{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T07:53:14Z","timestamp":1771573994686,"version":"3.50.1"},"reference-count":105,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T00:00:00Z","timestamp":1682035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Untreated age-related sensorineural hearing loss is challenged by low adoption and adherence to hearing aids for treatment. Hearing care has evolved from traditional clinic-controlled treatment to online consumer-centered hearing care, supported by the increasingly person-centered design of hearing aid technology. Greater evidence and a more nuanced understanding of the personal need for adoption versus adherence to the use of consumer hearing care devices are required. Research considering consumer hearing aid acceptance behavior rests on behavior modification theories to guide clinical approaches to increasing hearing aid adoption and adherence. However, in the context of complex chronic health management, there may be a gap in how these theories effectively align with the needs of consumers. Similarly, market data indicates evolving consumer behavior patterns have implications for hearing care theory and implementation, particularly in terms of sustained behavior change. This essay proposes that evidence, including theory and application, be strengthened by revising basic theoretical premises of personal experience with complex chronic health, in addition to considering recent changes in commercial contexts.<\/jats:p>","DOI":"10.3390\/ijerph20085605","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T02:05:31Z","timestamp":1682042731000},"page":"5605","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Behavior Change in Chronic Health: Reviewing What We Know, What Is Happening, and What Is Next for Hearing Loss"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0196-3071","authenticated-orcid":false,"given":"Sophie","family":"Brice","sequence":"first","affiliation":[{"name":"Department of Nursing and Allied Health Sciences, Faculty of Health Arts and Design, Swinburne University of Technology, Hawthorn, VIC 3122, Australia"},{"name":"The Australian Institute of Health Service Management, College of Business and Economics, The University of Tasmania, Hobart, TAS 7000, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Almond","sequence":"additional","affiliation":[{"name":"The Australian Institute of Health Service Management, College of Business and Economics, The University of Tasmania, Hobart, TAS 7000, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.1056\/NEJMra1616601","article-title":"Hearing Loss in Adults","volume":"377","author":"Cunningham","year":"2017","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1093\/geront\/43.5.661","article-title":"The impact of hearing loss on quality of life in older adults","volume":"43","author":"Dalton","year":"2003","journal-title":"Gerontologist"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1080\/14992027.2021.1936223","article-title":"Consensus on connected hearing health technologies and service delivery models in the UK: A Delphi review","volume":"61","author":"Olson","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_4","first-page":"12","article-title":"Understanding hearing aid rejection and opportunities for OTC using the COM-B model","volume":"27","author":"Edwards","year":"2020","journal-title":"Hear. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.3109\/14992027.2015.1117663","article-title":"Understanding the psychosocial experiences of adults with mild-moderate hearing loss: An application of Leventhal\u2019s self-regulatory model","volume":"55","author":"Heffernan","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1080\/09638280210129162","article-title":"Communication and psychosocial consequences of sensory loss in older adults: Overview and rehabilitation directions","volume":"24","author":"Heine","year":"2002","journal-title":"Disabil. Rehabil."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.3109\/09638288.2011.563815","article-title":"Daily life consequences of hearing loss in the elderly","volume":"33","author":"Solheim","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1080\/14992027.2020.1773550","article-title":"Adoption, use and non-use of hearing aids: A robust estimate based on Welsh national survey statistics","volume":"59","author":"Dillon","year":"2020","journal-title":"Int. J. Audiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"360","DOI":"10.3109\/14992027.2013.769066","article-title":"Why do people fitted with hearing aids not wear them?","volume":"52","author":"McCormack","year":"2013","journal-title":"Int. J. Audiol."},{"key":"ref_10","unstructured":"Frank, A.W. (2013). The Wounded Storyteller: Body, Illness, and Ethics, University of Chicago Press."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/j.1365-2354.2010.01220.x","article-title":"Identity and psychological ownership in chronic illness and disease state","volume":"20","author":"Karnilowicz","year":"2011","journal-title":"Eur. J. Cancer Care"},{"key":"ref_12","unstructured":"Shilen, J.M. (1984). Client-Centred Therapy and the Person-Centred Approach: New Directions in Theory, Research, Practice, Praeger."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.jaging.2004.07.001","article-title":"\u201cWhat brings you here today?\u201d The role of self-assessment in help-seeking for age-related hearing loss","volume":"19","author":"Carson","year":"2005","journal-title":"J. Aging Stud."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/01650250344000226","article-title":"Agency and communion attributes in adults\u2019 spontaneous self-representations","volume":"28","author":"Diehl","year":"2004","journal-title":"Int. J. Behav. Dev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1093\/gerona\/glu207","article-title":"Association of hearing impairment with declines in physical functioning and the risk of disability in older adults","volume":"70","author":"Chen","year":"2015","journal-title":"J. Gerontol. Med. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"838","DOI":"10.3109\/14992027.2015.1059503","article-title":"Hearing-aid use and long-term health outcomes: Hearing handicap, mental health, social engagement, cognitive function, physical health, and mortality","volume":"54","author":"Dawes","year":"2015","journal-title":"Int. J. Audiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1111\/j.1533-8525.1995.tb00459.x","article-title":"The Body, Identity, and Self: Adapting To Impairment","volume":"36","author":"Charmaz","year":"1995","journal-title":"Sociol. Q."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1046\/j.1365-2702.2003.00826.x","article-title":"Chronic illness self-management: Taking action to create order","volume":"13","author":"Kralik","year":"2004","journal-title":"J. Clin. Nurs."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"757","DOI":"10.2337\/dc15-2559","article-title":"Illness identity in adolescents and emerging adults with type 1 diabetes: Introducing the illness identity questionnaire","volume":"39","author":"Oris","year":"2016","journal-title":"J. Diabetes Care"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1007\/s10865-010-9249-9","article-title":"A typology of coping with Type 1 diabetes in emerging adulthood: Associations with demographic, psychological, and clinical parameters","volume":"33","author":"Luyckx","year":"2010","journal-title":"J. Behav. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s10880-018-9552-0","article-title":"Illness identity in adults with a chronic illness","volume":"25","author":"Oris","year":"2018","journal-title":"J. Clin. Psychol. Med. Settings"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/1049732304272965","article-title":"Identity and adherence in a diabetes patient: Transformations in psychotherapy","volume":"15","author":"Tilden","year":"2005","journal-title":"J. Qual. Health Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/1474515118811960","article-title":"Illness identity: Capturing the influence of illness on the person\u2019s sense of self","volume":"18","author":"Luyckx","year":"2019","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/1468794104047232","article-title":"Epiphanies of embodiment: Injury, identity and the balletic body","volume":"4","author":"Wainwright","year":"2004","journal-title":"J. Qual. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1159\/000343189","article-title":"Factors Affecting Auditory Performance of Postlinguistically Deaf Adults Using Cochlear Implants: An Update with 2251 Patients","volume":"18","author":"Blamey","year":"2013","journal-title":"Audiol. Neurotol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/14992027.2019.1683626","article-title":"Narratives of identity: Understanding the experiences of adults with hearing loss who use hearing aids","volume":"59","author":"Barker","year":"2020","journal-title":"Int. J. Audiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/14992027.2021.1933620","article-title":"Coping with the social challenges and emotional distress associated with hearing loss: A qualitative investigation using Leventhal\u2019s self-regulation theory","volume":"61","author":"Bennett","year":"2022","journal-title":"Int. J. Audiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/hsw\/22.1.5","article-title":"Adult adjustment to chronic illness: A review of the literature","volume":"22","author":"Sidell","year":"1997","journal-title":"Health Soc. Work"},{"key":"ref_29","unstructured":"Milligan, S.E. (1984). Community Health Care for Chronic Physical Illness: Issues and Models, Case Western Reserve University."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2099","DOI":"10.1111\/jgs.13649","article-title":"Self-Reported Hearing Loss, Hearing Aids, and Cognitive Decline in Elderly Adults: A 25-Year Study","volume":"63","author":"Amieva","year":"2015","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1044\/2020_JSLHR-20-00014","article-title":"Hearing Aid Uptake, Benefit, and Use: The Impact of Hearing, Cognition, and Personal Factors","volume":"64","author":"Nixon","year":"2021","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_32","unstructured":"Consumer Technology Association (CTA) (2022, March 21). ANSI\/CTA Standard Definitions and Characteristics of Digital Therapeutics (ANSI\/CTA-2098) 2021. Available online: https:\/\/shop.cta.tech\/products\/definitions-characteristics-of-digital-therapeutics-ansi-cta-2098."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1055\/s-0040-1701244","article-title":"Emerging Technologies, Market Segments, and MarkeTrak 10 Insights in Hearing Health Technology","volume":"41","author":"Edwards","year":"2020","journal-title":"Semin. Hear."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3766\/jaaa.18061","article-title":"Applying the COM-B model to assess the usability of smartphone-connected listening devices in adults with hearing loss","volume":"30","author":"Maidment","year":"2019","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_35","first-page":"12","article-title":"MarkeTrak 2022: Naviagting the changing landscape of hearing healthcare","volume":"29","author":"Powers","year":"2020","journal-title":"Hear. Rev."},{"key":"ref_36","unstructured":"(2023, February 20). Jabra Enhance (Previously Known as Listen Lively). Available online: https:\/\/www.jabraenhance.com\/?bk=1Lively!."},{"key":"ref_37","unstructured":"(2023, January 19). Tuned Audiologists. Available online: https:\/\/www.tunedcare.com\/how-it-works-audiologists."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Cruz-Cunha, M., Miranda, I., Martinho, R., and Rijo, R. (2016). Encyclopedia of E-Health and Telemedicine, IGI Global.","DOI":"10.4018\/978-1-4666-9978-6"},{"key":"ref_39","unstructured":"Michie, S., Marques, M.M., Norris, E., and Johnston, M. (2018). Handbook of Health Psychology, Routledge."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4278\/0890-1171-12.1.38","article-title":"The Transtheoretical Model of Health Behavior Change","volume":"12","author":"Prochaska","year":"1997","journal-title":"Am. J. Health Promot."},{"key":"ref_41","unstructured":"Hochbaum, G., Rosenstock, I., and Kegels, S. (1952). Health Belief Model, United States Public Health Service."},{"key":"ref_42","first-page":"148","article-title":"Predicting and understanding consumer behavior: Attitude-behavior correspondence","volume":"1","author":"Fishbein","year":"1980","journal-title":"Underst. Attitudes Predict. Soc. Behav."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"J. Organ. Behav. Hum. Decis. Process."},{"key":"ref_44","unstructured":"Cameron, L., and Leventhall, H. (2003). The Self-Regulation of Health and Illness Behaviour, Taylor & Francis Group."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1080\/14992027.2016.1206215","article-title":"Application of health behaviour theory to hearing healthcare research: The state of play and beyond","volume":"55","author":"Ferguson","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/AUD.0b013e3182772c49","article-title":"Stages of change in adults with acquired hearing impairment seeking help for the first time: Application of the transtheoretical model in audiologic rehabilitation","volume":"34","author":"Hickson","year":"2013","journal-title":"Ear Hear."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"548","DOI":"10.3766\/jaaa.16122","article-title":"Application of Transtheoretical (Stages of Change) Model in Studying Attitudes and Behaviors of Adults with Hearing Loss: A Descriptive Review","volume":"29","author":"Manchaiah","year":"2018","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/AUD.0000000000000268","article-title":"Description of Adults Seeking Hearing Help for the First Time According to Two Health Behavior Change Approaches: Transtheoretical Model (Stages of Change) and Health Belief Model","volume":"37","author":"Saunders","year":"2016","journal-title":"Ear Hear."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1037\/0022-006X.51.3.390","article-title":"Stages and processes of self-change of smoking: Toward an integrative model of change","volume":"51","author":"Prochaska","year":"1983","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/AUD.0000000000000237","article-title":"A Randomized Controlled Trial to Evaluate the Benefits of a Multimedia Educational Program for First-Time Hearing Aid Users","volume":"37","author":"Ferguson","year":"2016","journal-title":"Ear Hear."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.3109\/14992027.2016.1144240","article-title":"Health behavior theories as predictors of hearing-aid uptake and outcomes","volume":"55","author":"Saunders","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_53","first-page":"137","article-title":"Factors Influencing the Hearing Aids Use and Satisfaction: A Review Study","volume":"13","author":"Hoseinabadi","year":"2020","journal-title":"J. Mod. Rehabil."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"S90","DOI":"10.3109\/14992027.2015.1120894","article-title":"Applying the COM-B behaviour model and behaviour change wheel to develop an intervention to improve hearing-aid use in adult auditory rehabilitation","volume":"55","author":"Barker","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1080\/14992027.2018.1535720","article-title":"Development of a hearing help-seeking questionnaire based on the theory of planned behavior","volume":"58","author":"Arnold","year":"2019","journal-title":"Int. J. Audiol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"476","DOI":"10.3109\/14992027.2015.1007213","article-title":"Autonomous motivation is associated with hearing aid adoption","volume":"54","author":"Ridgway","year":"2015","journal-title":"Int. J. Audiol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.3109\/14992027.2015.1120893","article-title":"Decision-making and outcomes of hearing help-seekers: A self-determination theory perspective","volume":"55","author":"Ridgway","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"644","DOI":"10.3766\/jaaa.16098","article-title":"What factors are associated with autonomous and controlled motivation for hearing help-seekers?","volume":"28","author":"Ridgway","year":"2017","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s10865-016-9782-2","article-title":"The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management","volume":"39","author":"Leventhal","year":"2016","journal-title":"J. Behav. Med."},{"key":"ref_60","unstructured":"Dollard, J., and Miller, N. (1950). Personality and Psychotherapy, McGraw Hill."},{"key":"ref_61","first-page":"1144","article-title":"Fear communications in the acceptance of preventive health practices","volume":"41","author":"Leventhal","year":"1970","journal-title":"Bull. N. Y. Acad. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1080\/17437199.2017.1415767","article-title":"Ignoring theory and misinterpreting evidence: The false belief in fear appeals","volume":"12","author":"Kok","year":"2018","journal-title":"Health Psychol. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/17437199.2018.1454846","article-title":"Towards consensus on fear appeals: A rejoinder to the commentaries on Kok, Peters, Kessels, ten Hoor, and Ruiter","volume":"12","author":"Peters","year":"2018","journal-title":"Health Psychol. Rev."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"S60","DOI":"10.3109\/14992027.2013.847286","article-title":"Patient-centred care: A review for rehabilitative audiologists","volume":"53","author":"Grenness","year":"2014","journal-title":"Int. J. Audiol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/AUD.0000000000000100","article-title":"Communication patterns in audiologic rehabilitation history-taking: Audiologists, patients, and their companions","volume":"36","author":"Grenness","year":"2015","journal-title":"Ear Hear."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/01.HJ.0000553579.84972.47","article-title":"Are you providing person-centered hearing care?","volume":"72","author":"William","year":"2019","journal-title":"Hear. J."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"787607","DOI":"10.3389\/fnins.2022.787607","article-title":"Defining a Patient-Centred Core Outcome Domain Set for the Assessment of Hearing Rehabilitation With Clients and Professionals","volume":"16","author":"Allen","year":"2022","journal-title":"Front. Neurosci."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.3109\/14992027.2013.860488","article-title":"Factors associated with success with hearing aids in older adults","volume":"53","author":"Hickson","year":"2014","journal-title":"Int. J. Audiol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"247","DOI":"10.3766\/jaaa.26.3.5","article-title":"Comparisons of Client and Clinician Views of the Importance of Factors in Client-Clinician Interaction in Hearing Aid Purchase Decisions","volume":"26","author":"Jennings","year":"2015","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/arcp.1048","article-title":"Psychological analysis of consumer intertemporal decisions","volume":"2","author":"Malkoc","year":"2018","journal-title":"Consum. Psychol. Rev."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1057\/fsm.2013.7","article-title":"A review of consumer decision-making models and development of a new model for financial services","volume":"18","author":"Milner","year":"2013","journal-title":"J. Financ. Serv. Mark."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1055\/s-0036-1579706","article-title":"Application of the Consumer Decision-Making Model to Hearing Aid Adoption in First-Time Users","volume":"37","author":"Amlani","year":"2016","journal-title":"Semin. Hear."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1044\/2018_AJA-18-0130","article-title":"The Relationship Between Hearing Loss Self-Management and Hearing Aid Benefit and Satisfaction","volume":"28","author":"Convery","year":"2019","journal-title":"Am. J. Audiol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","article-title":"Self-efficacy: Towards a unifying theory of behavioral change","volume":"84","author":"Bandura","year":"1977","journal-title":"Psychol. Rev."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1177\/109019818801500203","article-title":"Social learning theory and the health belief model","volume":"15","author":"Rosenstock","year":"1988","journal-title":"Health Educ. Q."},{"key":"ref_76","unstructured":"Glanz, K., Rimer, B.K., and Viswanath, K. (2008). Health Behavior and Health Education: Theory, Research, and Practice, John Wiley & Sons."},{"key":"ref_77","unstructured":"Bandura, A. (1977). Self-Efficacy: The Exercise of Control, W.H. Freeman."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/089826439100300101","article-title":"Self-Management of Chronic Disease by Older Adults: A Review and Questions for Research","volume":"3","author":"Clark","year":"1991","journal-title":"J. Aging Health"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1369-7625.2011.00757.x","article-title":"Empowerment, patient centred care and self-management","volume":"17","author":"Pulvirenti","year":"2014","journal-title":"Health Expect."},{"key":"ref_80","first-page":"2","article-title":"Chronic disease management: What will it take to improve care for chronic illness?","volume":"1","author":"Wagner","year":"1998","journal-title":"Eff. Clin. Pract. ECP"},{"key":"ref_81","unstructured":"Brice, S., and Saunders, E. (2020). What\u2019s Tech Got to Do With It? Supporting the User in the Age of Self-Management. Hear. J., Available online: https:\/\/journals.lww.com\/thehearingjournal\/blog\/OnlineFirst\/pages\/post.aspx?PostID=65."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1857","DOI":"10.3389\/fpsyg.2019.01857","article-title":"Autonomies in Interaction: Dimensions of Patient Autonomy and Non-adherence to Treatment","volume":"10","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"Hoaas, H., Andreassen, H.K., Lien, L.A., Hjalmarsen, A., and Zanaboni, P. (2016). Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: A mixed methods study. BMC Med. Inform. Decis. Mak., 16.","DOI":"10.1186\/s12911-016-0264-9"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"6883","DOI":"10.21037\/jtd.2020.01.23","article-title":"Improving patient engagement, adherence, and satisfaction in lung cancer surgery with implementation of a mobile device platform for patient reported outcomes","volume":"12","author":"Kneuertz","year":"2020","journal-title":"J. Thorac. Dis."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.2196\/jmir.4055","article-title":"The person-based approach to intervention development: Application to digital health-related behavior change interventions","volume":"17","author":"Yardley","year":"2015","journal-title":"J. Med. Internet Res."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1044\/2018_AJA-17-0068","article-title":"Feasibility of using a smartphone-based hearing aid application to improve attitudes toward amplification and hearing impairment","volume":"28","author":"Amlani","year":"2019","journal-title":"Am. J. Audiol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.invent.2016.01.002","article-title":"The initial evaluation of an Internet-based support system for audiologists and first-time hearing aid clients","volume":"4","author":"Ingo","year":"2016","journal-title":"Internet Interv."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1097\/AUD.0000000000000663","article-title":"Factors Associated With Successful Setup of a Self-Fitting Hearing Aid and the Need for Personalized Support","volume":"40","author":"Convery","year":"2019","journal-title":"Ear Hear."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1044\/2022_AJA-21-00236","article-title":"Hearing Health Care Digital Therapeutics: Patient Satisfaction Evidence","volume":"31","author":"Spehar","year":"2022","journal-title":"Am. J. Audiol."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1044\/2015_AJA-15-0028","article-title":"The Relationship Between Hearing Aid Self-Efficacy and Hearing Aid Satisfaction","volume":"24","author":"McMillan","year":"2015","journal-title":"Am. J. Audiol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"2331216520930545","DOI":"10.1177\/2331216520930545","article-title":"Hearing Aid Self-Adjustment: Effects of Formal Speech-Perception Test and Noise","volume":"24","author":"Mackersie","year":"2020","journal-title":"Trends Hear."},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Brice, S., and Almond, H. (2022). Is Teleaudiology Achieving Person-Centered Care: A Review. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19127436"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"S34","DOI":"10.1080\/14992027.2016.1177214","article-title":"The impact of self-efficacy, expectations, and readiness on hearing aid outcomes","volume":"55","author":"Ferguson","year":"2016","journal-title":"Int. J. Audiol."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/0145445502238696","article-title":"Maintenance of health behavior change in preventive cardiology: Internalization and self-regulation of new behaviors","volume":"27","author":"Bellg","year":"2003","journal-title":"J. Behav. Modif."},{"key":"ref_95","unstructured":"Australian Digital Health Agency (ADHA) (2021, March 21). Framework for Action: How Australia Will Deliver the Benefits of Digitally Enabled Health and Care; 2018, Available online: https:\/\/www.digitalhealth.gov.au\/about-us\/national-digital-health-strategy-and-framework-for-action."},{"key":"ref_96","doi-asserted-by":"crossref","unstructured":"Saunders, E. (2019). Tele-Audiology and the Optimization of Hearing Healthcare Delivery, IGI Global.","DOI":"10.4018\/978-1-5225-8191-8"},{"key":"ref_97","unstructured":"Hearing Care Industry Association (HCIA), and European Hearing Intsrument Manufactirers Association (EHIMA) (2022, March 21). AustaliaTrak. Available online: https:\/\/www.hcia.com.au\/hcia-wp\/wp-content\/uploads\/2022\/03\/AustraliaTrak_2021_Final-Report.pdf."},{"key":"ref_98","first-page":"12","article-title":"MarkeTrak 10: Hearing Aids in an era of disruption and DTC\/OTC devices","volume":"26","author":"Powers","year":"2019","journal-title":"Hear. Rev."},{"key":"ref_99","first-page":"16","article-title":"A comparison of consumer satisfaction, subjective benefit, and quality of life changes associated with traditional and direct-mail hearing aid use","volume":"21","author":"Kochkin","year":"2014","journal-title":"Hear. Rev."},{"key":"ref_100","unstructured":"Staab, W., and Hosford-Dunn, H. (2017). The Big Fat PSAP Book, Kindle Edition, Hearing Health & Technology Matters. Available online: https:\/\/www.amazon.com.au\/Big-Fat-PSAP-Book-ebook\/dp\/B06XZ983TS."},{"key":"ref_101","unstructured":"The White House (2022, October 17). Fact Sheet: Cheaper Hearing Aids Now in Stores Thanks to Biden-Harris Administration competition agenda, Available online: https:\/\/www.whitehouse.gov\/briefing-room\/statements-releases\/2022\/10\/17\/fact-sheet-cheaper-hearing-aids-now-in-stores-thanks-to-biden-harris-administration-competition-agenda\/."},{"key":"ref_102","unstructured":"Brice, S., and Lam, E. (2019, January 1\u201331). Comparing Teleaudiology and traditional audiology client journeys: What counts and what to consider. Proceedings of the 3rd British Society of Audiology E-Conference, Online."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1044\/2018_AJA-18-0082","article-title":"A Follow-Up Clinical Trial Evaluating the Consumer-Decides Service Delivery Model","volume":"28","author":"Humes","year":"2019","journal-title":"Am. J. Audiol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1044\/2017_AJA-16-0111","article-title":"The Effects of Service-Delivery Model and Purchase Price on Hearing-Aid Outcomes in Older Adults: A Randomized Double-Blind Placebo-Controlled Clinical Trial","volume":"26","author":"Humes","year":"2017","journal-title":"Am. J. Audiol."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1080\/14992027.2018.1534007","article-title":"Beyond motivation: Identifying targets for intervention to increase hearing aid use in adults","volume":"58","author":"Sawyer","year":"2019","journal-title":"Int. J. Audiol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/8\/5605\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:20:19Z","timestamp":1760124019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/8\/5605"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,21]]},"references-count":105,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["ijerph20085605"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20085605","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,21]]}}}