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Hearing aid amplifiers (PSAPs) vs. traditional hearing aids

Learn the difference between sound amplifiers and medical hearing devices.

Alternatives to traditional hearing aids

If you’ve been searching for hearing solutions, you’ve probably come across many options. Among them may be personal sound amplification products (PSAPs), which are generally a low-cost option. But what exactly are these types of hearing amplification devices, and how do they differ from traditional hearing aids?

Dr. Tom Tedeschi

Dr. Thomas Tedeschi, Au.D.

Chief Audiology Officer, Miracle-Ear

Key takeaways

  • Personal sound amplification products (PSAPs) are not simply “cheaper” hearing aids. They’re different products altogether.
  • PSAPs are electronic sound amplifiers designed for short-term use by those with normal hearing. They’re designed for activities like helping a user hear better at a lecture or concert, or for activities like bird-watching or hunting.
  • Hearing aids are FDA-regulated medical devices designed to amplify sound for those who are hard of hearing. Prescription hearing aids offer hearing solutions tailored to your specific hearing loss and lifestyle needs, under the care of a licensed hearing care professional.
  • PSAPs amplify all nearby sounds, while hearing aids can distinguish between distracting background noises and necessary sounds like nearby conversations. This allows you to hear more of what you want to hear and less of what you don’t.

What are personal sound amplification devices?

PSAP hearing devices are wearable electronic sound amplifiers. They can be used by people who are hard of hearing to amplify all nearby voices and environmental sounds. They’re also sometimes used by people with normal hearing for activities such as bird-watching, hunting, or improving hearing in lectures or other speaking events. These hearing aid amplifiers are not designed for full-time use but rather for situational sound amplification.

Hearing aid vs. amplifier: How PSAPs work compared to hearing aids

Curious about the difference between hearing aids and hearing amplifiers? Each type of hearing device works differently and has its own benefits and drawbacks. Understanding the differences between PSAP hearing devices and prescription hearing aids can help you determine which option best supports your hearing needs.

1. Class of product

PSAPs are simple electronic hearing devices that amplify sounds for the wearer. These devices are not FDA-regulated and are not considered medical devices, as they are designed to “increase environmental sounds for non-hearing impaired customers,” according to the FDA. In comparison, hearing aids are FDA-regulated medical devices specifically for people who have hearing loss, and they are customized to treat the wearer’s specific hearing loss needs. 

2. Amplification style

Most PSAPs amplify all sounds within a given radius, even those you don’t want to hear. This type of personal amplification system can potentially be useful if the user has normal hearing but needs some environmental sounds amplified when watching TV or listening to a speaker. However, when all sounds are amplified, distinguishing between sounds in a crowded or noisy environment can be virtually impossible; it can even create more barriers to hearing sounds clearly.

Hearing aids, on the other hand, use broadband technology and filters to selectively amplify the sounds the user needs to hear, while reducing background noise and feedback. This tailored, specialized hearing amplification significantly reduces distracting noise to improve speech understanding in busy environments. 

3. Fit and features

Most PSAP hearing devices only consist of a microphone, amplifier, and receiver (mini-loudspeaker). In addition, they are only available in standard settings and are typically one-size-fits-all devices.

Hearing aids are also made up of those three essential parts, but most models include additional technology that can be custom programmed by a hearing care professional to meet the wearer's specific hearing loss needs and lifestyle choices. This technology includes advanced features such as directional microphones, noise management, feedback cancellation, tinnitus controls, streaming capabilities, and more. Many models also have custom-molded earpieces for a secure and ultra-comfortable fit. Customers also receive ongoing aftercare to ensure their hearing aids fit properly and that their hearing aid programs are updated as needed for optimal results. 

PSAP hearing aid price

PSAPs cost significantly less than prescription hearing aids. But that’s because they’re over-the-counter, one-size-fits-all hearing devices that are neither FDA-regulated nor designed for full-time use by the hearing impaired. They simply aren’t designed to work the way modern hearing aids do. They often cost in the range of $50–$300+, depending on the brand and quality of the hearing device. 

Risks of using PSAPs instead of hearing aids

The biggest risk with PSAPs is that people use them to treat hearing loss, even though they aren’t medical devices and aren’t designed for that purpose.

Given the one-size-fits-all approach and lack of follow-up care, customers may end up using these hearing devices incorrectly in ways that put their hearing at risk. The design of the ear inserts on PSAPs can push earwax deep into the ear canal, causing earaches and increased hearing loss. And without the support of a hearing care professional or the ability to calibrate sound, users might simply turn their PSAPs up louder, which can ultimately lead to greater damage and hearing loss.

Buyers can purchase PSAPs without a full hearing exam, meaning that conditions related to hearing loss can go unaddressed. Not only could that affect the effectiveness of their chosen hearing solution, but it could also mean further health complications in the future. 

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Choose the right hearing device for you

Purchasing hearing aids is an investment in both your hearing health and your overall well-being and requires careful consideration. When it comes to choosing the best type of hearing device for you, here’s a good rule to follow: Proceed with caution when buying any product for a hearing loss unless it is fitted by or offers support from a hearing care professional. This will ensure the device is both safe and tailored to your specific needs.

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