The benefits from wearing hearing aids sooner rather than later have been suspected for a long time, but the scientific evidence is only just emerging. The communication benefits of hearing aids should be immediate – improved speech perception in noisy situations and difficult listening conditions applies to everyone, whether their hearing loss is mild, moderate, or severe (Blamey, Martin & Saunders 2010 Hearing aid benefit as a function of hearing loss).
Unfortunately, if hearing loss is not corrected, a more subtle effect occurs as the brain adapts to hearing loss and the mental processing of spoken language is degraded slowly over time. This can be ameliorated by wearing hearing aids, as documented by Lazard and Blamey (2013) in a major study of 2251 cochlear implant users. People who wore two hearing aids during moderate, severe, and profound hearing loss prior to receiving a cochlear implant performed significantly better than people who wore only one, or no hearing aids. Luckily, much of the adaptation in the brain is reversible, but it takes up to three years post implant to regain the listener’s full potential speech recognition ability (Lazard et al, 2013. Pre-, per-and postoperative factors affecting performance of postlinguistically deaf adults using cochlear implants: a new conceptual model over time). This can seem like a long time, and some people don’t persist, even if they have the right hearing aids. The communication benefits of wearing hearing aids are also likely to help avoid the other health and well-being problems that are associated with hearing loss, although this is yet to be proven scientifically.
Lin et al, (2013) in their article; Hearing Loss and Cognitive Decline in Older Adults, establish the link between hearing loss and cognitive decline. In my opinion, and linking the various studies together, getting good hearing aids (and using them well) is likely to be a good proactive strategy to reduce the cognitive effects. On that basis, I use my hearing aids a lot, even though I have only mild difficulties.