This study explored the reasons for proceeding and NOT proceeding with BCHI from the perspectives of adults with hearing loss and professionals. Data were collected from an online survey of professionals in BCHI centres (n=802), The Ear Foundation BCHI Registry (n=1382), an online survey (n=102) and semi-structured qualitative interviews (n=17) of adults who had considered a BCHI.
Recommendations from this study include
1. Hearing care professionals need to be knowledgeable and skilled to refer and provide support for BCHI decision-making, ensuring adults are given opportunity to fully understand the information, procedures and implications. This should include:
• Increased awareness about BCHI amongst the public and professionals;
• Accurate knowledge on BCHI candidacy
• The full range of support offered throughout the pathway
• A trial of the sound processor
• A long-term follow-up support programme
• Alternative options and revisiting BCHI candidature
2. This report recommends a mandatory registry for all BCHI centres providing data on patient demographics and core outcome sets to quantify the number of BCHI centres in the UK, candidates, uptake, successful outcomes and failures to ensure clinical cost-effectiveness.
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This study is supported by Oticon Medical and carried out with additional support from Action on Hearing Loss, NADP, Hearing Link, UK BAHA Forum, Shrewsbury & Telford Hospital, Queens Hospital Birmingham and The Ear Foundation Young Adults group.