EUROTRAK UK Anovum EuroTrak UK 2018
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- Eugenia Marion Lane
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1 EUROTRAK UK 2018
2 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 members. Samples balanced, based on census information with respect to age, gender and region Focus on hearing status and hearing aid usage Self assessment Issued in parallel in England, Germany and France Repeated every 3 years to generate trends over time
3 Status 2018 Country Germany France UK Switzerland Italy Japan Norway Denmark Poland Netherlands Belgium Australia New Zealand 13 countries, >400,000 people
4 Pooled data: Total sample sizes Representative sample (sample 1) EuroTrak I (2009) EuroTrak II (2012) EuroTrak III (2015) EuroTrak IV (2018) Total UK 14,980 14,896 14,473 14,855 59,204 Germany 14,183 13,922 13,775 13,583 55,463 France 15,545 15,430 14,824 15,061 60,860 Total 44,708 44,248 43,072 43, ,527
5 Pooled data: Hearing impaired sample sizes Hearing impaired (sample 2) HA owners Impaired non-owners EuroTrak I (2009) EuroTrak II (2012) EuroTrak III (2015) EuroTrak IV (2018) Total UK ,317 Germany ,044 France ,054 UK ,939 Germany ,234 France ,192 HA owners Total 1,517 1,503 1,611 1,784 6,415 Impaired non-owners Total 2,430 2,468 2,338 2,129 9,365 All impaired Total 3,947 3,971 3,949 3,913 15,780
6 HEARING AID ADOPTION RATES
7 Hearing loss prevalence - UK Total 9.7% 9.7% 9.1% 9.5% Total % 11.7% 10.7% 11.5% % 39.9% 40.4% 40.4% % 20.4% 19.3% 19.9% % 12.9% 11.4% 13.0% <=14 6.8% 7.8% 6.9% 8.9% 6.2% 4.7% 4.1% 5.9% 3.6% 3.6% 3.4% 4.2% 3.6% 3.7% 3.4% 3.3% 2.4% 2.1% 2.8% 1.7% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% EuroTrak 2018 Base: 14'855 EuroTrak 2015 Base: 14'473 EuroTrak 2012 Base: 14'896 EuroTrak 2009 Base: 14'980
8 Hearing loss prevalence overall - Country comparison Poland Germany Italy Japan % 11.7% 11.3% 16.0% Denmark % Netherland % France % UK 1 9.7% Belgium 2 9.6% Norway 5 8.8% Switzerland 4 8.0% 0% 5% 10% 15% 20% 25% 30%
9 UK, GER, FR: Hearing loss prevalence stable % hearing loss prevalence 9.9% 9.4% 9.7% 9.9% 12.1% 11.2% 11.1% 11.3% 2.2% 2.3% 2.1% 2.0% 4.3% 3.4% 3.5% 3.7% 6.4% 4.8% 4.6% 4.6% 7.1% 5.7% 5.8% 6.1% 10.5% 9.0% 8.5% 8.5% 14.8% 13.2% 13.4% 12.9% 13.1% 12.2% 12.3% 12.7% 11.0% 10.3% 10.4% 10.6% 21.9% 20.6% 20.5% 19.5% 35.8% 36.8% 36.6% 36.7% Female Male <= Total 18+ Total EuroTrak 2009 Base: 44,708 EuroTrak 2012 Base: 44,248 EuroTrak 2015 Base: 43,072 EuroTrak 2018 Base: 43,499
10 Adoption rate overall - Country comparison Adoption rate (% of hearing impaired) Denmark UK Norway Switzerland Netherland France Germany Belgium Italy Poland Japan 14% 18% 25% 31% 37% 43% 41% 41% 41% 48% 53% 0% 10% 20% 30% 40% 50% 60%
11 UK, GER, FR: Hearing aid adoption increases % of hearing impaired Statistical significance (90%) 2012<2015< < <2012<2015< <2012<2015< <2012<2015< % 24.7% 28.0% 35.0% 24.6% 24.9% 26.7% 31.1% 42.8% 45.1% 46.2% 49.5% 33.0% 35.3% 37.0% 41.7% 33.1% 35.0% 37.0% 41.6% <= Total 18+ Total EuroTrak 2009 Base: 5,335 EuroTrak 2012 Base: 4,926 EuroTrak 2015 Base: 4,950 EuroTrak 2018 Base: 4,969
12 UK: Adoption rates within mild and moderate hearing loss have increased Stated hearing loss (% of impaired population*) Adoption rate % Profound (4%) 1% 2% 71%* 70%* 66%* Severe (17%) 4% 12% Moderate (50%) 24% 26% 52% 46% 46% Mild (30%) 21% 9% 30% 18% 13% Base: n=1 300 Sums can differ from 100% due to rounding * combined severe and profound because n is too small No hearing aid Hearing aid
13 Binaural treatment - Country comparison Binaural treatment (% of hearing aid owners) Belgium 80% Denmark 77% Netherland Norway Switzerland Germany France 74% 74% 72% 71% 71% UK 61% Italy 57% Japan 46% Poland 33% 0% 10% 20% 30% 40% 50% 60% 70% 80% Anovum EuroTrak 2018 Page 13
14 HEARING AID EFFECTIVENESS
15 85% of hearing aid owners say their hearing aid works better than or as expected How have the expectations you had towards hearing aids before trying them on for the first time been met? 15% 50% 35% hearing aids work better than I expected hearing aids work as I expected hearing aids work worse than I expected Base: N=698
16 Overall satisfaction with HA is 74% in the UK % Satisfied Total HA-user (n=698) 4% 4% 7% 11% 18% 33% 23% 74% 70% 72% 77% up to two years old (n=353) 2% 2% 7% 11% 19% 30% 28% 78% 72% 77% - older than 2 years (n=286) 6% 6% 8% 11% 18% 35% 16% 69% 71% 64% - HA worn up to 4 hrs/day (n=208) 7% 8% 17% 22% 17% 16% 13% 45% 48% 45% 58% HA worn 4-8 hrs/day (n=189) 4% 2% 5% 10% 21% 36% 21% 79% 73% 81% 80% HA worn more than 8 hrs/day (n=300) 2% 1% 2% 5% 18% 42% 30% 89% 82% 83% 88% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied
17 Overall Satisfaction with HA - Country comparison B NL PL FRA CH UK DK GER NO IT JP % 84% 72% 70% 77% 72% 70% 36% 2015/ 2016/ % 73% 80% 84% 81% 70% 71% 77% - 79% 39% % 74% 76%
18 Satisfaction with current hearing aids Dispenser Professionalism of dispenser Quality of service during hearing aid fitting period Quality of dispensers counseling Quality of service after purchase -100% -80% -60% -40% -20% 0% 20% 40% 60% 80% 100% 5% 5% 4% 6% 86% 85% 84% 81% Trend* +2% +3% +3% +5% Sound quality signal process Clearness of tone and sound Natural sounding Richness or fidelity of sound Comfort with loud sounds 12% 10% 11% 14% 73% 72% 70% 69% +5% +7% +5% +7% Product features Ease of changing battery Reliability Visibility to others Value (performance versus money spent) Overall fit/ Comfort Managing whistling/feedback/buzzing Battery life 7% 8% 8% 7% 13% 12% 14% 81% 81% 76% 75% 74% 72% 71% -2% +5% +1% +4% +4% +4% +5% %dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied * % of satisfied HA owners compared to EuroTrak 2015 dissatisfied satisfied HA-owner, n=698
19 UK, GER, FR: Satisfaction with features and performance increased Trends % satisfied Product features Product performance (Sound quality, signal process and listening situations) 70% 76% 77% 80% 69% 71% 73% 76% n=1,483, 2012 n=1,488, 2015 n=1,593, 2018 n=1,784 Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hearing aid owners
20 Satisfaction with current hearing aids Listening situation Conversation with one Person Watching TV At home with family members Listening to Music Conversation in small groups Outdoors When riding in a car In a store, when shopping When talking to children Leisure activities In a larger lecture hall (e.g., theater, concert hall, place of At a movie theater Use in noisy situations On the telephone Conversation in large groups In school or a classroom (as an observer or student) In the workplace,100%,80%,60%,40%,20%,0%,20%,40%,60%,80%,100% 7% 9% 8% 7% 12% 8% 10% 11% 8% 13% 10% 19% 17% 20% 8% 10% 12% 84% 79% 79% 77% 76% 75% 75% 74% 73% 73% 70% 69% 69% 69% 68% 65% 65% Trend* +5% +6% +4% +8% +6% +5% +7% +5% +3% +6% +11% +5% +14% +9% +5% +14% +8% * % of satisfied HA owners compared to EuroTrak 2015 dissatisfied satisfied HA-owner, n=698
21 UK, GER, FR: Satisfaction in difficult listening situations improving Trends % satisfied 63% 74% 71% 67% 69% 72% 64% 61% 62% 62% 65% 54% 57% 60% 67% Conversation in large groups On the telephone In a larger lecture hall (e.g., theater, concert hall, place of worship, etc.) EuroTrak 2009 EuroTrak 2012 EuroTrak 2015 EuroTrak n=1,483, 2012 n=1,488, 2015 n=1,593, 2018 n=1,784 Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hearing aid owners Use in noisy situations
22 Factors influencing satisfaction with current HA: Sound quality/signal processing is most important for overall satisfaction with HA Influence on overall satisfaction with HA* Dispenser Quality of service after purchase 0.53 Quality of dispensers counseling 0.51 Professionalism of dispenser 0.49 Quality of service during hearing aid fitting period 0.43 Sound quality signal process. Clearness of tone and sound 0.68 Natural sounding 0.67 Richness or fidelity of sound 0.67 Comfort with loud sounds 0.60 Product features *The Influence has been calculated with a correlation: 0 means no relation between a criterion and overall satisfaction ; 1 means a maximal relationship. Read: richness or fidelity of sound is the most important criterion for satisfaction. Reliability 0.64 Managing whistling/feedback/buzzing 0.62 Overall fit/ Comfort 0.51 Value (performance versus money spent) 0.50 Visibility to others 0.49 Ease of changing battery 0.47 Battery life 0.45
23 HEARING AID OWNERSHIP
24 74% of the currently owned HAs were fitted in 2015 or later 100% 90% 80% 70% 60% 58% 74% 85% 89% 64% 93% 79% 95% 96% 97% 98% 98% 100% 92% 93% 94% 95% 88% 88% 90% 79% 64% 50% 40% 41% 41% 30% 31% 20% 10% 0% 2017/ or earlier Age of currently owned HAs (Mean): 2018 (n=639) 2015 (n=558) 2012 (n=501) 2018: 2.3 years 2015: 2.1 years 2012: 2.1 years Year of purchase
25 NHS hospital /clinic is the preferred place for obtaining hearing aids (both for owners and non owners) OWNERS: Where was your most current hearing aid obtained? NON OWNERS: If you were to get hearing aids, where would you go? NHS hospital/clinic 60% NHS hospital/clinic 57% Specialized hearing aid store 16% Specialized hearing aid store 24% Optician 13% Optician 11% Pharmacy 5% Pharmacy 2% Online 3% Online 2% Department store 1% Department store 1% Club store 0% Club store 0% Other 2% Other 3% HA-owner, n=698 HA-non-owner, n=602
26 On average, HAs are worn 7.8 hours a day HA worn: 2018 Mean: 7.8 hours/day 2015 Mean: 8.1 hours/day 2012 Mean: 8.3 hours/day HA-owner: 2018: n= : n= : n=501 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% How many hours a day are HA worn? (cum. %) cumulative % 98% 99% 100% 92% 90% 86% 78% 79% 80% 70% 64% 66% 56% 57% 60% 13% 47% 48% 50% 10% 40% 40% 34% 8% 8% 8% 7% 29% 30% 7% 7% 24% 6% 6% 6% 20% 18% 5% 4% 8% 10% 2% 1% 1% 1% 0% 1% 0% '0 '1 '2 '3 '4 '5 '6 '7 '8 '9 '10 '11 '12 '13 '14 '15 '16 '17 '
27 Hearing aids: hours worn per day - Country comparison Belgium Denmark Netherland Switzerla Germany Italy Norway France UK Japan Poland '6.3 '6.8 '9.4 '9.1 '9.1 '9.0 '9.0 '8.4 '7.9 '7.9 '7.8 '0 '1 '2 '3 '4 '5 '6 '7 '8 '9 '10 '11 '12
28 15% of the HA owners use an accessory for their hearing aids. 77% of those who use an accessory, are satisfied with it. Have you been informed by your hearing care professional about hearing aid accessories, such as TV-Streamer/ Apps / Remote Control / etc.? (HA owners, n=698) 22% 66% 12% Yes No don't know / no answer Do you personally use accessories for your hearing aids (TV-Streamer/ Apps / Remote Control / etc.)? (HA owners, n= 698) 15% 85% Yes IF ACCESSORIES USED (n=109): Overall, how satisfied with the performance of your accessorie(s)? No HA owners, n=619 2% 1% 5% 14% 13% 40% 24% very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied
29 CONCLUSONS: THE POSITIVE IMPACT OF HEARING AIDS
30 Significant positive impact of HAs on different aspects: Communication, group activities and social life improve Since you started using your hearing aid(s), please rate the changes you have experienced in each of the following areas, that you believe are due to your hearing aid(s). Overall ability to communicate more effectively in most situations 5% 32% 41% 21% Ability to participate in group activities 9% 33% 37% 20% Social life 5% 44% 33% 17% Confidence in yourself 7% 46% 29% 17% Relationships at home 5% 50% 26% 18% Relationships at work 3% 51% 23% 21% Sense of safety 4% 52% 29% 14% Feelings about yourself 6% 51% 26% 16% Sense of independence 4% 54% 26% 14% Mental/emotional health 4% 57% 22% 15% Mental ability 3% 61% 21% 14% Physical health 4% 66% 16% 12% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% a lot worse worse the same better a lot better HA-owner, n=698
31 General health problems: Quality of sleep improves if hearing impaired use hearing aids Are you generally satisfied with the quality of your sleep? 59% 44% No Yes 41% 56% Top 50% hearing loss, no hearing aid (n=105) Hearing aid (n=431)
32 49% of all hearing impaired unaware of related health risks Please tick all of the health issues below which you think could be linked to one`s hearing loss. Depression Sleeping disorder 19% 34% High blood pressure Dementia Diabetes Poor eyesight Back problems 11% 11% 8% 7% 4% Hearing loss is not linked to any of those 49% Hearing impaired, N=1 260
33 Last years Lancet Report and this year s Hélène Amieva study highlight
34 Death, Depression, Disability and Dementia associated with selfreported hearing problems: a 25-year study * Having hearing loss but no hearing aids significantly increases the hazard ratio of dementia (21%). Especially hard of hearing men have a higher risk of suffering from depression when not wearing hearing aids (43%). HL but no HA: higher risk of becoming dependent regarding activities of daily living (28%). * Hélène Amieva et al., The Journals of Gerontology, series A, January 2018
35 Quality of life - Country comparison UK: 94% How often do your hearing aids improve your quality of life? Belgium Switzerland France Italy Japan UK Germany Poland Netherland Denmark 5% 9% 1% 7% 3% 10% 4% 12% 1% 14% 6% 10% 3% 14% 4% 12% 7% 6% 17% 20% 27% 35% 35% 33% 34% 34% 35% 36% 34% 36% 59% 58% 52% 51% 50% 49% 48% 48% 41% 39% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% never rarely occasionally regularly
36 Top 10 reasons for not having a hearing aid Hear well enough in most situations 33% 25% 41% Would be embarrassed to wear a hearing aid 43% 13% 44% Uncomfortable 37% 20% 44% Have more serious priorities 28% 28% 44% They do not work well in noisy situations 34% 21% 45% Hearing loss not severe enough 37% 16% 47% Bad design 28% 20% 53% They do not restore your hearing to normal 27% 20% 53% Have not had hearing tested yet 28% 16% 56% Do not admit I have a hearing loss in public 26% 17% 57% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Reason Somewhat a reason Not a reason Base: non owners Top 50% HL: n=164
37 UK, GER, FR: Image of hearing aids improving Reasons for not having a HA (top 50% HL) Embarrassed to wear a hearing aid Bad design 56% 52% 42% 30% 53% 48% 35% 24% n=716/713/603/584 EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018
38 71% of all HA owners think they should have got their HAs sooner! Thinking back before you obtained your first hearing aid(s): do you think, you should have gotten them sooner? IF YES: What are the reasons why you think you should have got your hearing aid(s) sooner? What are the opportunities you think you have missed because of this? Please tick all that apply Better social life 63% Yes No 71% 29% Better mental/emotional health Better performance at work 23% 39% Less fatigue in the evening 19% HA-owner, n=698 Other opportunity 11% Base: n=439
39 THANK YOU
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