Epidemiologic evidence suggests older adults with hearing loss may be particularly vulnerable to depression, and to social isolation and loneliness.


The prevalence of depression is nearly twice as high among older adults with hearing loss (19%) compared to in the general population of older adults (10%). Nearly a quarter of older adults in the U.S. are socially isolated and more than a third feel lonely. 

Hearing loss has also been shown to negatively impact health-related quality of life. Hearing treatment has the potential to be a valuable addition to current pharmacologic and non-pharmacologic treatments for depression, may offer a novel approach to reducing social isolation and loneliness among older adults, and could positively influence health-related quality of life in older age. 

ACHIEVE researchers conducted secondary analyses of the ACHIEVE study to investigate the effect of hearing intervention (versus a successful aging health education control intervention) on health outcomes related to mental health and well-being over 3 years in 70‐84 year‐old, well‐functioning and cognitively-normal adults with hearing loss. 

Additional Studies

Hearing intervention reduced loneliness.  A man's legs and cane cast shadows on a brick terrace

Study participants experienced positive effects in social network diversity and quality and loneliness measures over 3 years, compared to the control group.

Hearing intervention, social isolation, and loneliness: A secondary analysis of the ACHIEVE randomized clinical trial. Reed NS, Chen J, Huang AR, et al. . JAMA Intern Med. 2025 May 12. doi: 10.1001/jamainternmed.2025.1140. PMID: 40354063; PMCID: PMC12070280.  

Read the Press Release by NYU

Hearing intervention provides sustained communication function improvements.A close up image of a person's right ear. This individual is wearing eyeglasses and is using a very smal hearing aid.

This study, published in the Journal of the American Geriatric Society, definitively demonstrates that hearing intervention improves communicative function within 6 months of intervention onset with sustained effects at 3 years. 

Effect of hearing intervention on communicative function: A secondary analysis of the ACHIEVE randomized controlled trial. Sanchez VA, Arnold ML, Garcia Morales EE, et al. J Am Geriatr Soc. 2024; 1-16. doi:10.1111/jgs.19185

Hearing intervention alone is not enough to modify health-related quality of life among older adults with hearing loss. 

This study, published in JAMA Network Open, explored whether a hearing intervention (vs health education control) was associated with RAND-36 Health Survey physical and mental health-related quality of life changes over 3 years.  Results suggest that additional intervention strategies may be needed to modify health-related quality of life among older adults with hearing loss.

A Hearing Intervention and Health-Related Quality of Life in Older Adults: A Secondary Analysis of the ACHIEVE Randomized Clinical Trial. Huang AR, Morales EG, Arnold ML, et al. JAMA Netw Open. 2024;7(11):e2446591. doi:10.1001/jamanetworkopen.2024.46591