Experiences and Perceptions of Adults with Single-Sided Deafness Before and After Cochlear Implantation: A Qualitative Study of Patients’ Views

Objectives: This study aims to explore the experiences and perceptions of adults with single-sided deafness (SSD) before and after cochlear implantation, with a focus on the impacts on communication, physical and mental health, and social participation. Methods: A qualitative approach was employed, involving in-depth interviews with five adults who received a cochlear implant for SSD. The participants were selected through purposive sampling, and data were analyzed through Colaizzi’s phenomenological method. Results: The findings revealed that before cochlear implantation, participants experienced significant communication difficulties, a decline in physical and mental health, and social participation limitations. These challenges included difficulties in understanding speech in noisy environments, physical imbalance, anxiety, and reduced social interactions. Post-implantation, participants reported improvements in communication, as well as physical and mental health, and social participation. However, some participants noted limitations in the sound quality provided by the cochlear implant. Conclusion: Cochlear implantation substantially enhances the quality of life for adults with SSD by improving communication abilities, physical and mental well-being, and social engagement. Nonetheless, the study also highlights the need for ongoing support to address the limitations in sound quality and the associated psychological impacts.