Difficulties experienced by hearing-aid candidates and hearing-aid users.

Responses to an open-ended questionnaire were obtained from 250 hearing-aid candidates who had never worn a hearing aid and from 250 experienced hearing-aid users. The questionnaire stated 'Please make a list of the difficulties which you have as a result of your hearing loss.' The responses were divided into six major categories. The hearing-aid candidates reported more problems than the experienced users in the categories of (a) understanding speech where speechreading would normally be used (92% versus 81%), and (b) understanding speech where speechreading would normally not be used (51% versus 43%). A similar number of respondents in both groups reported problems in the categories of (c) personal difficulties (11%), (d) audiological or medical difficulties (18%), and (e) difficulties associated with environmental sounds (34%). Thirty-five per cent of the hearing-aid users reported (f) difficulties associated with their hearing aids. The most frequently reported specific difficulty in both groups was watching television (47% of the candidates and 37% of the users). Twenty-one per cent in each group reported difficulty conversing on the telephone.