Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

Spring 2018

Document Type


Degree Name

Doctor of Audiology (AuD)


Department of Communication Sciences and Disorders


Ayasakanta Rout

Christopher G. Clinard

Melissa Garber


Many reasons have been postulated as to why persons with hearing loss are reluctant to engage in the hearing rehabilitation process. While not the only determinant, an individual's attitudes toward hearing loss and hearing aids have been shown to affect adoption of amplification adversely and eventual outcomes of hearing aid use. Several attempts have been made to develop test instruments for attitudes toward hearing loss, but nothing specific to attitudes toward hearing aids or hearing aid technology. The primary objective of this study was to develop a questionnaire to assess attitudes toward hearing aids using the ABC model of attitude and consumer behavior. Eighteen items based on commonly reported feelings or emotions about hearing aids were identified. For each item two rating scales were assigned to reflect the affective and behavioral components. The survey was distributed through Qualtrics and was posted on the Hearing Loss Association of America (HLAA) public chat room and the AARP online forum in addition to hearing loss Facebook groups. It was additionally distributed at the James Madison University Speech-Language-Hearing clinic. Results from 36 completed surveys indicated strong internal consistency among the questionnaire items. Both Affective and Behavioral scales resulted in high Cronbach’s Alpha (0.815 and 0.892, respectively) indicating internal consistency for both scales. Additionally, none of the items were found to alter the internal consistency if removed from the analysis. Multiple regression analysis found that two out of the three independent variables (attitudes toward hearing aids and others’ attitudes toward those with hearing aids) were shown to impact hearing aid adoption.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.