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The best quality over-the-counter (OTC) hearing aids for adults with mild-to-moderate hearing loss include Lexie B2 Powered by Bose, Jabra Enhance Plus, Sony CRE-C10, Soundwave Sontro, Lexie Lumen, and HP Hearing PRO, with Lexie B2 generally rated highest for sound quality and user satisfaction. These devices are FDA-approved, self-fitting, and offer comparable long-term outcomes to audiologist-fit devices for most users.[1-5]
Recent clinical studies show that usability and speech-in-noise performance are similar across major OTC devices, but there are differences in fitting time, sound quality, and user experience. Lexie B2 received the highest ratings for sound quality and clarity, while HP Hearing PRO had the shortest fitting time but lower sound quality ratings. All devices support app-based self-fitting, and most offer features like adaptive directionality and noise reduction.[1-2] Common limitations include Bluetooth connectivity issues and handling/insertion challenges.[1]
Premium personal sound amplification products (PSAPs) with ≥16 channels can improve speech intelligibility in noise, but premium OTC hearing aids generally outperform PSAPs in overall quality and user outcomes.[6]
Below is a comparative table summarizing key features and findings from recent studies:
| Device Name | Fitting Type | Usability (Fitting Time, Ease) | Sound Quality (User Ratings) | Speech-in-Noise Performance | Key Features (Channels, App, Noise Reduction) | Noted Limitations | Price Range (USD) | FDA Approval | References |
|---|---|---|---|---|---|---|---|---|---|
| Lexie B2 (Bose) | Self-Fitting | 18.2 min, easy | Highest (8.1/10, 7.5/10) | No significant difference | Multiple channels, app, adaptive directionality, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| Jabra Enhance Plus | Self-Fitting | ~16–20 min, easy | High | No significant difference | Multiple channels, app, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| Sony CRE-C10 | Self-Fitting | ~16–20 min, easy | High | No significant difference | Multiple channels, app, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| Soundwave Sontro | Self-Fitting | 15.7 min, easy | High HASK (8.9/10) | No significant difference | Multiple channels, app, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| Lexie Lumen | Self-Fitting | 27.1 min, longest fitting | Moderate | No significant difference | Multiple channels, app, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| HP Hearing PRO | Self-Fitting | 14.4 min, shortest fitting | Lowest (6.3/10, 5.1/10) | No significant difference | Multiple channels, app, noise reduction | Bluetooth, handling/insertion | $200–$300 | Yes | [1-5] |
| Premium PSAPs (≥16 ch) | Preset/Self | Varies | Moderate–High | Improved vs unaided, less than premium OTC aids | ≥16 channels, app, noise reduction | Varies | $100–$300 | No | [6] |
Long-term outcomes and user satisfaction with OTC hearing aids are comparable to audiologist-fit devices for mild-to-moderate hearing loss, supporting their use as effective interventions.[2-3] Price points are typically $200–$300, and all listed OTC devices are FDA-approved.[4-5
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