Assistive Listening Technologies

The assistive listening systems that are most commonly available today are predominantly based on the following technologies:

 Hearing Loops and T-coils (telecoils)

Infrared transmitters and receivers

FM / Radio transmitters and receivers

For a detailed look at the advantages, limitations, applications, compliance and applicable standards associated with each technology, along with a brief description of how each technology works, take a look at our guide.

Improve compliance:

'Don't forget to tell them about loops!'

only 22% of hearing aid recipients are told about hearing aid accessories

Hearing loops and T-coils are still the only technology that meet all the needs of hearing aid users, including intelligibility, discretion, ease of use, transient use and availability.

However, only 22% of hearing aid recipients are told about hearing aid accessories by their health care provider.

There appears to be a common misconception by users that relatively few hearing aids have T-coils equipped. In fact, in a recent review of the connectivity of 462 hearing aids and their 756 variants, 286 (38%) had a Telecoil fitted as standard and 316 (42%) had the option to have a Telecoil enabled.

There are a number of factors affecting a user’s compliance with their hearing aid device, including first impressions and utility, if a hearing aid user’s first experience with a T-coil and loop is poor they are unlikely to use the function in the future, drastically reducing the benefit of T-coil enabled device.

Therefore, on behalf of our customers, we are seeking a renewed commitment from the hearing instrument manufacturing and dispensing community to raise awareness and improve equality of access to audio for all hearing aid users.

The importance of hearing loops and T-coils to patients, clients and customers

Access to intelligible broadcast audio signals is a right not a privilege.

The United Nations Convention on the Rights of People with Disabilities (CRPD 2006) recognises that everyone is of equal value, has the right to make their own decisions, and should be treated with fairness, dignity, and respect.

This led to many countries developing their own legislation protecting the rights of individuals.

For example, The Americans with Disabilities Act (ADA), UK Equality Act and European Accessibility Act,
t to name just a few. It therefore follows that the 15% of the population who experience significant hearing loss are no less entitled to access to broadcast audio than anybody else.
A 2016 study asked 866 adult users of T-coil equipped hearing aids and cochlear implants to rate their ability to understand speech, in places such as places of worship, theatres and auditoriums and conference rooms.
Less than 14 percent rated their ability to hear without a hearing loop above a seven. However, while listening in a looped area, 86 percent rated their experience between eight and ten.

79% have left an establishment early because it was too noisy.

Source: Dixon, L. (2016). Speak Easy: Hearing the views of your customers. Action on Hearing Loss.​​

91% said they wouldn’t return to a venue with high noise levels.

Source: Dixon, L. (2016). Speak Easy: Hearing the views of your customers. Action on Hearing Loss.​​

Appropriate sound can increase retail sales by over 30 percent and triple productivity for some workers.​

Source: Treasure, J. (2007). Sound business.​

In schools, up to 70% of the consonants spoken by teachers cannot be heard by pupils.

Source: Speech Intelligibility in Classrooms: A research project. The Department of Building Engineering & Surveying of Herriot-Watt University, Edinburgh.​

70% of respondents agreed that hearing loss sometimes prevented them from fulfilling their potential at work.​

Source: Arrowsmith, L. (2014). Hidden Disadvantage. Action on Hearing Loss.​

Approximately two-thirds (68%) agreed they sometimes felt isolated at work because of their hearing loss.

Source: Arrowsmith, L. (2014). Hidden Disadvantage. Action on Hearing Loss.​

The advantages of hearing loops and T-coils

T-coil users can receive a sound signal directly to their own hearing aid or cochlear implant without the need for a separate receiver. Therefore, by bypassing any external or background noise and other acoustic distortions, the quality and intelligibility of that sound is much greater.

Easy to use

Use the person’s own device to connect to the audio signal without drawing attention to themselves.

Zero Latency

Feature zero latency.


Have no shared hygiene or cleaning issues for the user or service provider.


Can be used to deliver an audio signal anywhere within a properly looped area, making it easy for people to move around and still hear clearly.


bypasses any external or background noise and other acoustic distortions.


Can be integrated into large areas such as a concert hall, theatre or cinema, or fitted to something as small as an intercom in a doorway or lift / elevator.

So, what can you as Audiologists and hearing support professionals do to help?


Ensure your patients, customers and clients are aware of the benefits of T-coils and loops.


Show them how to use the T-setting on their hearing aid.

Demonstrate a loop in use.


Encourage them to report when an assistive listening solution isn’t available.


Demand T-coil enabled hearing aids from the manufacturers and your buyers.

User perspectives

Simon Lewis

"When it comes down to it - for social reasons, for technological reasons, simply sometimes just for sheer lack of embarassment, (hearing) loop systems are the things which I default to pretty much every single time."

Simon Lewis

Lifelong Hearing aid user

Sally Shaw

"To my mind, never has a great piece of tech been so misunderstood, badly treated and wrongly dismissed. A good hearing loop can make the listening experience so much more restful and pleasant, even if you've got great hearing aids."

Sally Shaw

Founder, Ideas For Ears

In the final part of their statement the IHAC set realistic expectations:

"HA/CI [Hearing aid / cochlear implant] users require continued quality hearing access in public places which is currently, and in the foreseeable future, provided by TC [T-coil] and HL/ALS [hearing loop / assistive listening solutions]. The rights of HA/CI users to access must be continued and maintained during this period of technological change and shall not be compromised by the promise and overly optimistic expectations of a future technology development."

Available Assistive Listening Technologies

Download a copy of the Available Assistive Listening Technologies Guide from IHLMA.