C+Sara%22">Dyer, Sara</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Velenovsky%2C+David%22">Velenovsky, David</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Muller%2C+Tom%22">Muller, Tom</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Kobel%2C+Megan+J%2E%22">Kobel, Megan J.</searchLink><relatesTo>1</relatesTo><i> mkobel@arizona.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Jun2026, Vol. 35 Issue 2, p771-778. 8p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinics%22">Clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+aid+fitting%22">Hearing aid fitting</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+technology%22">Medical technology</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+aids%22">Hearing aids</searchLink><br /><searchLink fieldCode="DE" term="%22Health+insurance%22">Health insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Presbycusis%22">Presbycusis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22One-way+analysis+of+variance%22">One-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Hard+of+hearing+people%22">Hard of hearing people</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+aftercare%22">Patient aftercare</searchLink><br /><searchLink fieldCode="DE" term="%22Time%22">Time</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Arizona%22">Arizona</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Follow-up care after hearing aid fitting is recommended, yet clinicians lack data on the expected number of follow-up appointments needed and which patients require more support. This study aimed to characterize follow-up service utilization during the first year after hearing aid fitting and to determine whether patient, device, or cost-related factors may predict the number of follow-up appointments. Method: A retrospective chart review was conducted on 223 adult patients who received hearing aids at a university-affiliated audiology clinic between May 2022 and April 2023. Demographic, audiological, device-specific, and cost-related data were extracted. The number of follow-up appointments over 1 year was used as the primary outcome. Negative binomial regression analyses were performed to identify predictors of follow-up service utilization. Results: Patients attended an average of 4.1 follow-up appointments (range: 1-16), with most attending three to five visits. No significant effects were observed for gender, degree of hearing loss, or language. Effects of age and prior hearing aid experience were identified with older patients and those with over 10 years of prior hearing aid use attending more appointments. Device factors, including dispensing of accessories and dispensing of standard-level technology, were associated with increased follow-up utilization. Patients with higher out-of-pocket (OOP) costs or no insurance coverage attended more appointments, though cost and technology level exhibited interdependencies. Conclusions: Overall, most adult hearing aid patients attended approximately three to five appointments over the first year, and most demographic and audiometric factors did not predict follow-up appointment attendance. However, on average, patients with higher OOP costs and those with an accessory attended more appointments. Clinicians can use these data to provide evidence-based counseling to patients and to inform clinical decision making. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2026_AJA-25-00240 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 771 Subjects: – SubjectFull: Data analysis Type: general – SubjectFull: Retrospective studies Type: general – SubjectFull: Clinics Type: general – SubjectFull: Hearing aid fitting Type: general – SubjectFull: Medical care use Type: general – SubjectFull: Research funding Type: general – SubjectFull: Medical technology Type: general – SubjectFull: T-test (Statistics) Type: general – SubjectFull: Rehabilitation Type: general – SubjectFull: Hearing aids Type: general – SubjectFull: Health insurance Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Age distribution Type: general – SubjectFull: Chi-squared test Type: general – SubjectFull: Presbycusis Type: general – SubjectFull: Medical appointments Type: general – SubjectFull: Medical records Type: general – SubjectFull: Acquisition of data Type: general – SubjectFull: One-way analysis of variance Type: general – SubjectFull: Statistics Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Hard of hearing people Type: general – SubjectFull: Patient aftercare Type: general – SubjectFull: Time Type: general – SubjectFull: Medical care costs Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Arizona Type: general Titles: – TitleFull: Time Matters: Possible Predictors of the Number of Appointments During the First Year After Hearing Aid Fitting. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: McCabe, Shannon C. – PersonEntity: Name: NameFull: Ramirez, Kaitlyn – PersonEntity: Name: NameFull: Dyer, Sara – PersonEntity: Name: NameFull: Velenovsky, David – PersonEntity: Name: NameFull: Muller, Tom – PersonEntity: Name: NameFull: Kobel, Megan J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 10590889 Numbering: – Type: volume Value: 35 – Type: issue Value: 2 Titles: – TitleFull: American Journal of Audiology Type: main |
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