A year ago, the Food and Drug Administration (FDA) made an announcement about new regulations regarding over-the-counter (OTC) hearing aids. These regulations aimed to increase accessibility and affordability for individuals with mild to moderate hearing loss. However, the current state of the OTC market is mixed. While manufacturers and retailers have made efforts to make hearing aids more accessible and affordable, it remains confusing and chaotic for older consumers. On a positive note, there has been renewed focus on the importance of treating hearing loss, especially considering that it affects two-thirds of individuals over the age of 70. A recent study conducted by researchers at Johns Hopkins University showed that hearing aids could help slow down cognitive decline. The study, known as ACHIEVE, demonstrated a reduction in the rate of cognitive decline by 48% among older and less affluent participants who used hearing aids compared to a control group. It is important to note that this subset of participants had higher risk factors associated with dementia. The study also plans to examine the effects of hearing aid use on brain atrophy, social isolation, depression, and quality of life. While there are differing opinions on the connection between hearing loss and dementia, researchers argue that promoting hearing-aid use can lead to greater social interaction, which in turn has positive effects on cognition and mental health. In terms of the OTC market, the FDA has approved self-fitting hearing aids that can be customized with smartphone apps. However, there are concerns regarding online sales and the ability for individuals to adjust the devices themselves. Not all hearing aids undergo FDA review, especially those without self-fitting capabilities. Additionally, there have been instances of misleading advertising in the market. Despite these challenges, progress has been made towards more affordable options. Self-fitting OTC aids that perform well are now available for around $1,000 per pair, while prescription hearing aids purchased through audiologists are significantly more expensive. However, initial sales for OTC devices have been modest, potentially due to older Americans’ lack of awareness or distrust of these new options. To assist buyers in making informed decisions, various resources have become available, including independent reviews and evaluations of hearing aids. The United States is the first country to develop a regulated OTC hearing aid market, and there is optimism for increased innovation and lower prices in the future. However, it is important to acknowledge that the OTC market is still a work in progress.
