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Abstract Over-the-counter hearing aids may improve access to hearing care, but the level of support older adults need remains uncertain. In this multicenter, three-arm, pragmatic randomized controlled trial at ten community health centers in three Chinese cities, 322 adults aged 50 years or older with untreated bilateral hearing loss were randomly assigned (1:1:1) to self-fitting (n = 108), primary care physician support (n = 107), or remote audiologist support (n = 107).
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