Perceptions of adults with hearing loss about the communication difficulties generated by the covid-19 preventive measures: A qualitative study

Abstract

Purpose: The COVID-19 pandemic led to the implementation of preventive measures that exacerbated communication difficulties for individuals with hear-ing loss. This study aims to explore the perception of adults with hearing loss about the communication difficulties caused by the preventive measures and about their experiences with communication 1 year after the adoption of these preventive measures. Method: Individual semistructured interviews were conducted via videoconfer-ence with six adults who have hearing loss from the province of Québec, Canada. Data were examined using qualitative content analysis. Results: The study found that face masks and in-person work (i.e., in opposi-tion to remote work) were important barriers to communication because of hin-dered lipreading and competing noise in many workplaces. In contrast, preven-tive measures that allowed visual information transmission (e.g., transparent face masks, fixed plastic partitions) were considered favorable for communica-tion. Communication partners were perceived as playing an important role in communication success with preventive measures: Familiar communication partners improved communication, whereas those with poor attitude or strate-gies hindered communication. Participants found that videoconferences could provide satisfactory communication but were sometimes hindered by issues such as bad audiovisual quality or too many participants. Conclusions: This study identified reduced access to speech reading and lack of general awareness about hearing issues as key barriers to communication during the pandemic. The decreased communication capabilities were perceived to be most problematic at work and during health appointments, and tended to cause frustration, anxiety, self-esteem issues, and social isolation. Suggestions are outlined for current and future public health measures to better consider the experience of people with hearing loss.