{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:12:28Z","timestamp":1783757548937,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Digital interventions are increasingly used to support hearing aid users; however, evidence for first-time hearing aid users remains unclear. This systematic review and meta-analysis evaluated the efficacy and effectiveness of digital interventions to improve outcomes for first-time hearing aid users. The protocol was pre-registered (PROSPERO; CRD420251125785) and conducted in accordance with PRISMA 2020. PubMed, Scopus, and Web of Science were searched (January 2026). Eligible studies included randomized controlled trials, controlled clinical trials, and quasi-experimental studies evaluating internet-, app-, or web-based interventions. Outcomes were grouped into six domains: hearing aid use, benefit and satisfaction, hearing and communication, knowledge, skills and self-management, speech-in-noise performance, and psychosocial and emotional adjustment. Risk of bias was assessed using RoB 2 and ROBINS-I, and certainty of evidence using GRADE. Random-effects meta-analyses were conducted where \u22653 randomized trials reported comparable outcomes. Eleven publications (nine trials) were included. Most interventions focused on education, self-management, and counseling, with few targeting perceptual training. The most consistent improvements were observed in knowledge, skills and self-management (moderate-certainty). Evidence for hearing aid use, benefit and satisfaction, hearing and communication, and psychosocial and emotional adjustment was limited and inconsistent (low-certainty), while speech-in-noise evidence was of very low certainty. Meta-analyses of hearing aid use and IOI-HA outcomes showed no significant pooled effects. Digital interventions show the most consistent evidence for improving knowledge, skills, and self-management. Evidence for other outcomes remains limited and inconsistent. Clinicians may consider digital educational programs complementing standard care. Future research should prioritize larger, pre-registered trials with broader interventions and standardized outcomes.<\/jats:p>","DOI":"10.1177\/23312165261461350","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T08:15:45Z","timestamp":1783584945000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital Interventions for First-Time Hearing Aid Users: A Systematic Review and Meta-Analysis of Efficacy and Effectiveness"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7187-9281","authenticated-orcid":false,"given":"Megan","family":"Kruger","sequence":"first","affiliation":[{"name":"University of Pretoria"},{"name":"A Collaborative Initiative Between the University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4149-2514","authenticated-orcid":false,"given":"Preeti","family":"Pandey","sequence":"additional","affiliation":[{"name":"A Collaborative Initiative Between the University of Colorado School of Medicine"},{"name":"University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1254-8407","authenticated-orcid":false,"given":"Vinaya","family":"Manchaiah","sequence":"additional","affiliation":[{"name":"University of Pretoria"},{"name":"A Collaborative Initiative Between the University of Colorado School of Medicine"},{"name":"University of Colorado School of Medicine"},{"name":"University of Colorado Hospital"},{"name":"Manipal Academy of Higher Education"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8313-1636","authenticated-orcid":false,"given":"De Wet","family":"Swanepoel","sequence":"additional","affiliation":[{"name":"University of Pretoria"},{"name":"A Collaborative Initiative Between the University of Colorado School of Medicine"},{"name":"University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/2015_AJA-15-0002"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJA-21-00200"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1286695"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000167"},{"issue":"8","key":"e_1_3_8_6_1","first-page":"CD010342","article-title":"Interventions to improve hearing aid use in adult auditory rehabilitation","volume":"2016","author":"Barker F.","year":"2016","unstructured":"Barker F., Mackenzie E., Elliott L., Jones S., de Lusignan S. 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