{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:19:38Z","timestamp":1787883578908,"version":"build-2784847793"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"VA Office of Academic Affiliations"},{"name":"Chief Scientist Office of the Scottish Government"},{"DOI":"10.13039\/100006380","name":"VA Rehabilitation Research and Development","doi-asserted-by":"crossref","award":["9230C"],"award-info":[{"award-number":["9230C"]}],"id":[{"id":"10.13039\/100006380","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/S003576\/1"],"award-info":[{"award-number":["MR\/S003576\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/X003620\/1"],"award-info":[{"award-number":["MR\/X003620\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32 DC014435"],"award-info":[{"award-number":["T32 DC014435"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014653","name":"NIHR Manchester Biomedical Research Centre","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Longitudinal electronic health records from a large sample of new hearing-aid (HA) recipients in the US Veterans Affairs healthcare system were used to evaluate associations of fitting laterality with long-term HA use persistence as measured by battery order records, as well as with short-term HA use and satisfaction as assessed using the International Outcome Inventory for Hearing Aids (IOI-HA), completed within 180 days of HA fitting. The large size of our dataset allowed us to address two aspects of fitting laterality that have not received much attention, namely the degree of hearing asymmetry and the question of which ear to fit if fitting unilaterally. The key findings were that long-term HA use persistence was considerably lower for unilateral fittings for symmetric hearing loss (HL) and for unilateral worse-ear fittings for asymmetric HL, as compared to bilateral and unilateral better-ear fittings. In contrast, no differences across laterality categories were observed for short-term self-reported HA usage. Total IOI-HA score was poorer for unilateral fittings of symmetric HL and for unilateral better-ear fittings compared to bilateral for asymmetric HL. We thus conclude that bilateral fittings yield the best short- and long-term outcomes, and while unilateral and bilateral fittings can result in similar outcomes on some measures, we did not identify any HL configuration for which a bilateral fitting would lead to poorer outcomes. However, if a single HA is to be fitted, then our results indicate that a better-ear fitting has a higher probability of long-term HA use persistence than a worse-ear fitting.<\/jats:p>","DOI":"10.1177\/23312165231195987","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T07:23:25Z","timestamp":1692861805000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Fitting a Hearing Aid on the Better Ear, Worse Ear, or Both: Associations of Hearing-aid Fitting Laterality with Outcomes in a Large Sample of US Veterans"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0229-0668","authenticated-orcid":false,"given":"Oliver","family":"Zobay","sequence":"first","affiliation":[{"name":"Hearing Sciences, Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK"},{"name":"VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1544-1944","authenticated-orcid":false,"given":"Graham","family":"Naylor","sequence":"additional","affiliation":[{"name":"Hearing Sciences, Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK"},{"name":"NIHR Nottingham Biomedical Research Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle H.","family":"Saunders","sequence":"additional","affiliation":[{"name":"VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA"},{"name":"Manchester Centre for Audiology and Deafness, School of Health Sciences, The University of Manchester, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren K.","family":"Dillard","sequence":"additional","affiliation":[{"name":"VA Rehabilitation R&D, National Center for Rehabilitative Auditory Research, Portland, OR, USA"},{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"bibr1-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJA-16-0123"},{"key":"bibr2-23312165231195987","doi-asserted-by":"publisher","DOI":"10.3109\/14992020903473431"},{"key":"bibr3-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJA-16-0135"},{"key":"bibr4-23312165231195987","volume-title":"An introduction to medical statistics","author":"Bland M.","year":"2015"},{"key":"bibr5-23312165231195987","doi-asserted-by":"publisher","DOI":"10.5772\/15690"},{"key":"bibr6-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2008\/07-0120)"},{"key":"bibr7-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-200008001-00014"},{"key":"bibr8-23312165231195987","doi-asserted-by":"publisher","DOI":"10.3109\/14992020209101309"},{"key":"bibr9-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3181f8bf6c"},{"key":"bibr10-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJA-19-00067"},{"key":"bibr11-23312165231195987","volume-title":"Hearing Aids","author":"Dillon H.","year":"2012","edition":"2"},{"key":"bibr12-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1080\/14992020400050014"},{"key":"bibr13-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2020.1828629"},{"key":"bibr14-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1515\/JBCPP.2007.18.3.201"},{"key":"bibr15-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000093"},{"key":"bibr16-23312165231195987","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17.10.7"},{"key":"bibr17-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1080\/14992020600782808"},{"key":"bibr18-23312165231195987","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v074.i07"},{"key":"bibr19-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2011.06.001"},{"key":"bibr20-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1080\/14992020500376933"},{"key":"bibr21-23312165231195987","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062251"},{"key":"bibr22-23312165231195987","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2021"},{"key":"bibr23-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000980"},{"key":"bibr24-23312165231195987","first-page":"CD012665","volume":"12","author":"Schilder A. 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(1991).\n                      Report of the informal working group on prevention of deafness and hearing impairment programme planning\n                      . https:\/\/apps.who.int\/iris\/handle\/10665\/58839."},{"key":"bibr35-23312165231195987","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001032"}],"container-title":["Trends in Hearing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23312165231195987","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23312165231195987","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23312165231195987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:48:14Z","timestamp":1777596494000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23312165231195987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":35,"alternative-id":["10.1177\/23312165231195987"],"URL":"https:\/\/doi.org\/10.1177\/23312165231195987","relation":{},"ISSN":["2331-2165","2331-2165"],"issn-type":[{"value":"2331-2165","type":"print"},{"value":"2331-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"23312165231195987"}}