© Anovum 2018 - EuroTrak UK 2018
EUROTRAK UK 2018
© Anovum 2018 - EuroTrak UK 2018
© Anovum 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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
HEARING AID ADOPTION RATES
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© Anovum 2018 - EuroTrak UK 2018
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
EuroTrak 2015Base: 14'473
EuroTrak 2012Base: 14'896
EuroTrak 2009Base: 14'980
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
EuroTrak 2012Base: 44,248
EuroTrak 2015Base: 43,072
EuroTrak 2018Base: 43,499
% hearing loss prevalence
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
EuroTrak 2012Base: 4,926
EuroTrak 2015Base: 4,950
EuroTrak 2018Base: 4,969
Statistical significance (90%)
2012<2015<2018 2009<2012<2015<2018 2009<2012<2015<2018 2009<2012<2015<20182015<2018
© Anovum 2018 - EuroTrak UK 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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
HEARING AID EFFECTIVENESS
© Anovum 2018 - EuroTrak UK 2018
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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%
© Anovum 2018 - EuroTrak UK 2018
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%
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
HEARING AID OWNERSHIP
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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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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)?
© Anovum 2018 - EuroTrak UK 2018
CONCLUSONS:
THE POSITIVE IMPACT OF HEARING AIDS
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© Anovum 2018 - EuroTrak UK 2018
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).
© Anovum 2018 - EuroTrak UK 2018
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?
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
Last years’ Lancet Report and this year’s Hélène Amieva study highlight …
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
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
© Anovum 2018 - EuroTrak UK 2018
THANK YOU
© Anovum 2018 - EuroTrak UK 2018