Dawn Heiman, AuD

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Feb 20, 2026

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2 min read

The Power of Programs: When Should I Change Programs on my Hearing Aids?

Hearing Aid Programs: When Should You Change Them?

Hearing aid programs are designed to help you hear optimally in different listening environments—but many patients don’t realize how powerful these settings can be.

Most modern hearing aids automatically default to a general program. This program adapts to your surroundings using advanced processing and research-backed algorithms. For many users, this works beautifully in everyday situations like conversations at home or running errands.

But what happens when listening environments become more complex?

Click here to watch the podcast:

Speech in Noise: Why Restaurants Are So Challenging

One of the most common complaints from hearing aid users is difficulty understanding speech in noisy environments—especially restaurants.

While your general program does apply some noise reduction, a dedicated speech-in-noise program goes further. It can adjust microphone directionality and reduce background sounds like clanging dishes, music, or crowd noise—allowing speech to stand out more clearly.

If you frequently attend social gatherings, dine out, or participate in group conversations, this program can significantly reduce listening fatigue.

Music Program: Preserving Sound Quality

Hearing aids are optimized primarily for speech and language. That means they often suppress sounds categorized as “noise.”

But music isn’t noise—it’s layered, dynamic, and rich.

A music program relaxes the microphones and reduces aggressive sound suppression so you can experience the full depth of concerts, church services, theater performances, or even action movies. Many patients are surprised by how dramatically this improves sound quality.

Lifestyle-Based Customization Matters

There isn’t a one-size-fits-all solution. Some patients benefit from:

  • Comfort programs for road noise (ideal for truck drivers or commuters)

  • Outdoor programs

  • Lecture or church settings

  • Motion-based programs that adapt while walking

The key is communication. Describing your specific listening environments helps your audiologist tailor your hearing aid programs to your life.

And here’s the good news: programs can be added, adjusted, or removed at any time.

If you’ve recently retired, started attending concerts more often, or changed your daily routine, it may be time to revisit your settings.

Partnering With Your Audiologist

Think of your audiologist as your hearing partner. If your current settings aren’t performing the way you’d like, adjustments are often simple and quick.

Experiment with your programs. Try switching while in a restaurant or at a performance. Notice what feels clearer and more comfortable.

The goal is optimal hearing in every environment that matters to you.

To see the video edition of this episode with closed captioning, please go to 👉 Hearing Wellness Journey Podcast: https://hearingwellnessjourney.com/podcast/

Stephanie Michaelides, AuD

Dr. Michaelides joined Advanced Audiology Consultants in February of 2023. She completed her undergraduate work at Central Michigan University, her Master's degree in Audiology is from Western Michigan University and her Doctorate in Audiology is from Salus University Osborne College of Audiology. She has experience in a wide range of audiological services but has a special interest in the treatment of hearing disorders. Before joining our practice, she was providing audiological services at Yale University for pediatric and adult patients. Dr. Michaelides is a member of the Academy of Doctors of Audiology, the American Academy of Audiology, and the American Speech Language and Hearing Association.

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