Communication Strategies

Communication strategies are practical habits that can make conversation easier for people with hearing loss and the people who talk with them. Wearing hearing instruments is the first step in supporting a healthy communication relationship with your family and friends. Hearing devices are designed to support speech understanding, but even with today’s technology, hearing instruments have limitations and do not return hearing to normal. A hearing test is the starting point for choosing hearing aids.

A family of three talking face to face on a sofa in a bright lounge room

Communication Tips for the Hearing Aid Wearer

Wearing hearing instruments is the first step in supporting a healthy communication relationship with your family and friends. These tips can help you use your hearing device, and they suit people who do not wear hearing devices but have difficulty hearing in certain situations.

A small team talking around a meeting table in a bright office, notebooks open

Loop, Infrared and FM Systems.

Loop, infrared and FM systems are designed to help with distance and background noise by providing a clear signal to the wearer’s hearing instruments. Establishments such as movie theatres, banks, churches and schools are starting to use these systems to support people with hearing loss.

Driving your car

Wind up the car windows to reduce road and traffic noise. If you wear two hearing aids, you can turn down the volume or take off the aid closest to the road (right) and wear only the left. This still allows you to communicate with other passengers. Reduce the volume of the stereo to minimise background noise.

At home

Always use your hearing instruments at home. Wearing them regularly can help you get used to them. Tell friends and family that you have a hearing problem and educate them on how to communicate effectively with you.

Attending lectures, meetings, church etc...

Sit close to the signal source (teacher, speaker etc) and in the centre if your hearing is the same in both ears. If your hearing is better in one ear, sit with the better ear closest to the sound source. Enquire if a loop or FM system is available and use that to improve speech understanding. If possible, obtain an agenda or lecture notes beforehand to help with following the meeting or lecture.

Move closer to the speaker

Reduce the distance between yourself and the speaker, especially in areas with background noise. The further away you are from the speaker, the harder it is to see visual cues and hear speech.

Repeat / Rephrase

If you have difficulty understanding what was said, repeat back what you heard, so the speaker can rephrase what you missed. Alternatively, write down important information.

At work

Tell others about your hearing loss, as this can make them more likely to assist you in understanding conversation. Educate co-workers on talking clearly and facing you.

Stand In well-lit areas

Good lighting helps the face of the speaker to be seen clearly, making visual cues easier to be seen.

Two coworkers sitting side by side at a desk, talking over a laptop
A mother talking with her teenage son across a kitchen bench
An older man and his granddaughter talking while doing a jigsaw puzzle at a table
A couple sitting across a dining table from each other, talking over dinner
A group of friends around a table at a trivia night, turned toward the person speaking

Specific questioning

Ask specific questions that require a yes or no answer. For example, “Does this bus go to the city?”

Background noise

Background noise is one of the hardest listening situations to understand speech in. If possible, reduce the level of the background noise by closing an open window or door, turning off the television or radio or moving to a quieter area. Visual cues such as lip reading and other facial gestures help speech understanding. Bluetooth remote mics and FM systems are further options.

Using the telephone

Using the telephone when wearing hearing devices can be tricky to get used to. If you have a behind-the-ear instrument, hold the phone up higher than normal, as the microphone sits above your ear. If you have an in-the-ear instrument, hold the phone normally. If you are getting any whistling, move the handset slightly away from the instrument. For corded, land line phones, use the telecoil program on your hearing instrument and position the handset to get the best signal. Accessories such as a specialised volume control phone, or for profoundly deaf people a Telephone Typewriter (TTY), help you use the phone more effectively. Contact All Ears in Hearing for further information and a demonstration.

Watching television

TV listening devices help those who have difficulty hearing the television. Devices that work in conjunction with your hearing aid send the signal directly to the hearing instrument. Infrared headphones are an alternative to hearing aids for listening to the TV. The headphones will not interfere with the TV volume, so the whole family can watch TV together. Ask the staff at ALL EARS IN HEARING for further information and an in clinic demonstration.

Dining out

When making reservations at a restaurant, request a table in a quiet location with good lighting. If possible, seat yourself with your back facing the majority of the noise. Hearing instruments with directional microphone technology work on the assumption that what you are facing is what you want to hear.

Visual cues

Visual cues such as lip reading and facial expressions can provide assistance with conversation. You can only get better with practice, so practice reading visual cues by watching TV.

Be assertive

Don’t be afraid to ask people to speak more slowly or to repeat what they said. If you tell them that you have a hearing loss, the speaker can be more understanding and aware of how they are speaking.

Accessories

Accessories can help speech understanding in listening situations such as restaurants, meetings, lectures, telephone and TV. Book an appointment to see them in clinic.

Communication Tips for family and friends

These tips help family and friends of people with hearing loss to minimise communication breakdown. Communication is so important for everyday living, and when a friend or family member has a hearing loss, communication can be challenging.

A woman talking face to face with an older relative on a sofa in a bright lounge room
Two friends sitting face to face on a park bench under a fig tree, one talking while the other listens
A family talking around a dining table, everyone facing each other

Be patient and understanding

Be patient, because listening takes effort when you have a hearing impairment, so conversation can be tiring. Wearing the hearing instrument regularly can help the wearer get used to it, so encourage those with hearing instruments to wear them every day. If you see signs of fatigue when conversing with a hearing aid wearer, don’t be forceful or prolong the conversation. Understand that hearing instruments have limitations and do not return hearing to normal.

Face the Listener

Face the listener, because people with hearing loss use visual cues like lip reading and facial movements to help understand speech. If possible, position yourself so your face and lips are in easy view. Avoid having a conversation from another room or having your back turned to the listener.

Let your face be seen

Stand in well lit areas to allow your face to be seen. This makes it easier for people with hearing loss to follow important visual cues such as lip reading and facial expressions.

Attract the listeners attention

Gain the listener’s attention and let them know that you wish to communicate with them.

Rephrase

If you have trouble being heard or understood, say it in a different way or write it down. Remember to be patient.

Speak clearly, slowly and speak naturally

Speak naturally and pronounce your words clearly. Don’t speak too slowly or use exaggerated facial expressions, as it makes lip reading difficult to follow. Hearing instruments are programmed to amplify speech to an audible level, so there is no need to shout. Shouting can distort speech and cause discomfort to the instrument wearer.

Do not cover your mouth

Do not cover your mouth when speaking with a person with hearing loss, because it makes visual cues difficult to follow. Items such as newspapers, eating, drinking and smoking cover your mouth.

Reduce distance

Reduce the distance between yourself and the listener. Reducing the distance helps with important visual cues and minimises interference from background noise.

Minimize background noise

Turn off radios or TVs or move to a quieter area for conversation.

Take surroundings into account

Avoid having conversations from different rooms and in noisy areas. Find a quiet place with good lighting to talk.

A small group chatting in a circle of chairs outdoors in the afternoon light

Frequently asked questions

Do hearing aids make my hearing normal again?

No. Hearing devices are designed to support speech understanding, but even with today's technology they have limitations and do not return hearing to normal. They are a first step in supporting good communication with family and friends. Practical habits, like the ones on this page, can then help in everyday conversations.

How can I follow conversations in noisy places?

Background noise is one of the hardest situations for understanding speech. If you can, close a window or door, turn off the television or radio, or move somewhere quieter. Move closer to the speaker and use visual cues like facial expressions. Sitting in good light helps you see their face clearly.

What can I do if I miss something someone said?

Repeat back what you heard so the speaker can rephrase what you missed, rather than just saying "pardon". Writing down important details can also help. Asking specific questions, such as ones that need a yes or no answer, can make it easier to confirm what you need.

What are loop, infrared and FM systems?

These are systems that help with distance and background noise by sending a clearer signal to the wearer's hearing instruments. Some venues, such as cinemas, banks, churches and schools, are starting to use them. If you attend lectures or meetings, ask whether one is available.

Where should I sit at a lecture, meeting or church service?

Sit close to the speaker, in the centre if your hearing is the same in both ears. If one ear hears better, sit with that ear closest to the sound. Asking for an agenda or lecture notes beforehand can also make it easier to follow along.

How can I hear better while driving?

Wind up the windows to reduce road and traffic noise, and turn the stereo down to reduce background noise. If you wear two hearing aids, you can turn down or remove the one closest to the road and keep the other in, which still lets you talk with passengers.

How can family and friends help me communicate?

Telling people about your hearing loss makes them more likely to help. Ask them to face you, speak clearly and stand in well-lit areas so you can see their face. At work, you can share the same tips with co-workers. Call our team on 07 3841 3764 (Rochedale South) or 0478 282 561 (Shailer Park).

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