EuroTrack 2018 BIHIMAConf Presentation-v9-Widescreen FINAL · 2018. 5. 15. · v } À µ u î ì í ô r µ }d l h< î ì í ô ri khdulqj dlg rzqhuv vd\ wkhlu khdulqj dlg zrunv ehwwhu

$Page 1: EuroTrack 2018 BIHIMAConf Presentation-v9-Widescreen FINAL · 2018. 5. 15. · v } À µ u î ì í ô r µ }d l h< î ì í ô ri khdulqj dlg rzqhuv vd\ wkhlu khdulqj dlg zrunv ehwwhu$
© Anovum 2018 - EuroTrak UK 2018

EUROTRAK UK 2018



EuroTrak

• Initiated by EHIMA in 2009

• Questionnaire designed to be compatible with U.S. MarkeTrak to secure cross continent comparisons

• On-line survey method

• Surveys mailed to online panel members. Samples balanced, based on census information with respect to age, gender and region

• Focus on hearing status and hearing aid usage

• Self assessment

• Issued in parallel in England, Germany and France

• Repeated every 3 years to generate trends over time


Status 2018 Country 2009 2012 2015 2016 2017 2018

Germany

France

UK

Switzerland

Italy

Japan

Norway

Denmark

Poland

Netherlands

Belgium

Australia

New Zealand

13 countries,>400,000 people


Pooled data: Total sample sizes

Representative sample (sample 1)

EuroTrak I (2009) EuroTrak II (2012)

EuroTrak III (2015)

EuroTrak IV(2018) Total

UK 14,980 14,896 14,473 14,855 59,204

Germany 14,183 13,922 13,775 13,583 55,463

France 15,545 15,430 14,824 15,061 60,860

Total 44,708 44,248 43,072 43,499 175,527


Pooled data: Hearing impaired sample sizes

Hearing impaired (sample 2)

EuroTrak I (2009) EuroTrak II (2012) EuroTrak III (2015) EuroTrak IV (2018) Total

HA ownersUK 513 501 605 698 2,317

Germany 503 500 505 536 2,044

France 501 502 501 550 2,054

Impairednon-owners

UK 822 795 720 602 2,939

Germany 805 864 799 766 3,234

France 803 809 819 761 3,192

HA owners Total 1,517 1,503 1,611 1,784 6,415

Impaired non-owners

Total 2,430 2,468 2,338 2,129 9,365

All impaired Total 3,947 3,971 3,949 3,913 15,780


HEARING AID ADOPTION RATES



Hearing loss prevalence - UK

1.7%

3.3%

4.2%

5.9%

8.9%

13.0%

19.9%

38.2%

11.5%

9.5%

2.8%

3.4%

3.4%

4.1%

6.9%

11.4%

19.3%

40.4%

10.7%

9.1%

2.1%

3.7%

3.6%

4.7%

7.8%

12.9%

20.4%

40.4%

11.7%

9.7%

2.4%

3.6%

3.6%

6.2%

6.8%

11.5%

19.2%

39.9%

11.6%

9.7%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

<=14

15-24

25-34

35-44

45-54

55-64

65-74

74+

Total 18+

Total

EuroTrak 2018Base: 14'855





Hearing loss prevalence overall - Country comparison

8.0%

8.8%

9.6%

9.7%

10.0%

10.1%

10.3%

11.3%

11.7%

12.2%

16.0%

0% 5% 10% 15% 20% 25% 30%

Switzerland

Norway

Belgium

UK

France

Netherland

Denmark

Japan

Italy

Germany

Poland

1

4

3

4

3

1

1

2

5

3

4

1- 20182- 20173- 20164- 20155- 2012


UK, GER, FR: Hearing loss prevalence stable9.

9%

12.1

%

2.2%

4.3%

6.4% 7.

1%

10.5

%

14.8

%

21.9

%

35.8

%

13.1

%

11.0

%

9.4%

11.2

%

2.3% 3.

4% 4.8% 5.

7%

9.0%

13.2

%

20.6

%

36.8

%

12.2

%

10.3

%

9.7% 11

.1%

2.1% 3.

5% 4.6% 5.

8%

8.5%

13.4

%

20.5

%

36.6

%

12.3

%

10.4

%

9.9% 11

.3%

2.0% 3.

7% 4.6% 6.

1%

8.5%

12.9

%

19.5

%

36.7

%

12.7

%

10.6

%

Female Male <=14 15-24 25-34 35-44 45-54 55-64 65-74 74+ Total 18+ Total

EuroTrak 2009Base: 44,708




% hearing loss prevalence


Adoption rate overall - Country comparison

Adoption rate (% of hearing impaired)

14%

18%

25%

31%

37%

41%

41%

41%

43%

48%

53%

0% 10% 20% 30% 40% 50% 60%

Japan

Poland

Italy

Belgium

Germany

France

Netherland

Switzerland

Norway

UK

Denmark


UK, GER, FR: Hearing aid adoption increases

% of hearing impaired25

.7%

24.6

%

42.8

%

33.0

%

33.1

%

24.7

%

24.9

%

45.1

%

35.3

%

35.0

%

28.0

%

26.7

%

46.2

%

37.0

%

37.0

%

35.0

%

31.1

%

49.5

%

41.7

%

41.6

%

<=44 45-64 65+ Total 18+ TotalEuroTrak 2009Base: 5,335




Statistical significance (90%)

2012<2015<2018 2009<2012<2015<2018 2009<2012<2015<2018 2009<2012<2015<20182015<2018


24% 26%

4% 12%

21% 9%

UK: Adoption rates within mild and moderate hearing loss have increased

Profound

Severe

Moderate

Adoption rate %

(4%)

(17%)

(50%)

(% of impaired population*)

Sums can differ from 100% due to rounding* combined “severe” and “profound” because n is too small

Stated hearing loss

(30%)Mild

Base: n=1’300

2015

Adoption rate %

46%

13%

66%*

46%

18%

70%*

1% 2%

2018

52%

30%

71%*

2012

No hearing aid | Hearing aid


Binaural treatment - Country comparison

© Anovum 2018 - EuroTrak 2018 Page 13

Binaural treatment (% of hearing aid owners)

33%

46%

57%

61%

71%

71%

72%

74%

74%

77%

80%

0% 10% 20% 30% 40% 50% 60% 70% 80%

Poland

Japan

Italy

UK

France

Germany

Switzerland

Norway

Netherland

Denmark

Belgium


HEARING AID EFFECTIVENESS



85% of hearing aid owners say their hearing aid works better than or as expected

35%

50%

15%

hearing aids workbetter than I expectedhearing aids work as Iexpectedhearing aids workworse than I expected

How have the expectations you had towards hearing aids before trying them on for the first time been met?

Base: N=698


Overall satisfaction with HA is 74% in the UK

2%

4%

7%

6%

2%

4%

1%

2%

8%

6%

2%

4%

2%

5%

17%

8%

7%

7%

5%

10%

22%

11%

11%

11%

18%

21%

17%

18%

19%

18%

42%

36%

16%

35%

30%

33%

30%

21%

13%

16%

28%

23%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

HA worn more than 8 hrs/day (n=300)

HA worn 4-8 hrs/day (n=189)

HA worn up to 4 hrs/day (n=208)

older than 2 years (n=286)

up to two years old (n=353)

Total HA-user (n=698)

very dissatisfied dissatisfied somewhat dissatisfiedneutral somewhat satisfied satisfiedvery satisfied

% Satisfied

2018 2015 2012 2009

74% 70% 72% 77%

78% 72% 77% -

69% 71% 64% -

45% 48% 45% 58%

79% 73% 81% 80%

89% 82% 83% 88%


Overall Satisfaction with HA - Country comparison

B NL PL FRA CH UK DK GER NO IT JP

2012 - 80% 84% 72% 70% 77% 72% 70% 36%

2015/2016/2017

80% 73% 80% 84% 81% 70% 71% 77% - 79% 39%

2018 82% 74% 76%


Satisfaction with current hearing aids

5%5%4%

6%

12%10%11%

14%

7%8%

8%7%

13%12%

14%

86%85%84%

81%

73%72%70%69%

81%

81%76%75%74%

72%71%

-100% -80% -60% -40% -20% 0% 20% 40% 60% 80% 100%

Professionalism of dispenserQuality of service during hearing aid fitting period

Quality of dispensers counselingQuality of service after purchase

Clearness of tone and soundNatural sounding

Richness or fidelity of soundComfort with loud sounds

Ease of changing batteryReliability

Visibility to othersValue (performance versus money spent)

Overall fit/ ComfortManaging whistling/feedback/buzzing

Battery life

dissatisfied satisfied HA-owner, n=698

Dispenser

Sound quality signal process

Product features

%dissatisfied= % very dissatisfied + % dissatisfied + % somewhat dissatisfied %satisfied= % somewhat satisfied + % satisfied + % very satisfied

Trend*

+2%+3%+3%+5%

+5%+7%+5%+7%

-2%+5%+1%+4%+4%+4%+5%

* % of satisfied HA owners compared to EuroTrak 2015


UK, GER, FR: Satisfaction with features and performance increased

70%76% 77% 80%

2009 2012 2015 2018

69% 71% 73% 76%

2009 2012 2015 2018

Trends % satisfied

2009 n=1,483, 2012 n=1,488, 2015 n=1,593, 2018 n=1,784Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hearing aid owners

Product performance(Sound quality, signal process

and listening situations)Product features


Satisfaction with current hearing aids

7%9%

7%

8%

12%8%

10%11%8%

8%

13%

10%19%

17%20%

10%

12%

84%

79%

79%

77%

76%

75%75%

74%

73%

73%70%

69%69%

69%

68%

65%65%

,100% ,80% ,60% ,40% ,20% ,0% ,20% ,40% ,60% ,80% ,100%

Conversation with one Person

Watching TV

At home with family members

Listening to Music

Conversation in small groups

Outdoors

When riding in a car

In a store, when shopping

When talking to children

Leisure activities

In a larger lecture hall (e.g., theater, concert hall, place of…

At a movie theater

Use in noisy situations

On the telephone

Conversation in large groups

In school or a classroom (as an observer or student)

In the workplace

dissatisfied satisfied HA-owner, n=698

Trend*

+5%+6%+4%+8%+6%+5%+7%+5%+3%+6%

+11%+5%

+14%+9%+5%

+14%+8%

Listening situation

* % of satisfied HA owners compared to EuroTrak 2015


UK, GER, FR: Satisfaction in difficult listening situations improving

63% 61%54%

64% 62% 62%57%

67% 69%65%

60%

71% 74% 72%67%

Conversation in largegroups

On the telephone In a larger lecture hall (e.g.,theater, concert hall, place

of worship, etc.)

Use in noisy situations

EuroTrak 2009 EuroTrak 2012 EuroTrak 2015 EuroTrak 2018

Trends % satisfied

2009 n=1,483, 2012 n=1,488, 2015 n=1,593, 2018 n=1,784Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hearing aid owners


Factors influencing satisfaction with current HA: Sound quality/signal processing is most important for overall satisfaction with HA

Dispenser

Sound quality signal process.

Product features

*The Influence has been calculated with a correlation: 0 means no relation between a criterion and overall satisfaction ;1 means a maximal relationship. Read: richness or fidelity of sound is the most important criterion for satisfaction.

Influence on overall satisfaction with HA*

Quality of service after purchase 0.53

Quality of dispensers counseling 0.51

Professionalism of dispenser 0.49

Quality of service during hearing aid fitting period 0.43

Clearness of tone and sound 0.68

Natural sounding 0.67

Richness or fidelity of sound 0.67

Comfort with loud sounds 0.60

Reliability 0.64

Managing whistling/feedback/buzzing 0.62

Overall fit/ Comfort 0.51

Value (performance versus money spent) 0.50

Visibility to others 0.49

Ease of changing battery 0.47

Battery life 0.45


HEARING AID OWNERSHIP



74% of the currently owned HAs were fitted in 2015 or later

Age of currently owned HAs (Mean):

2018: 2.3 years

2015: 2.1 years

2012: 2.1 years

31%

58%

74%

85%89%

93% 95% 96% 97% 98% 98% 100%

41%

64%

79%

88%92% 93% 94% 95%

100%

41%

64%

79%

88% 90%

100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017/2018 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 orearlier

2018 (n=639) 2015 (n=558) 2012 (n=501)

Year of purchase


NHS hospital /clinic is the preferred place for obtaining hearing aids (both for owners and non owners)

OWNERS:Where was your most current hearing aid obtained?

HA-owner, n=698

NON OWNERS:If you were to get hearing aids, where would you go?

2%

0%

1%

3%

5%

13%

16%

60%

Other

Club store

Department store

Online

Pharmacy

Optician

Specialized hearing aid store

NHS hospital/clinic

HA-non-owner, n=602

3%

0%

1%

2%

2%

11%

24%

57%

Other

Club store

Department store

Online

Pharmacy

Optician

Specialized hearing aid store

NHS hospital/clinic


8%

10%

7%

4%5%

6% 6%

2%

8%

1%

8%

1%

13%

1%

7% 7%6%

0% 1%0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

8%

18%

24%29%

34%

40%47% 48%

56% 57%

64% 66%

78% 79%

86%

92%98% 99%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

'0 '1 '2 '3 '4 '5 '6 '7 '8 '9 '10 '11 '12 '13 '14 '15 '16 '17 '18

2018 2015 2012

On average, HAs are worn 7.8 hours a day

How many hours a day are HA worn? (cum. %)cumulative %

HA worn:2018 Mean: 7.8 hours/day2015 Mean: 8.1 hours/day2012 Mean: 8.3 hours/day

HA-owner:2018: n=6982015: n=6052012: n=501


Hearing aids: hours worn per day- Country comparison

'6.3

'6.8

'7.8

'7.9

'7.9

'8.4

'9.0

'9.0

'9.1

'9.1

'9.4

'0 '1 '2 '3 '4 '5 '6 '7 '8 '9 '10 '11 '12

Poland

Japan

UK

France

Norway

Italy

Germany

Switzerla…

Netherland

Denmark

Belgium


15% of the HA owners use an accessory for their hearing aids. 77% of those who use an accessory, are satisfied with it.

22% 66% 12%

Yes No don't know / no answer

Have you been informed by your hearing care professional about hearing aid accessories, such as TV-Streamer/ Apps / Remote Control / etc. ? (HA owners, n=698)

HA owners, n=619

15% 85%

Yes No

Do you personally use accessories for your hearing aids (TV-Streamer/ Apps / Remote Control / etc.) ? (HA owners, n= 698)

2% 1% 5% 14% 13% 40% 24%

very dissatisfied dissatisfied somewhat dissatisfied neutral somewhat satisfied satisfied very satisfied

IF ACCESSORIES USED (n=109):Overall, how satisfied with the performance of your accessorie(s)?


CONCLUSONS:

THE POSITIVE IMPACT OF HEARING AIDS



Significant positive impact of HAs on different aspects: Communication, group activities and social life improve

HA-owner, n=698

4%

3%

4%

4%

6%

4%

3%

5%

7%

5%

9%

5%

66%

61%

57%

54%

51%

52%

51%

50%

46%

44%

33%

32%

16%

21%

22%

26%

26%

29%

23%

26%

29%

33%

37%

41%

12%

14%

15%

14%

16%

14%

21%

18%

17%

17%

20%

21%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Physical health

Mental ability

Mental/emotional health

Sense of independence

Feelings about yourself

Sense of safety

Relationships at work

Relationships at home

Confidence in yourself

Social life

Ability to participate in group activities

Overall ability to communicate more effectively in most situations

a lot worse worse the same better a lot better

Since you started using your hearing aid(s), please rate the changes you have experienced in each of the following areas, that you believe are due to your hearing aid(s).


General health problems: Quality of sleep improves if hearing impaired use hearing aids

41%56%

59%44%

Top 50% hearing loss, no hearing aid(n=105)

Hearing aid (n=431)

No Yes

Are you generally satisfied with the quality of your sleep?


49% of all hearing impaired unaware of related health risks

Please tick all of the health issues below which you think could be linked to one`s hearing loss.

Hearing impaired, N=1’260

49%

4%

7%

8%

11%

11%

19%

34%

Hearing loss is not linked to any of those…

Back problems

Poor eyesight

Diabetes

Dementia

High blood pressure

Sleeping disorder

Depression


Last years’ Lancet Report and this year’s Hélène Amieva study highlight …


Death, Depression, Disability and Dementia associated with self-reported hearing problems: a 25-year study *

• Having hearing loss but no hearing aids significantly increases the hazard ratio of dementia (21%).

• Especially hard of hearing men have a higher risk ofsuffering from depression when not wearing hearingaids (43%).

• HL but no HA: higher risk of becoming dependent regarding activities of daily living (28%).

* Hélène Amieva et al., The Journals of Gerontology, series A, January 2018


Quality of life - Country comparison – UK: 94%

How often do your hearing aids improve your quality of life?

6%

7%

4%

3%

6%

1%

4%

3%

1%

5%

20%

17%

12%

14%

10%

14%

12%

10%

7%

9%

36%

34%

36%

35%

34%

34%

33%

35%

35%

27%

39%

41%

48%

48%

49%

50%

51%

52%

58%

59%

DenmarkNetherland

PolandGermany

UKJapan

ItalyFrance

SwitzerlandBelgium

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

never rarely occasionally regularly


Top 10 reasons for not having a hearing aid

Base: non owners Top 50% HL: n=164

26%

28%

27%

28%

37%

34%

28%

37%

43%

33%

17%

16%

20%

20%

16%

21%

28%

20%

13%

25%

57%

56%

53%

53%

47%

45%

44%

44%

44%

41%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Do not admit I have a hearing loss in public

Have not had hearing tested yet

They do not restore your hearing to normal

Bad design

Hearing loss not severe enough

They do not work well in noisy situations

Have more serious priorities

Uncomfortable

Would be embarrassed to wear a hearing aid

Hear well enough in most situations

Reason Somewhat a reason Not a reason


UK, GER, FR: Image of hearing aids improving

56% 52%42%

30%

2009 2012 2015 2018

53% 48%35%

24%

2009 2012 2015 2018

Reasons for not having a HA (top 50% HL)

n=716/713/603/584EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018

Embarrassed to wear a hearing aid Bad design


71% of all HA owners think they should have got their HAs sooner!

Thinking back before you obtained your first hearing aid(s): do you think, you should have gotten them sooner?

71%

29%Yes

No

Base: n=439

HA-owner, n=698

IF YES:What are the reasons why you think you should have got your hearing aid(s) sooner? What are the opportunities you think you have missed because of this?Please tick all that apply

11%

19%

23%

39%

63%

Other opportunity

Less fatigue in the evening

Better performance at work

Better mental/emotionalhealth

Better social life


THANK YOU


Documents

EuroTrack 2018 BIHIMAConf Presentation-v9-Widescreen FINAL · 2018. 5. 15. · v } À µ u î ì í ô r µ }d l h< î ì í ô ri khdulqj dlg rzqhuv vd\ wkhlu khdulqj dlg zrunv ehwwhu