What brings you here today? The role of self-assessment in help-seeking for age-related hearing loss

Why do persons with age-related hearing problems typically wait years from the time hearing difficulties are noticed until hearing health care is sought? This article presents findings of a grounded theory study exploring perspectives of older women on help-seeking for hearing problems. Findings indicate that participants engaged in protracted self-assessment of their hearing before, during, and after seeking help for hearing problems. Many factors were found to facilitate or delay help-seeking; some factors may do both at different times. These factors combine to produce a "push-pull" effect that moves persons iteratively toward and away from help-seeking. A preliminary model of self-assessing is presented including three themes identified as significant in self-assessing: contrasting/comparing, cost vs. benefit, and control. The findings may have relevance beyond the study of hearing loss to the more general investigation of help-seeking for chronic health conditions in aging. (c) 2004 Elsevier Inc. All rights reserved.