Self-report hearing handicap scales are gaining widespread acceptance
among clinicians as a technique for quantifying hearing aid benefit. B
oth auditory and nonauditory (e.g., personality, health, motivation) f
actors contribute to an individual's response to hearing loss and ulti
mately to perceived hearing aid benefit. Among the recognized extra-au
diological variables, financial concerns may influence a hearing aid u
ser's expectations regarding hearing aid benefit. The present study co
mpared self-perceived benefit in 26 insured and 26 uninsured new heari
ng aid wearers using the Hearing Handicap Inventory for the Elderly (H
HIE). HHIE scores at 3 weeks and 6 mo postfitting were equivalent betw
een groups. The findings suggest that the HHIE may be used as an index
of hearing aid benefit without concern that the source of funds requi
red to purchase amplification may act as an uncontrolled variable.