title: Understanding the low uptake of bone-anchored hearing aids: a review.
abstract: BACKGROUND
  Bone-anchored hearing aids improve hearing for patients for whom conventional behind-the-ear aids are problematic. However, uptake of bone-anchored hearing aids is low and it is important to understand why this is the case.
  
  
  METHODS
  A narrative review was conducted. Studies examining why people accept or decline bone-anchored hearing aids and satisfaction levels of people with bone-anchored hearing aids were reviewed.
  
  
  RESULTS
  Reasons for declining bone-anchored hearing aids included limited perceived benefits, concerns about surgery, aesthetic concerns and treatment cost. No studies providing in-depth analysis of the reasons for declining or accepting bone-anchored hearing aids were identified. Studies of patient satisfaction showed that most participants reported benefits with bone-anchored hearing aids. However, most studies used cross-sectional and/or retrospective designs and only included people with bone-anchored hearing aids.
  
  
  CONCLUSIONS
  Important avenues for further research are in-depth qualitative research designed to fully understand the decision-making process for bone-anchored hearing aids and rigorous quantitative research comparing satisfaction of people who receive bone-anchored hearing aids with those who receive alternative (or no) treatments.
authors.affiliation: School of Health Sciences & Manchester Centre for Health Psychology,University of Manchester,UK.
authors.forename: R
authors.initials: R
authors.lastname: Powell
authors.affiliation: School of Health Sciences & Manchester Centre for Health Psychology,University of Manchester,UK.
authors.forename: A
authors.initials: A
authors.lastname: Wearden
authors.affiliation: School of Health Sciences & Manchester Centre for Health Psychology,University of Manchester,UK.
authors.forename: S M
authors.initials: SM
authors.lastname: Pardesi
authors.affiliation: Department of Otolaryngology,Manchester Royal Infirmary,Central Manchester Foundation Trust,UK.
authors.forename: K
authors.initials: K
authors.lastname: Green
mesh_terms: D001844:Bone Conduction; D003430:Cross-Sectional Studies; D003657:Decision Making; D006310:Hearing Aids / Q000523:psychology*; D006314:Hearing Loss, Conductive / Q000523:psychology*; D006801:Humans; D017060:Patient Satisfaction; D019736:Prostheses and Implants / Q000523:psychology*; D012189:Retrospective Studies
keywords: Bone-Anchored Hearing Aids; Correction of Hearing Impairment; Decision Making; Hearing Aids; Hearing Loss; Patient Satisfaction