What can we learn from hearing impaired people? Stockholm, April 3, European Hearing Instrument Manufacturers Associa5on

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Eustace Perry
5 years ago
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1 What can we learn from hearing impaired people? Stockholm, April 3,

2 LFH Local HM Association EHIMA EHIMA EHIMA HSM ANIFA JHIMA Country Sponsor Germany France UK Switzerland Norway Italy Japan Denmark EHIMA EHIMA EHIMA HSM HM Association ANIFA JHIMA LFH Euro EuroTrak/ JapanTrak were developed and executed by Anovum, Zürich Anovum

LFH Local HM Association EHIMA EHIMA EHIMA HSM ANIFA JHIMA Short interviews Long interviews Representative HA owners HA non-owners UK 14896 501 795 Germany (GER) 13922 500 864 France

3 LFH Local HM Association EHIMA EHIMA EHIMA HSM ANIFA JHIMA Short interviews Long interviews Representative HA owners HA non-owners UK Germany (GER) France (FRA) Norway (NOR) Switzerland (CH) Italy (ITA) Denmark (DEN) JapanTrak (JAP) Total

4 % self-reported hearing impaired (Base: population) Differences may be caused by: Age-gender-structure (=age pyramid) Awareness: Hearing tests, health care systems etc. Prevention / Work situation Other factors 12,5% 11,6% 10,9% 10,0% 9,4% 9,1% 8,8% 8,8% 11,3% Germany Italy Japan Denmark 2012 France UK Norway Switzerland USA (MarkeTrak 2009) Source: EuroTrak /JapanTrak 4

5 older populations: Source: EuroTrak /JapanTrak 5

6 Adoption: Proportion of people with hearing aid (% of population) and adoption rate (% of stated impaired) Differences may be caused by: Health care system Reimbursement system / income structure Market development Culture Other factors. 47,8% 42,5% 41,1% 38,8% 34,0% 30,4% 29,6% 24,6% 14,1% 4,8% 3,7% 3,7% 3,4% 4,2% 2,8% 2,9% 1,5% 2,8% Denmark Norway UK Switzerland Germany France Italy Japan USA (MarkeTrak 2012 (% of population) 2012 (% of stated impaired) 2008) Source: EuroTrak /JapanTrak 6

% Binaural fitting Differences may be caused by: Health care system Reimbursement system / income structure Market development Professional attitude 84% 82% 76% 75% 74% 75% 76%

7 % Binaural fitting Differences may be caused by: Health care system Reimbursement system / income structure Market development Professional attitude 84% 82% 76% 75% 74% 75% 76% 74% 63% 64% 60% 60% 61% 58% 59% 47% 44% 39% 36% Denmark Norway Switzerland Germany France UK Italy Japan 2012/ or earlier (EuroTrak 2009) Source: EuroTrak /JapanTrak 7

8 Do you have tinnitus (ringing or other noises in the ears or head) in one or both ears? No 67% 70% 71% 74% 74% 75% 80% Yes, sometimes Yes permamently in both ears 26% 25% 22% 20% 21% 20% 15% 3% 4% 2% 3% 4% 3% 4% 2% 2% 3% 2% 3% 2% 3% Yes permamently in one ear Italy Japan Germany Norway France UK Switzerland Source: EuroTrak /JapanTrak 8

9 Have you ever thought about a treatment of your tinnitus? Differences may be caused by: Health care system / income structure Culture etc. sometimes Tinnitus permanently Tinnitus 47% 48% 83% 81% 79% 75% 90% 40% 45% 12% 14% 13% 22% 13% 5% 7% 4% 8% 3% 2% 8% 16% 17% 31% 51% 43% 49% 52% 46% 49% 42% 13% 31% 36% 36% 36% 34% 27% 26% 39% 15% 12% I have never considered a treatment I have considered a treatment but did not have one I have / have had a treatment Germany France Italy Japan Switzerland UK Norway Source: EuroTrak /JapanTrak 9

10 Do you have tinnitus (ringing or other noises in the ears or head) in one or both ears? 100% 90% Have you ever thought about a treatment of your tinnitus? 3% 14% 80% 70% 60% 50% 74% 83% 40% 30% 20% 21% 17% 10% 0% 2% 4% permanently Tinnitus 50% Yes, sometimes 33% Anovum Yes permamently in both ears Yes permamently in one ear Base: Pa ge 10

11 Do you have tinnitus (ringing or other noises in the ears or head) in one or both ears? 100% Have you ever thought about a treatment of your tinnitus? 90% 13% 80% 70% 60% 71% 47% 40% 50% 40% 30% 20% 10% 0% 3% 22% 4% permanently Tinnitus 16% 39% Yes permamently in one ear Yes permamently in both ears 46% Yes, sometimes No Anovum Base: Pa ge 11

12 Base: n=1 320 Anovum Page 12

13 Base: n=1 309 Anovum Page 13

14 EuroTrak /JapanTrak Source: European Hearing Instrument Manufacturers Associa5on 14

15 15

16 How useful are your hearing aids on your job? Switzerland 10% 20% 70% France 5% 32% 63% Germany 8% 30% 62% Norway 14% 27% 59% Italy 10% 36% 54% Denmark 17% 33% 50% UK 17% 33% 50% Japan 12% 46% 42% Of no use Of some use Of significant use N: UK 144/FRA 204/ GER 209 Source: EuroTrak /JapanTrak 16

17 Source: EuroTrak /JapanTrak 17

18 % of people with depression symptoms Hearing aid Top 50% hearing loss, no hearing aid Italy 32% 37% Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless UK Germany Japan France 16% 19% 14% 17% 21% 27% 29% 41% Norway 9% 21% Switzerland 4% 11% Source: EuroTrak /JapanTrak 18

19 % of people getting more forgetful Yes somewhat more Yes, much more JAP with hearing aid JAP no hearing aid (but sig. HL top 50%) ITA with hearing aid ITA no hearing aid (but sig. HL top 50%) 59% 61% 66% 66% 15% 19% 6% 13% Dementia symptom: Getting more forgetful in the last year? GER with hearing aid GER no hearing aid (but sig. HL top 50%) UK with hearing aid UK no hearing aid (but sig. HL top 50%) CH with hearing aid CH no hearing aid (but sig. HL top 50%) FRA with hearing aid FRA no hearing aid (but sig. HL top 50%) 57% 56% 56% 56% 63% 54% 62% 69% 4% 4% 2% 3% 17% 6% 7% 5% NOR with hearing aid NOR no hearing aid (but sig. HL top 50%) 42% 52% 3% 5% Base: Hearing aid owners and non owners with top 50% hearing loss Source: EuroTrak /JapanTrak 19

20 Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless Hearing aid 9% Depression 91% No depression Top 50% hearing loss, no hearing aid 21% 79% Yes, much more Yes, somewhat more No Dementia symptom: Getting more forgetful in the last year? Hearing aid 3% 42% 55% Top 50% hearing loss, no hearing aid 5% 52% 42% Base: hearing aid n=548 / no hearing aid =144 Anovum Pa ge 20

21 Depression symptoms: PHQ-2 Screening: In the last 2 weeks: Little interest or pleasure Feeling down, depressed, hopeless Hearing aid Probability of depressive disorder % 93% 85% 81% 75% 48% 37% 0 7% 16% 21% 15% 39% Top 50% hearing loss, no hearing aid 9% 15% 31% 14% 29% Yes, much more Yes, somewhat more No Dementia symptom: Getting more forgetful in the last year? Hearing aid 8% 50% 42% Top 50% hearing loss, no hearing aid 10% 58% 33% Base: hearing aid n=454 / no hearing aid =98 Anovum Pa ge 21

22 Mentally and physically exhausted people. cost CHF 4.2 billions/year in Switzerland Source: CH-Blick; Source: EuroTrak /JapanTrak 22

23 Disagree strongly Rather disagree Neutral Rather agree Strongly agree Hearing aid 14% 18% 27% 28% 13% In the evenings I often feel physically exhausted Top 50% hearing loss, no hearing aid 16% 11% 18% 34% 20% Hearing aid 26% 23% 28% 13% 10% In the evenings I often feel mentally exhausted Top 50% hearing loss, no hearing aid 28% 13% 25% 19% 15% Base : Top 50% n=141 / hearing aid n=391 Anovum Pa ge 23

24 Disagree strongly Rather disagree Neutral Rather agree Strongly agree Hearing aid 15% 26% 25% 25% 8% In the evenings I often feel physically exhausted Top 50% hearing loss, no hearing aid 11% 18% 23% 32% 15% Hearing aid 20% 28% 29% 17% 6% In the evenings I often feel mentally exhausted Top 50% hearing loss, no hearing aid 17% 18% 22% 28% 14% Base : Top 50% n=186 / hearing aid n=669 Anovum Pa ge 24

25 Hearing aids are a sound investment not only for individuals, but for society as a whole 25

26 -and reasons not to use them 26

27 Overall satisfaction with HA % % satisfied Switzerland (n=514) % France (n=502) % Germany (n=500) % UK (n=501) Norway (n=691) Denmark (n=656) Italy (n=510) Japan (n=450) % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 72% 72% 70% 70% 36%! very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied Source: EuroTrak /JapanTrak 27

28 % Satisfied Total HA-user (n=656) % BTE (n=423) % ITE (n=60) % ITC (n=139) % 2010 or after (n=312) % 2009 or earlier (n=318) % HA worn up to 4 hrs/day (n=155) HA worn 4-8 hrs/day (n=129) HA worn more than 8 hrs/day (n=372) % 79% 82% Offentlig høreklinik (n=312) Privat høreapparatbutik (N=268) % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 68% 75% Anovum very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied Pa ge 28

29 % Satisfied Total HA-user (n=691) % BTE (n=380) % ITE (n=142) % ITC (n=133) % 2010 or after (n=334) % 2009 or earlier (n=329) % HA worn up to 4 hrs/day (n=225) HA worn 4-8 hrs/day (n=146) HA worn more than 8 hrs/day (n=320) % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 51% 77% 84% very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied Anovum Pa ge 29

30 dispenser Dispenser counseling ing period r purchase 5% 4% 5% 6% 90% 89% 88% 85% one person atching TV g to Listening Music situation all groups telephone ge groups e activities situations ublic place 4% 9% 9% 12% 17% 17% 18% 25% 27% 48% 48% 77% 73% 68% 67% 61% 56% 88% and sound Sound quality y of sound signal process. l sounding ud sounds 9% 9% 9% 15% 62% 72% 70% 70% ng battery Product Reliability features y to others ney spent) t/ Comfort Battery life k/buzzing 6% 10% 9% 9% 12% 11% 15% 89% 82% 82% 78% 74% 73% 69% %dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied -100% -80% -60% -40% -20% 0% 20% 40% 60% 80% 100% Anovum dissatisfied satisfied HA-owner, n=656 Pa ge 30

31 dispenser Dispenser counseling ing period r purchase 7% 8% 11% 10% 82% 81% 77% 73% one person atching TV g to Listening Music situation all groups ge groups ublic place telephone e activities situations 8% 12% 14% 18% 29% 28% 27% 19% 39% 76% 73% 69% 61% 57% 57% 54% 49% 85% Sound quality and sound signal process. l sounding y of sound ud sounds 21% 20% 20% 26% 66% 63% 62% 57% ng battery Product t/ Comfort features Reliability y to others ney spent) k/buzzing Battery life 7% 12% 12% 11% 11% 24% 32% 57% 52% 65% 84% 77% 76% 75% %dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied -100% -80% -60% -40% -20% 0% 20% 40% 60% 80% 100% Anovum dissatisfied satisfied HA-owner, n=691 Pa ge 31

32 Hearing loss not severe enough Hear well enough in most situations Uncomfortable They do not restore your hearing to normal Have hearing loss in only one ear Ear doctors opinion (ENT) Have tinnitus (ringing in ears) Have not had hearing tested yet They do not work well in noisy situations Bad design % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Reason Somewhat a reason Not a reason Anovum Base: non owners Top 50% HL: n=145 Pa ge 32

They do not work well in noisy situations 50 18 31 Hear well enough in most situations 32 35 32 Hearing loss not severe enough 38 23 39 Uncomfortable 46 14 41 They do not restore your hearing to

33 They do not work well in noisy situations Hear well enough in most situations Hearing loss not severe enough Uncomfortable They do not restore your hearing to normal Have more serious priorities Ear doctors opinion (ENT) Have tinnitus (ringing in ears) Would be embarrassed to wear a hearing aid Have hearing loss only with high pitch sounds % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Reason Somewhat a reason Not a reason Anovum Base: non owners Top 50% HL: n=190 Pa ge 33

34 Uncomfortable Hear well enough in most situations They do not restore your hearing to normal They do not work well in noisy situations Have tried hearing aid and they do not work Hearing loss not severe enough Bad design Have more serious priorities Have hearing loss in only one ear Have hearing loss only with low frequency sounds % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Reason Somewhat a reason Not a reason Anovum Owners who don t use, n=71 Pa ge 34

35 They do not work well in noisy situations Hear well enough in most situations They do not restore your hearing to normal Have tried hearing aid and they do not work Hearing loss not severe enough Uncomfortable Have hearing loss in only one ear Have hearing loss only with high pitch sounds Have more serious priorities Have tinnitus (ringing in ears) % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Reason Somewhat a reason Not a reason Anovum Owners who don t use, n=71 Pa ge 35

36 Country Worn 0 hours/day Worn 0-1 hours/day JAP 12% 29% NOR 10% 24% DEN 13% 20% UK 8% 19% SUI 4% 16% ITA 7% 15% GER 4% 13% FRA 3% 7% Anovum

37 Country Dissatisfied % Satisfied % Germany France United Kingdom Italy Switzerland Norway 39! 49! Denmark 25 48! Japan 50!!! 26!!! 37

38 Owner: Thinking back to when you obtained your first hearing aid(s), what influenced you to obtain /purchase the hearing aid(s)? Non-owner: Think about the option to obtain / purchase a hearing aid. What do you think would influence you to obtain / purchase a hearing aid? Hearing loss got worse 61% 75% Spouse, relative, child, friend 45% 57% ENT/ Ear Doctor 41% 38% Free due to coverage by Insurance / Received hearing aid free of charge 28% 39% GP /Family doctor 18% 28% Non-Owner (n=664) Hearing aid dispenser / Audiologist 20% 25% Owner (n=656) Price of hearing aid 4% 19% Another hearing aid owner (word of mouth) 19% 14% Safety concerns 3% 12% Anovum Co-worker or boss 9% 7% Pa ge 38

39 Owner: Thinking back to when you obtained your first hearing aid(s), what influenced you to obtain /purchase the hearing aid(s)? Non-owner: Think about the option to obtain / purchase a hearing aid. What do you think would influence you to obtain / purchase a hearing aid? Hearing loss got worse 42% 54% ENT/ Ear Doctor 33% 40% Spouse, relative, child, friend 30% 49% GP /Family doctor 28% 32% Hearing aid dispenser / Audiologist 27% 51% Non-Owner (n=618) Another hearing aid owner (word of mouth) 12% 18% Owner (n=691) Free due to coverage by Insurance / Received hearing aid free of charge 17% 14% Price of hearing aid 3% 13% Safety concerns 6% 10% Information/advice about hearing loss from consumer organisation or charity Anovum % 10% Pa ge 39

40 Owners: Was any part or all of your hearing aid(s) paid for by a third party? (Insurance, Government, ) Non-owners: Based on your current knowledge, would any part or all of your hearing aid(s) be paid for by a third party? (Insurance, Government, ) 6% 3% 31% 60% Yes, completely Yes, partly 48% 36% Yes No don't know 16% No HA-owner, n=656 HA-non-owners, n=664 Anovum Pa ge 40

41 Owners: Was any part or all of your hearing aid(s) paid for by a third party? (Insurance, Government, ) Non-owners: Based on your current knowledge, would any part or all of your hearing aid(s) be paid for by a third party? (Insurance, Government, ) 2% 4% 34% 60% Yes, completely Yes, partly 63% 27% 10% Yes No don't know No HA-owner, n=691 HA-non-owners, n=618 Anovum Pa ge 41

42 Listening in noise is the main cause for dissatisfaction Listening in noise is a main cause for not getting hearing aids Listening in noise is a main cause for not using their hearing aids 42

43 Overall satisfaction is at 70 84% forget Japan Newer hearing aids are doing a better job Satisfaction goes up with longer use hours Hearing aids are useful on the job HA users are less exhausted, physically and mentally, at the end of the day = less risk of burn-outs 43

44 We need to educate ENT doctors better We need to inform the hearing impaired better about reimbursement possibilities We should advocate adult screening programs We should educate politicians about the social cost issues (labor market, burn-outs, depression, dementia,) Channel more info to tinnitus patients re treatment options? 44

45 Norway, Denmark and UK have a government system with free hearing aids This contributes to high HA penetration But not necessarily higher user satisfaction 45

46 and Sweden? 46

47 EHIMA Soeren Hougaard EHIMA secretary general Phone: (+45)

48 48

EUROTRAK UK Anovum EuroTrak UK 2018

EUROTRAK UK Anovum EuroTrak UK 2018 EUROTRAK UK 2018 EuroTrak Initiated by EHIMA in 2009 Questionnaire designed to be compatible with U.S. MarkeTrak to secure cross continent comparisons On-line survey method Surveys mailed to online panel