biostudies-literatureUnknown59(1)Fischer RL<h4>Background</h4>Hearing loss (HL) is a chronic disease with high prevalence in older adults and with negative impact on quality of life. The primary intervention is hearing aids (HAs); however, HA acceptance and usage stay low and the psychological mechanisms of HL adaptation remain poorly understood. To address this knowledge gap, we developed a psychometric instrument to assess hearing-related adaptive strategies (AStra).<h4>Material and methods</h4>The study was administered via self-report in three different samples (online, paper-pencil, app-based). In total, 169 individuals with subjective HL (mean age 62.51 years; 49.11% female; 57.40% HA users) participated. We included coping measures, subjective HL and HA satisfaction to assess AStra's construct validity, and HA use for criterZeitschrift fur Gerontologie und Geriatrie67-73https://www.ebi.ac.uk/biostudies/studies/S-EPMC12823754biostudies-literatureHearing-related adaptive strategies : Development and initial validation of the AStra scale.PMC12823754Williger BIncerti LFischer RLKamin STfalseHearing-related adaptive strategies : Development and initial validation of the AStra scale.<h4>Background</h4>Hearing loss (HL) is a chronic disease with high prevalence in older adults and with negative impact on quality of life. The primary intervention is hearing aids (HAs); however, HA acceptance and usage stay low and the psychological mechanisms of HL adaptation remain poorly understood. To address this knowledge gap, we developed a psychometric instrument to assess hearing-related adaptive strategies (AStra).<h4>Material and methods</h4>The study was administered via self-report in three different samples (online, paper-pencil, app-based). In total, 169 individuals with subjective HL (mean age 62.51 years; 49.11% female; 57.40% HA users) participated. We included coping measures, subjective HL and HA satisfaction to assess AStra's construct validity, and HA use for criter2026-01-01T00:00:00Z2026 Feb2026-06-06T20:11:36.58Z2026-06-04T03:14:26.508ZS-EPMC128237544086429810.1007/s00391-025-02482-w