A Systematic Review of Wearable Assistive Technologies for Hearing Impairment: Current Landscape, User Experience, and Future Directions

Abstract

Background: Hearing impairment affects a significant portion of the global population. The development of assistive technologies, particularly wearable devices, has been pivotal in mitigating these challenges. Methods: We present a systematic literature review on wearable assistive technologies for individuals with hearing impairment, analyzing 106 scientific articles identified from diverse sources (IEEE Xplore, ACM Digital Library, and Web of Science). Our comprehensive analysis is structured around device types, body locations, user study methodologies, sensory modalities, and application domains. Results: Findings reveal a strong emphasis on auditory and visual feedback, a mix of traditional hearing aids complemented by smart wearable devices, and experimental evaluations focusing on speech comprehension and usability. Visual analysis highlights a significant anatomical shift towards body-worn and wrist-worn haptic devices. While speech accuracy is rigorously reported, user-centric metrics like comfort and battery life are frequently neglected. Conclusions: Addressing these disparities, we propose the HEAR framework (Hybrid Architectures, Engaging Experiences, Adaptive Systems, Real-world Validation). This strategic roadmap advocates for a diversification of sensory outputs, more extensive longitudinal user studies, and the development of adaptive, multi-modal solutions that seamlessly integrate into users’ everyday lives.