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A Guide to VRS Best Practices

Video Relay Service (VRS) is a powerful tool for equitable communication between deaf and hearing people, allowing connection between signed and spoken languages over the phone. The convenience of communication by phone remains an essential aspect of life and society, and — used correctly — VRS makes it easy for deaf and hearing people to have a conversation.

Understanding VRS

VRS is part of the federally funded Telecommunications Relay Service (TRS) that enables phone calls between Deaf and hard-of-hearing American Sign Language (ASL) users and hearing English- or Spanish-speakers through an ASL interpreter.

Want to know more about VRS? Check out our blog explaining the service: What is VRS

Using Video Relay Service for phone calls requires an account through a federally approved provider. Sorenson is the leading VRS provider in the U.S. Only Deaf and hard-of-hearing individuals who communicate with ASL can register for VRS accounts.

However, anyone can make VRS calls — outgoing from deaf account-holders or incoming to VRS numbers from hearing individuals. Everyone involved in a VRS call has a part to play in making it go smoothly.

Best practices for using VRS

Every conversation is a two-way street, and in the case of a VRS call there’s one more person — the interpreter — in the middle. You each share the responsibility for effective communication.

Basic conversation etiquette counts for more when using VRS:

  • Interruptions break the flow of conversation. We all interrupt sometimes, but with an interpreter in the middle interruptions can cause confusion and frustration because the other person doesn’t know how much of their comment you received before interjecting.
  • Express yourself clearly for better understanding. In addition to choice of words, speaking or signing so it’s easy for the interpreter to see or hear will help get your message across effectively to the other person.
  • Patience is critical. While your VRS interpreter typically relays your messages simultaneously, there may be pauses while you wait for them to finish and the other person to respond. The most accurate way to interpret your statements may take longer in the other language.

There are additional guidelines to improve your calls specific to which end of the call you’re on.

Woman at home signs a greeting to a video chat on her TV screen.

How deaf callers can have better VRS calls

Deaf individuals bear the most responsibility for VRS — registering for a VRS number, connecting a videophone, and initiating many of the calls — but in most cases no one teaches you tricks to have the best VRS experience.

Using the following guidelines will help you work as a team with your VRS interpreter for the most effective communication.

Before a VRS call:

  • Choosing an area without distractions, and not while driving, is ideal.
  • Confirm your equipment and internet are working correctly to avoid delays.
  • Use a high quality videophone or camera with good lighting (without a window behind you) so the interpreter can see you clearly.
  • Make sure your hands and face are visible in the frame so the interpreter can see the highest sign (dad) to the lowest sign (baby).

These tips can make a big difference when you dial your VRS provider or answer incoming VRS calls.

When you’re making a call, before the interpreter connects you it’s helpful to share information to prepare them for your conversation:

  • the contact person’s name and relationship or job, if applicable
  • specialized terms and language you use
  • context: is the call personal, medical, legal? Is the call to an automated system?
  • let the interpreter know if you don’t want the call announced.
  • have details ready you might need in the call, like account numbers or prescription names.

During your VRS call:

You and the interpreter are a team. Sometimes, you may get an interpreter who doesn’t match your interpreting preferences or style. You have options when this happens. You can continue with the interpreter and give constructive feedback or you can ask to switch to another interpreter for a better fit.

When your call is over, if you have suggestions that would improve future calls Sorenson welcomes feedback about your VRS experience using our online form.

Need a VRS account? Sign up for Sorenson VRS ®

Woman in her home office sitting at a desk looking at her computer screen and talking on her smartphone.

How hearing callers can have better VRS calls

On the hearing end of a VRS call, the steps you can take for effective communication are similar to what you’d do on any other phone call, starting with the basic guidelines above.

You may not even know there’s anything unusual about the call if the deaf person on the other end asks the interpreter not to announce it’s a VRS call. Typically, however, the VRS interpreter will make a quick statement that they’ll be interpreting your conversation. That shouldn’t affect how you communicate.

  • Talk directly to the person on the other side of the call as if there was no interpreter in the middle. [e.g. “Can you come in on Tuesday?” instead of, “Ask them if they can come in on Tuesday.”]
  • Remember the interpreter is serving both of you on the call equally. Be prepared to clarify your statements if necessary so the interpreter can represent them accurately, just as you can ask for clarification.
  • It’s especially important to make/take calls in a quiet location — preferably not on speakerphone — so you and the interpreter can hear each other. Remember, every time you ask them to repeat something, you’re asking two people to repeat themselves.

Also, if a mismatch between you and the interpreter is affecting your communication with the other person, you can request to switch to a different one. The interpreter will let the other person know and initiate a transfer to a colleague.

Woman in cubicle signs to a video call with her parents on her computer monitor.

The role of the VRS interpreter

Your ASL interpreter is an integral part of a successful VRS call. To interpret well requires not only proficiency in both languages, but experience and skill. Sorenson hires only interpreters who meet a high standard of interpreting skill and offers extensive professional development and interpreter training programs — all to provide optimal interpreting service on VRS calls.

The interpreter will relay everything you say on the call — not only your words, but your tone, emphasis, and emotion. Those details make a big difference in understanding each other and are a key element of why communicating through an interpreter is usually more effective than written exchanges.

While the interpreter plays a critical role in your VRS call, they are not a participant in the call. Interpreters follow strict professional protocol for every conversation:

  • Confidentiality: Interpreters do not share details of the conversations they interpret outside of the interpreting setting. Your VRS calls stay private.
  • Impartiality: The interpreter must remain neutral and avoid expressing opinions or insights during the call.
  • Accuracy: The interpreter conveys precisely what each person is saying without changing the meaning of any statements.

When a VRS call is running smoothly, the interpreter is practically unnoticeable, and the conversation plays out as if there were no difference in language between the people on either side.

Best practices for VRS calls are the key to better calls — period

When everyone does their part to make a VRS call run like a well-oiled machine, it plays out like a call with no one in the middle:

  • The deaf person receives responses to their questions and comments in ASL as if the person they’re talking to shares their language.
  • The hearing person speaks with the person on the other end of the line in English or Spanish like they would on a typical phone call.

Making this work depends on each person following basic conversation best practices — express yourself clearly, be patient, and take turns. In short, treat others the way you want them to treat you.

Finding Job Opportunities for Deaf Graduates

Woman shaking older man's hand in greeting. Introducing herself to him and another woman.

Congratulations on graduating! Ready to start your career but aren’t sure of everything you may need or want to do? Looking for guidance to excel in a workplace with hearing or multilingual colleagues? Here are some tips for wherever you are in. We’ve separated them out so you can easily find them:

We also asked successful Deaf professionals what tips they would give young people starting their careers. Here’s the first one (from Lance Pickett, Sorenson Chief Relationship Officer). You’ll see more throughout the article.

Finding jobs for Deaf and hard-of-hearing

This is often the first place people get stuck post-graduation. Do you find yourself saying, “I’ve graduated. Now what?” There are lots of “now what”-s out there. Here are some ideas to assist you in finding job opportunities for Deaf people.

University/community career centers

Most universities, including Gallaudet1 and NTID/RIT2, have career centers with staff to answer all your career-related questions. These are places where you can ask about:

  • where and how to look for jobs
  • how to write a resume
  • how to apply for jobs
  • mock interviews
  • internships

Career center staff also hold job fairs several times a year for companies that are hiring to set up booths on campus. This is not only a good way to find out who is hiring in your field but also who is open to hiring Deaf and hard-of-hearing people. Current students and recent graduates aren’t the only people who can go to career centers. Alumni can also tap into this resource.

The federal government has the Department of Workforce Services, an agency that provides similar services. There are also agencies in some communities that provide similar assistance specifically to Deaf people, such as Bridges Oregon or the Sanderson Community Center of the Deaf and Hard of Hearing in Utah. Talk to people in your community to find out if there is one in your area.

Recruiting websites

There are many websites to help employers and employees find each other. You should look for a job board that displays national, state, and local listings and allows you to filter job opportunities by variables such as field, pay, hours, and benefits3.

Some websites are general, for jobs of all kinds such as:

They have large populations with high traffic and have lots of listings, making them a great place to start your job search.

Other websites focus on particular fields/types of work, or niches.4 Some examples of niche sites are:

Don’t see your field there? No problem. There are niche job sites for nearly every profession that you can find with a quick search online4,5.

Networking

Ever heard the saying, “It’s not what you know, it’s who you know”? Right now, someone you know is probably saying, “Uncle Bob told me his friend has a job opening at his company”.

That’s networking. Or, to be more formal about it, networking is making connections and relationships that can provide advice, let you know about opportunities, and connect you with other people to help make good career decisions6.

You can start networking with people you know such as6:

  • Professors and staff members at your college/university
  • Parents’ friends
  • Former bosses or co-workers, especially if you already had a job in your field, such as an internship
  • Classmates
  • Club/organization members
  • Recent alumni

Social media platforms like LinkedIn formalize the connection process and are one way to grow your network by seeing who those people are connected to.

Accessibility research

Something that is likely important to you is to see how accessible a company is. Career centers, especially those at Deaf-centric universities like Gallaudet and RIT/NTID, and your network are excellent ways for you to find companies who are open to hiring Deaf employees.

One other thing that is very helpful these days is now you can find out how a potential employer addresses accessibility. There are various third-party organizations that survey companies and their employees to see how they are doing with accessibility and then share those results with the public.

For example, Disability:IN is a nonprofit organization that measures a company’s Disability Equality Index — the benchmark score a participating company such as Sorenson has received.

These are usually voluntary on the company’s part and participation can be a clue to see if the company takes accessibility seriously.

Communication services for Deaf and hard-of-hearing workplace success

When preparing for your job search and looking for jobs as a Deaf or hard-of-hearing person, communication options will be important for you to know. Throughout your education, you have likely been accustomed to having in-person American Sign Language (ASL) interpreters, using FM systems (the speaker wearing a microphone and transmitter unit and the Deaf/hard-of-hearing student using a receiver), or even CART captioning in the classroom.

Those are certainly still options in the workplace, but you have, and likely will need to use, other tools.

Communication technologies

Communication technologies have changed a lot in the last 20 years. In the last decade alone:

Those options are available for you to use not just for interviews and jobs, but also during your job search such as when talking to staff at your university’s career center or people in your network.

The pace of these technological additions means that you need to continually pay attention to what is changing in the world of communication technology. You may have options available in the near future that are unimagined or not yet feasible today.

Interview tips for Deaf and hard-of-hearing

You’ve applied to some jobs you like. Great! Now to prepare for the next step: interviewing. Did your palms just get sweaty at the thought? You’re not the only one!

Interviewing makes many people nervous. If you’re a recent graduate it’s possible you’ve never interviewed for a “big job” before. If that’s the case, take advantage of your career center — go ask them to do a mock interview with you. If you found the job through someone in your network, ask them what the company looks for when they interview. Here are some other tips for job interviews:

Communication needs

Let your potential employer know of any communication needs you have, like an ASL interpreter or captioning. Worrying about how well you can communicate with them can be a huge source of nerves.

When should you tell a potential employer that you’re Deaf? That is a huge question with many possible answers that we can’t choose for you7.

Disclosing hearing loss is difficult for many Deaf and hard-of-hearing job applicants. They worry that companies will filter them out. That concern is, unfortunately, sometimes valid8.

My personal attitude is I’d rather work for a company that knew up front of my communication needs from the moment I applied and was willing to work with me. But I can’t decide this for you.

Letting the recruiter or hiring manager know of your needs at some point is necessary, however, if you want to have the best experience in the interview. If you express yourself best through American Sign Language (ASL), for example, having an ASL interpreter in the interview could make a big difference. Potential employers that won’t meet your communication needs in the hiring stage aren’t likely to be a good fit. Confidently let them know of your needs for effective two-way communication.

Research

Hopefully you’ve already learned about the company before you applied to see if it’s a fit for you, but more research is good to have for an interview. Interviewers often ask what you know about their company and why you want to work for them to determine which candidates are sincerely interested in the position9.

Study the job listing and write down different skills and strengths you have related to the position10. Be aware that employers will likely ask you how you would perform specific tasks with your disability. Be prepared with answers. Don’t rely on remembering everything off the top of your head; you might risk forgetting key points on the spot.

Are you unclear about anything in the job listing? Do you have questions about the company itself that aren’t answered on their website or by other sources? Write down your questions and take opportunities to ask throughout the interview or at the end10.

Appearance and promptness

A common phrase applies here: You never get a second chance to make a first impression. Whether you think it is fair or not, interviewers do pay attention to how you look and if you’re on time. It may not be the key factor they look for, but if there are several equally qualified candidates, this could be the tiebreaker11.

When you feel good about how you look, you naturally show confidence and a positive attitude. You can find great tips on what to wear and not wear at websites such as Dresstoachieve.com.

Being on time is important as well. Showing up five to ten minutes early for an in-person interview is ideal. Make sure you know how to get to the interview location and how long it will take you.

For an online interview, entering the meeting five minutes early is sufficient. Make sure you have the correct software downloaded and installed well before the interview. You should also experiment with the software beforehand so you are familiar with the controls such as video/audio. Decide where you will be during the interview and verify your background is clean. If you will be using ASL, make sure your camera is placed to catch all your signs.

This preparation lets you, without words, tell the interviewer you are excited about the opportunity and it gives them the impression that you are dependable and considerate12.

Starting a job as a Deaf/hard-of-hearing employee

If you just got hired, congratulations — you’re on your way! Here are some tips for the first day of a new job13:

  • Don’t worry about “proving yourself” on the first day: be there to learn.
  • Choose your clothing wisely: wear something appropriate that you’re comfortable wearing all day.
  • Plan your commute: you may not have driven to your interview during rush hour so it’s a good idea to drive there before your first day as if you were driving to work to determine how long it will take.
  • Bring a notebook: you’ll likely be taking a lot of notes.
  • Keep lunch plans open: your new boss or co-workers may want to treat you to lunch.
  • Observe your surroundings: notice the layout and where things are in relation to your work space such as the restroom and break room.

That reference also has useful tips on the first week and the first few months.

Setting up communication strategies

You should have already shared your communication needs, if any, with your new employer during the interview or hire process, including for the first day. Remember that the first day will include meeting many new people as well as Human Resources meetings to fill out paperwork and other details involved with starting a new job.

If you will be mobile and communicating a lot during the day – moving from office to office talking throughout the day— then an in-person interpreter may be your best solution. If you are going to be staying in one place most of the time or having long periods of time where you are not communicating with anyone (such as when you are watching training videos), then on-demand Video Relay Interpreting (VRI) may be an ideal solution.

In addition, you may have specific communication needs for your regular work, so now is the opportunity to make sure things are set up or in progress. Some things may take time to set up so if they aren’t ready yet, discuss it with your boss and anyone else necessary.

Some examples to consider:

  • Do you make phone calls as part of your job and need a videophone at your desk?
    • Your boss or your IT department will need to set up an account with a Video Relay Service (VRS). If it is a standalone videophone such as Lumina then your desk may need a second network socket.
    • If you want the ntouch app on your computer, your IT department may need to give you permission to install it and you may need your boss to order a webcam if one isn’t already provided.
  • Will you have regular or impromptu meetings where you need ASL interpreting?
    You and your boss may want to set up an account with Sorenson Interpreting and investigate/agree on options for those meetings.
  • Would you like to have a call captioning option instead of — or in addition to — VRS?
    CaptionCall has both desk and mobile no-cost call captioning solutions.
  • Will you encounter other situations such as workshops or continuing training?
    Agree on what communication strategies you will use for those. A combination of the above solutions

Long-term career success for Deaf and hard-of-hearing

You didn’t get your degree overnight; you took it one step at a time. Long-term success in your career is the same. Keep up with and grow your network. If you have a boss or co-workers that have already proven to be “on your team” when it comes to accessibility, stay in touch with them if they move on to another job or company.

Find professional organizations in your area, especially those for Deaf professionals. Many cities have Deaf Professional Happy Hours. A quick web search can help you find if there is one in your area.

This can be important especially if you are the only Deaf/hard-of-hearing employee at your company.

If you are not the only one, there may be an employee resource group at your company for Deaf/hard-of-hearing employees. Ask your HR department about it.

This may seem like a lot of information. Don’t be overwhelmed!

And don’t forget those tips don’t apply just to your first job. They apply to any job throughout your career. After all, compared to our parents’ or grandparents’ generations, most people don’t stay at one job for the rest of their life. The average time employees spend at a job is roughly four years14.

This means that between the age of 22, a common age for finishing a four-year degree, and the current retirement age of 67 for people born after 196015 — 45 years — you may have as many as 10 or 11 jobs. These tips are useful whether you are looking for your first job or your tenth.

Good luck!

Sources

  1. Gallaudet University Office for Career Success
  2. RIT Office of Career Services
  3. Best job site of 2025
  4. The 17 Best Niche Job Search Websites to Help You Cut Through All the Clutter
  5. Best website for hiring niche employees of 2025
  6. What is Networking, and Why Do You Need to Do It?
  7. When to tell? Applying for jobs when you are deaf or hard of hearing
  8. Deaf Employees and Workplace Discrimination
  9. ADA Requirements: Effective Communication
  10. The Top 15 Interview Questions to Ask Job Candidates
  11. Does Look Matter in Interviews?
  12. Q&A: How Early Should You Arrive for a Job Interview?
  13. 18 Tips for Starting a New Job the Right Way
  14. 21 Crucial Career Change Statistics [2023]: How Often Do People Change Jobs?
  15. Social Security Administration Retirement Planner

Driving Communication Innovation at the NYC Tenement Museum

Exterior of NYC Tenement museum seen from the street.

In New York City’s Lower East Side, a historic institution is redefining how it connects with visitors from every background. The NYC Tenement Museum, known for its historic depictions of immigrant life, uses language accessibility to ensure every visitor can fully experience its tours and exhibits.

How is it doing this? Through Sorenson Forum, an AI-powered language platform that delivers real-time translation and captioning. The museum uses these tools to expand access, foster engagement and set new standards for inclusivity in cultural spaces. With multilingual tours, captions and a commitment to accessibility, the Tenement Museum is building a more connected, inclusive world.

A museum with a unique perspective

The Tenement Museum offers an intimate window into the lives of immigrants, migrants, and refugees who shaped New York City. Its guided tours bring to life the stories of working-class residents who lived between the 1860s and 1980s, inside restored tenement apartments and throughout the Lower East Side neighborhood where they built new beginnings.

Founded in 1988 by historian Ruth Abram and social activist Anita Jacobson, the museum began with a remarkable discovery: an abandoned tenement at 97 Orchard St., untouched for more than 50 years. Inside were the belongings of families who once lived there — hairpins, toys, business cards and more — each telling a personal story of resilience and hope.

While textbooks often overlook the lives of ordinary people, the Tenement Museum celebrates them. Its commitment to inclusion ensures that everyone, regardless of language, can connect with these stories. From multilingual staff to translated materials, every effort reflects its mission to honor diverse cultural identities and make visitors feel welcome.

To further this mission, the museum adopted Sorenson Forum, an AI-powered accessibility tool that provides real-time captions in 25 languages and 43 dialects.  The museum’s Visitor Services Manager, shared why the museum wanted to use the technology:

“We wanted to provide translation services for our non-English-speaking visitors who otherwise can’t understand the content and history of the museum. We have some of our primary sources translated in other languages, but the tours are led in English, so the challenge was getting a translation for the entire program.”

By offering instant captions and translations, the museum helps visitors of all language backgrounds engage more deeply with its exhibits and guided tours. This inclusive approach extends to educational programs that explore how immigrants shaped the city’s identity, leaving guests inspired and informed.
The partnership’s success has even inspired the museum to explore Sorenson’s on-demand ASL interpreting service, expanding accessibility for Deaf and hard-of-hearing visitors. Together, these services help the museum reach a broader, global audience and ensure no story is left unheard.

The future of language access

The Tenement Museum shows how technology can transform cultural institutions. With real-time language services, it creates immersive experiences that explore identity, policy and community through the eyes of the people who lived them.
By continually expanding its language offerings and embracing innovation, the museum sets an example for others to follow — proving that technology can connect people and open doors to understanding.

Discover what’s possible

Want to make your institution more inclusive?

Connect with our team for a personalized accessibility consultation. Discover how advanced language solutions like Sorenson Forum can help you break down barriers and create a more connected future.

Evolution of Hearing Aid Technology

Various hearing assistance devices from throughout history next to an ear in front of a spectrogram

From stigma to smart devices: the evolution of hearing aid technology

Steve Demari Headshot

By Stephen DeMari

Stephen DeMari has more than 35 years of experience in the audiology and hearing aid industries and holds a master’s degree in audiology from Syracuse University. He is a member of the American Academy of Audiology and the American Speech-Language-Hearing Association. 

People have, in one form or another, used assistive hearing devices for hundreds of years. Hearing loss solutions have mirrored the technological resources of the time, and that means people with hearing loss today are far better off than in the times of our ancestors.

We’re going to revisit our hearing aid past, following major developments through history and the driving forces behind innovation in hearing aid technology:

Let’s start with a couple significant factors in the surge of assistive listening advancement in recent years: an era of rapid technological growth and a bump in demand as the number of people with hearing loss climbs.

Rising hearing loss driving demand for hearing assistive technology

When the World Health Organization (WHO) first reported global hearing loss statistics in 1985, it estimated 42 million people around the world had moderate to profound hearing loss, which was about 1% of the population. By 2018, that number had risen to 466 million and more than 6% of the population.1

Researchers don’t see a reversal on the horizon in this rising hearing loss trend. Just the opposite, in fact. By 2050, the WHO predicts more than 900 million people will have moderate to profound hearing loss. By United Nations population projections, that will be about 9% of the world.2

Bar graph titled Global Hearing Loss. Bars labeled 1985, 1995, 2011, 2018, and 2050 show increasing numbers of people with hearing loss. Line chart overlaid shows the same in terms of percentage of population with hearing loss.

Younger generations embrace hearing aids

One of the standout findings of modern hearing loss statistics is how many young people are hard-of-hearing. In the U.S. alone, 17% of teenagers and almost 20% of people in their twenties have noise-induced hearing loss, based on data from the CDC’s National Health and Nutrition Examination Survey.

While those numbers are discouraging, the response is just the opposite:

  • Some hearing healthcare providers say they’re now seeing as many patients seeking hearing protection, like custom earplugs, as those needing treatment for hearing loss.
  • Young people are leaning into hearing aids, with people under 55 accounting for the biggest increase in hearing aid fittings over the past several years, especially since over-the-counter hearing aids became available.3

The eager uptake in hearing assistive technology isn’t an isolated anomaly. It’s part of the broader societal adoption of integrated wearable tech that enhances our lifestyles and wellbeing.

History of hearing aid technology

Text based graphic titled History of hearing aid technology. A timeline describing hearing assistive technologies available spanning from the 13th century to present day.

Hearing aid technology has come a long way in recent decades, offering people with hearing loss a chance to experience clearer and richer sound in everyday life. To understand how dramatically hearing aid options are improving, we’ll review where they started and show how we got to the latest hearing aid technology incorporating artificial intelligence (AI).

Early hearing aids: ear trumpets to vacuum tube hearing devices

The use of hearing aids goes back centuries. As far back as the 13th century, people began using hollowed out animal horns to amplify sounds, paving the way for the invention of manmade ear trumpets in the 17th century. These primitive solutions amplified all sound indiscriminately, so noises would seem louder but not necessarily clearer. This was the best option available through the 19th century.

Hearing trumpet

When telephones came along in the late 1800s, they paved the way for the invention of the first electronic hearing aids. Making use of telephone transmitters, vacuum tube hearing devices ushered in the age of amplifying sound as electrical signals in the early 1900s. While vacuum tube hearing aids were technically portable, the first models were too bulky and cumbersome for this to be practical.

It was the second half of the 20th century when the pace of hearing aid advancement quickened, starting with the first transistor hearing aid in 1948. It marked a milestone in the development of sophisticated hearing aid parts that made devices smaller, lighter, and more reliable.

Then, just as the invention of the telephone sparked a breakthrough in hearing aid technology a century earlier, the rise of computers initiated the start of the hearing aid revolution in the 1970s:

  • microprocessors allowed hearing aids to further shrink
  • amplitude compression enabled devices that emphasize specific frequencies
  • the first zinc air battery provided a compact power source for in-the-ear hearing aids

The digital age: laying the groundwork for modern hearing aid technology

The advent of digital processing in the 1980s was a turning point for hearing aids. The first digital hearing aids appeared in the early 80s, exciting the hearing health industry with the potential for great advantages over analog devices:

  • Better sound quality: Digital processing allows more precise amplification and digital noise reduction.
  • Programmability: Digital models enable programming for different listening environments along with tailoring amplification and filtering to specific needs.
  • Feedback cancellation: Digital hearing aids can eliminate the whistling sound that was common with analog hearing aids.
  • Directional microphones: The first modern twin microphone hearing aid in the early 90s could focus on sounds coming from in front of the wearer for clearer conversations, even in noisy surroundings.

Scientists continued to fine tune these features, introducing technology in the late 80s to reduce distortion and separately process high and low frequencies. In 1996, more than a decade after the introduction of the first fully digital hearing aid, the technology achieved its first commercial success.

That proof of viability in the hearing health market opened the flood gates to another surge of technological advances as we entered the 21st century.

Man with a hearing aid using smartphone.

Modern hearing aids: accessories for active lifestyles and connectivity

In the early 2000s, we started seeing the developments that have transitioned hearing aids from strictly hearing loss treatment to integrated life-enhancing accessories for people with hearing loss. Technological leaps forward delivered significant hearing aid improvements on several fronts:

  • Size: Hearing aids became smaller and more discreet with silicon transistors, allowing them to fit (literally) a variety of lifestyles comfortably and safely. Some models even sit inside the ear (in-the-canal/ITC and invisible-in-the-canal/IIC) where they’re out of sight and out of the way.
  • Bluetooth connectivity: We also saw the first Bluetooth hearing aids in 2005. This technology makes it possible to pair hearing aids with electronic devices like smartphones or even CaptionCall home phone (see how to pair CaptionCall with your hearing aids) for hands-free phone calls, streaming music and audio, and managing hearing aids via a mobile app.
  • Rechargeable batteries: The introduction of rechargeable built-in lithium ion batteries eliminated the need to frequently replace these critical hearing aid parts.

While artificial intelligence (AI) has blown up in the past couple of years, it made its debut in the hearing aid industry 20 years ago with audio processing using machine learning. Like most applications of AI, hearing aid makers have since expanded on the potential uses of the technology.

The latest hearing aid technology: exploring the possibilities of AI

Today’s cutting edge hearing aid technology is further integrating artificial intelligence for an adaptive user experience. Now the most technologically advanced hearing aid is AI-powered and can analyze the surrounding audio in real-time and automatically adjust settings to the environment, even learning users’ preferences:

  • Personalized listening: AI can analyze how someone uses their hearing aids in different situations and automatically adjust settings for optimal performance.
  • Improved noise reduction: AI hearing aids dynamically suppress background noise in crowded and loud environments, allowing users to listen intentionally rather than feel overwhelmed by sound.
  • Speech focus: AI can identify and focus on specific voices, making it easier for the hearing aid wearer to follow conversations even in noisy surroundings.
  • Machine learning: AI hearing aids can learn and adapt to the user’s listening preferences and provide a custom hearing experience.
  • Language translation: The first AI-powered, in-ear language translation hearing aid feature launched in 2018, translating speech in 27 languages in real time. In 2023, that functionality expanded to a hearing aid companion mobile app, so others could also read translated text on a mobile device.

Where to get hearing aids: OTC vs. a hearing health professional

Another major development in the hearing aid industry was the U.S. Food and Drug Administration (FDA) decision to allow over-the-counter hearing aid sales, starting in 2022. The change caused significant debate about the impact on the hearing health landscape: the benefits of increased access and affordability compared to the risk of forgoing professional hearing aid fitting and treatment.

Is it better to get a hearing aids from an audiologist?

In short, yes, it’s best to get hearing aids from an hearing health professional. An audiologist or hearing aid specialist has the expertise to assess hearing loss and recommend a personalized treatment plan, which may include hearing aids. Getting hearing aids through a qualified healthcare professional allows them to customize the settings to specific hearing needs and make adjustments as needed.

A hearing health provider may also recommend complementary solutions — like no-cost captioned phone service, bimodal stimulation devices for tinnitus, or lifestyle changes to improve hearing naturally — as part of a comprehensive hearing loss treatment plan. Most people find out about CaptionCall from the roughly 17,000 hearing health professionals across the U.S. who recommend it.

Who’s a good fit for over-the-counter (OTC) hearing aids?

When the FDA approved the sale of over-the-counter hearing aids, the idea wasn’t to replace prescription hearing aids. OTC hearing aids aren’t for everyone. They may, however, be a solution for some people

  • with mild to moderate hearing loss.
  • without insurance coverage.
  • who cannot afford prescription hearing aids.

Generally speaking, OTC hearing aids offer more affordable options, making them a possibility for individuals who would otherwise go without hearing aids altogether because of cost. Keep in mind, the tradeoff for lower cost is often fewer features. Users looking for cutting edge hearing aid technology are less likely to find it in even the best over-the-counter hearing aids. The FDA offers further guidance on who might consider OTC hearing aids.4

Affordable hearing aids

Having read this much about the sophisticated technology powering hearing aids, it should be no surprise they can be expensive. However, it’s not impossible to find more affordable hearing aid options. Prices vary considerably based on features and technology, plus there are resources that may curb costs:

  • Explore different brands and models: Hearing aids with advanced features don’t always have a premium price tag. Researching several manufacturers and models  may uncover a device that blends functionality and affordability.
  • Don’t dismiss refurbished devices: Some retailers offer refurbished hearing aids at discounted prices. Reputable sellers will have professionally repaired and tested these devices to ensure they function like new.
  • Check for manufacturer discounts and promotions: Manufacturers may offer discounts for Veterans, seniors, and low-income individuals as well as financing programs.
  • Check with your insurance provider: Some insurance plans partially cover of the cost of hearing aids.
    Does Medicare Pay for Hearing Aids? 
  • Research financial assistance programs: There are several federal, state, and non-profit programs across the U.S. that may be able to provide financial assistance to help with the cost of hearing aids.

Conclusion: hearing aids among today’s wearable wellness accessories with advanced technology

Has hearing aid technology improved? Vastly. Is hearing aid technology improving still? Faster than ever. Modern hearing aid capabilities and their rapidly expanding functionality have earned the latest hearing aids a place among today’s trending wearable technology.

Equally important as the built-in features of advanced hearing aids is their readiness to integrate with a variety of assistive technology. AI hearing aids with Bluetooth capabilities can extend and enhance the technology many people already rely on in their daily lives, transforming attitudes about hearing aid use.

With or without hearing aids, people who struggle on the phone because of their hearing loss and need captions for their calls can sign up for federally funded call captioning service at no cost for home phone or mobile.

Sources

  1. Hearing loss: rising prevalence and impact
  2. Addressing the rising prevalence of hearing loss 
  3. Hearing Aids Are Changing. Their Users Are, Too.
  4. OTC Hearing Aids: What You Should Know

Business Incentives to Boost ESG Score with Accessibility

Woman in wheelchair at desk. Man stands next to her pointing at open laptop screen on desk in front of them as she takes notes.

As businesses evolve in a digital landscape, Environmental, Social, and Governance (ESG) has taken center stage in any well-formed enterprise strategy. ESG has become a standard measuring stick for evaluating potential investments and partnerships. Although typically the focus of traditional industries (manufacturing, transportation), ESG has become central due to the digital realm’s unique challenges—including accessibility.

Creating an accessible environment can not only improve a company’s ESG score, but also qualify them for tax incentives and provide additional financial and brand benefits that we’re going to explain:

Is accessibility part of ESG?

Accessibility falls under the Social aspect of ESG, which focuses on a company's practices related to inclusion and accessibility.

Accessibility and inclusion in business means everyone can use services and products regardless of ability. You might ask yourself, “What is accessibility for the Deaf and hard-of-hearing?” It could be sign language interpreters, captioning services, visual alerts, and text-based communications.

By embracing accessibility, businesses demonstrate a commitment to social responsibility and equity, enhancing their overall ESG profile.

ESG and accessibility

ESG initiatives marry company goals with purpose, emphasizing the importance of environmentally friendly, socially responsible, and ethical practices. The Social aspect of ESG benefits society, including Deaf and hard-of-hearing communities, by examining the impact of business actions on consumers, employees, and the wider public. Implementing accessibility is a major part of demonstrating a commitment to social responsibility by eradicating barriers for Deaf and hard-of-hearing individuals.

Group of people in conference room. Man leading the meeting gestures to computer screen displaying letters ESG.

Economic benefits of accessibility

Committing to a diverse and inclusive customer experience that includes people with disabilities has several economic benefits:

  1. An expanded market: People with disabilities have considerable purchasing power, with disposable income approaching half a trillion dollars. By making products and services accessible, businesses expand their customer base and drive revenue growth.
  2. Innovation and product development: Implementing accessibility fosters innovation and creativity. Companies leading the way in accessible design create user-friendly experiences that resonate with diverse audiences.
  3. Competitive edge and brand loyalty: Customers are demonstrating more loyalty to socially inclusive businesses that make online and in-person experiences user-friendly for everyone.
  4. Risk mitigation: Prioritizing accessibility helps to avoid potential legal issues, protects reputations, and prevents financial problems, ensuring that businesses thrive in the long run.

Furthermore, businesses that prioritize accessibility are eligible to receive considerable tax benefits. These tax benefits are offset costs of businesses adjusting physical spaces and installing telecommunication solutions to be more inclusive of Deaf and hard-of-hearing individuals and other people with disabilities.

An Accenture study showed that businesses that hired people with disabilities saw increased revenue and profit. Behind the profits, the public can see an enterprise’s implementation of accessibility as a demonstration of its values and a desire to reach a diverse customer base and talent.

Tax incentives for an accessible business

Tax incentives and benefits are designed to encourage more companies to remove barriers and create a more equitable society.

The IRS provides three tax credits for businesses that are deemed accessible. These tax credits are:

  1. Disabled Access Credit: To be eligible for this credit, you need to be a small business that earned $1 million or less and had 30 or fewer full-time employees. You need to have incurred expenses that year for providing equal access to people with disabilities.
  2. Architectural Barrier Removal Tax Deduction: A business of any size that has removed structural and transportation barriers for seniors and people with physical disabilities can claim this deduction of up to $15,000 per year for qualified expenses. If applicable, a business can claim both the Architectural Barrier Removal Tax Deduction and Disabled Access Credit.
  3. Work Opportunity Tax Credit: Employers who hire people with disabilities and veterans are eligible for a credit of up to $9,600.

Counter of small local coffee shop seen from seat in dining area.

Starbucks is a prime example of a corporation combining profit with social good. The company boosted its brand image by opening the first ASL store in Washington, D.C. and demonstrated a commitment to reaching the Deaf and hard-of-hearing communities.

A case study: NPR

National Public Radio (NPR) hosts This American Life, a weekly podcast. In 2011, NPR began providing transcripts for weekly podcast episodes in response to new FCC regulations. While NPR initially aimed to adhere to legal requirements, the case study showed that transcripts increased traffic and listeners to their podcast.

 Not only do transcripts benefit Deaf and hard-of-hearing people, but they also help ESL learners and people who prefer reading over listening.

Aligning accessibility with ESG initiatives can empower an enterprise to present as a positive influence in society that fosters continued innovation and inclusion.

Accessibility best practices

Implementing best practices for accessibility can boost customer satisfaction, extend market reach, and promote a positive company culture.

Infographic titled 4 Reasons to Follow Accessibility Best Practices. Reasons listed include "boosts customer satisfaction," "expands market research," "promotes brands as inclusive," and "enhanced user experience."

Here are some best practices to implement for an accessible business:

Include accessibility from the beginning:

Consider diverse perspectives in the planning stage for products, services, and your environment — a vital element of universal design. If you engage people with disabilities — including the Deaf and hard-of-hearing communities — through surveys, focus groups, and consultation with advocacy groups early on, you’ll be a step ahead of accessibility.

Leverage accessible communication technology:

  • Equip workrooms and meeting spaces with assistive listening devices (hearing loops). Include VRI interpreting services.
  • Provide real-time captioning for presentations and virtual meetings.
  • Ensure your website is accessible for the Deaf and hard-of-hearing by providing transcripts for audio content and closed captioning for videos. Use plain language for textual content and avoid jargon.

Make your physical environment accessible:

Install both audio and visual alert systems for alarms and doorbells to provide accessibility for hard-of-hearing and low-vision individuals.

Encourage an inclusive work culture:

Integrate disability into workplace training on accessibility and set expectations for respect. This training can also include guidance for effective collaboration with colleagues of different abilities and how to best use accessibility tools.

Be transparent:

Communicate your accessibility initiatives to your customers and the public. This will not only boost your brand image and reputation but also make accessibility more familiar to others.  By actively removing barriers for Deaf and hard-of-hearing individuals, a business can improve the experience for customers and employees. Achieving accessibility is a continual process that involves learning and adapting to create the ideal user experience.

A thorough accessibility plan spans every aspect of your business, both internally and externally. For example, let’s look at how accessible practices might play out in different departments.

Human resources

Creating an accessible and inclusive workplace for Deaf and hard-of-hearing individuals is not only a compliance matter but it is a crucial aspect of building a robust workforce. Here is how Human Resources can help create a stronger workforce:

  1. Recruitment and onboarding

  • Use plain language in job postings and encourage diverse applicants. Make it clear that you support accessibility in your company.
  • Ensure the application and interview processes are accessible by providing captioning services and sign language interpreters. Offer the same for the onboarding process.
  1. Workplace accommodations

  • Review employees’ specific needs and provide flexible solutions, including workplace adjustments, software, and communication technology.
  • Make assistive technology available for equitable communication:
  • For phone calls: Deaf and hard-of-hearing employees may use video relay services (VRS) or call captioning service, both of which are part of a federally funded program at no cost to eligible individuals or their employers.
  • For scheduled meetings, interviews, training, and seminars: on-site ASL interpreting or video remote interpreting (VRI) allow effective communication, while live captioning and transcription boosts comprehension and retention for all participants.
  • For impromptu meetings and spontaneous conversations, on-demand VRI and speech-to-text apps support daily communication with colleagues.
  1. A culture of belonging

  • Create equitable hiring practices by seeking potential Deaf and hard-of-hearing hires for all roles within a business, including leadership roles.
  • Support Deaf and hard-of-hearing staff by providing peer support and advice on accessibility.

Marketing and outreach

Your marketing and outreach strategies can be optimized to ensure full accessibility for Deaf and hard-of-hearing communities. Here’s how you can adapt your strategy to be more inclusive:

  1. Accessible media

  • Caption all video and audio content and provide transcripts for long-form content, like podcasts.
  • Include sign language interpreting for marketing campaigns and major company announcements.
  1. Accessible website design

  • Ensure your website complies with WCAG guidelines, which aim to facilitate navigation and comprehension for all users.
  • Incorporate accessibility into the design process. Test with diverse users, including Deaf and hard-of-hearing volunteers, to find and fix any barriers.
  1. Community engagement

  • Solicit feedback and testimonials from diverse communities, which will help you refine your marketing strategies.
  • Ensure your events are accessible by providing sign language interpreters, hearing loops, and captioning services.
  • Support events and projects of interest to disability communities to reinforce your commitment to accessibility and inclusion.

Overcoming accessibility challenges

Empty wheelchair in brightly sunlit room.

Implementing accessibility measures can present a set of challenges for any business. The following are some common challenges and accompanying solutions:

  1. Budget concerns

  • Take advantage of the tax incentives above if you have eligible expenses.
  • Employ a variety of solutions to choose the most cost-effective option for specific needs. For example, video remote interpreting (VRI) may be a better choice for an informal half-hour meeting than on-site interpreting that has a two-hour minimum and potential interpreter travel expenses.
  • Consider making changes in phases.
  1. Technological barriers

  • Invest in assistive technologies and provide platforms to make them accessible to all users.

  1. Resistance to change

  • Adopting a culture of inclusion can take some getting used to, so provide education about its role in company goals and the long-term benefits.
  • Assemble support from leadership to model inclusive behavior.

Conclusion

Creating an accessible environment for the Deaf and hard-of-hearing is a smart business decision: It puts you in compliance with legal regulations, contributes to a strong ESG profile, provides long-term financial benefits, and makes you eligible for tax incentives to offset up-front costs.

Implementing accessibility within the ESG framework positively impacts reputation, brand image, employee satisfaction, and customer loyalty. Such impacts extend beyond business and can effect societal changes.

It’s important to remember that accessibility isn’t a one-and-done process but a continual one that lays a path for growing, learning, and adapting.

Sorenson offers accessibility design consultants who can help you develop a tailored plan for your business that matches your specific needs to appropriate solutions. When you inquire about services, we pair you with a consultant who fits your industry’s needs.

Navigating Your Career as a Professional Sign Language Interpreter

Woman interviews job candidate. Interpreter behind her provides sign language interpretation.

Technology has transformed communication —  from the uptake of telegraphs in the 19th century to the ability of today’s machine learning software to instantly produce speech-to-text captioning in dozens of languages — and in many ways has brought people together across languages. At Sorenson, we’d argue that technology is a tool for interlingual communication, but it cannot yet match skilled interpreters for linguistic and expressive nuance.

Sign language interpreters are in high demand, and that’s great because:

  1. It’s a sign of greater communication accessibility between deaf and hearing people
  2. It means more job opportunities for sign language interpreters

Every certified sign language interpreter is part of a relatively small force trying to make a dent in an enormous need:

  • In the U.S., there are just over 10-thousand certified ASL interpreters¹ compared to roughly one million Deaf and hard-of-hearing adults who use sign language.²
  • While approximately 87-thousand Deaf people in the UK use sign language,³ the country has only 1,500 registered sign language interpreters.⁴
  • The Canadian Association of Sign Language Interpreters has about 830 members,⁵ to support 357-thousand Deaf Canadians.⁶

If you’re exploring your options in a career as a sign language interpreter or looking for interpreting jobs, you can be choosy about where you take your skills. Here are some considerations to guide the next steps in your sign language interpreting career.

Key factors to consider in choosing the next steps in your sign language interpreting career

When planning any career move, some factors are obvious — like compensation and schedule — but those essential considerations are a fraction of the impact on your career and job satisfaction.

For interpreters in particular, professional development and continuing education are essential to keeping your skills sharp and opening doors to additional opportunities, whether you want to compare VRS and community interpreting or gain skills and knowledge in specialty areas like medical, legal, or educational settings.

Three women practice sign language interpreting in a classroom workshop setting.

Professional development

In the interpreting world, “knowledge is power” applies to both what you know (continuing education) and whom you know (networking). When plotting a course in your career, think about what kind of access each of your options will provide to training and connections for professional growth.

Continuing education 

The most seasoned and skilled sign language interpreters never stop learning — about techniques, dialects, and evolution of the living languages they work with. It is a professional necessity for interpreters to further their education long beyond completion of their initial interpreter education courses by way of advanced degrees, continuing education courses, and training.

How you approach ongoing professional learning roughly breaks down into two options:

  1. You can independently pursue degree programs or enroll in interpreter CEU courses like those available through Registry of Interpreters for the Deaf (RID) or a number of companies specializing in language services and education. You’ll find a wide variety of interpreting CEUs (continuing education units), many of which you can complete fully online. You’ll be responsible for the registration costs.
  2. If you’re an employee/staff interpreter, your company or organization may offer its own educational or training opportunities, contract with a third party to provide training, or cover the costs for interpreters to enroll in external continuing education courses.

Interpreter education and training opportunities are arguably Sorenson’s biggest impact in the global languages services realm because not only does the company offer complimentary professional development for its thousands of interpreting employees, its interpreter programs also train interpreters who aren’t Sorenson staff.

Sorenson Interpreting Academy provided more than 40-thousand hours of instruction in 2023 alone with 16-thousand participant registrations in its programs for every level from students through experienced professionals.

The mission of these programs is to enhance the skills of Sorenson’s own exceptional interpreters, of course, but also to enrich the sign language interpreting community as a whole through quality professional development opportunities:

  • Deaf Interpreter Academy is a no-cost program offering professional-level trainings for new and working Deaf interpreters in the industry and provide skill development opportunities to all interpreters in Deaf-hearing interpreter teaming techniques.
  • Compass is also a no-cost program that builds on the linguistic and cultural foundations of heritage language users to fast-track their sign language interpreting education.
  • Interpreters with strong potential who don’t yet meet Sorenson’s rigorous standards for employment enroll by the hundreds every year in the company’s Connections program to take their skills to the next level, and 98% say they would recommend the program to others.

The dozens of interpreter educators who comprise the Sorenson Interpreting Academy team include veteran sign language interpreters — many of whom are Deaf interpreters and Codas — sharing  expertise in language development, instructional design and content, as well as mentoring. 

Mentorship and networking 

Meeting and working with fellow interpreters is a chance to borrow skills, build confidence, and open doors to career advancement; sign language interpreting is a small world, after all.

  1. Working with more experienced interpreters can develop mentor relationships that allow you to benefit from years of practice and skill-building as well as constructive feedback.
  2. Meeting and mentoring younger interpreters can be fulfilling, and don’t overlook the potential to learn from them as well. As sign languages evolve, fresh interpreters may be current on the latest slang.
  3. Professional organizations and conferences are a networking goldmine. You may want to weigh how different employment scenarios would impact your ability to participate.

The size of your interpreting team plays a significant role in your mentoring and networking opportunities, whether you’re interpreting for a large language services provider, a small staff, or flying solo as a freelancer.

For example, Sorenson is the largest private employer of sign language interpreters in the world with a team of more than 5,000 interpreters globally. One of the benefits of being part of an interpreter workforce of that size is the potential to learn from peers with an astounding variety of expertise:

  • Deaf interpreters
  • Trilingual interpreters
  • Interpreters with specialized training for DeafBlind and low vision interpreting, medical, legal, and government settings
  • Every interpreting setting in the industry: VRS, on-site, scheduled and on-demand VRI

Your level of exposure to other interpreters — as mentors, mentees, and professional connections — may influence your decision to pursue interpreting work as an employee or freelance.

Freelance vs. employee

Are you going to be better off going solo as a freelance interpreter or finding a position with a company that offers sign language interpreting? There’s not a right or wrong answer; it comes down to what factors are most important to you. As with any industry, freelance vs. staff interpreting come with pros and cons, many of them relating to flexibility and support.

Freelance interpreting 

Pros: As a freelance sign language interpreter, you have the maximum level of control and flexibility; you can choose your hours and what kind of interpreting work you book. That flexibility allows you to customize your work schedule. You may also be able to negotiate your rates to reflect your experience, specialization, or other market factors.

Cons: The flip side of freelance interpreting can be additional responsibility and instability. You’re responsible not only  for securing interpreting work, but arranging your own insurance, training and certifications and licensure as required, and handling the administrative side of the business — invoicing, bookkeeping, and taxes.

There are a couple basic options to find freelance interpreting work: 

  • Independently, through self-marketing and networking: If you’re well-connected and establish relationships with organizations or individuals that regularly require interpreting, this approach may run smoothly. Without those relationships, marketing yourself can require a lot of leg work.
  • Work with a language services provider: The company fields interpreting requests and connects them with a pool of freelance interpreters. This setup removes the burden of marketing yourself, but opportunities may be inconsistent.

Staff interpreting

Pros: A major benefit of an employee interpreting position is the stability of consistent work and pay. As a staff interpreter, you may also have company-provided benefits like health insurance, retirement plans, and paid time off (though this is not guaranteed, particularly for part-time interpreting positions). Some employers who maintain interpreting staff will also offer professional development opportunities.

Cons: Some staff interpreting positions do offer more flexibility than a standard corporate environment, but do not always offer as much as freelancing. Being an employee means answering to management and operating within the confines of company expectations. Also, as an employee, your ability to negotiate your rates is likely limited to your hiring and potentially annual reviews.

Your experience as an employee will vary by your setting — whether you’re a staff interpreter for a private enterprise, a government agency or educational institution, or are an employee interpreter with a language services provider. While many language service providers operate exclusively with freelancers, there are few exceptions like Sorenson, which maintains a dedicated staff of thousands of interpreter employees.

Benefits and compensation

Interpreting is one of those coveted careers where you can make a real difference in people’s day and make the world a little better. That said, warm, fuzzy feelings don’t pay the bills. You can prioritize making an impact on your community and also care about your compensation.

To get a baseline for competitive pay, you can use online databases to look up the average sign language interpreter income nationally and in your area. For example, if you look up estimates of national average sign language interpreting salaries, you may find numbers like these:

  • Average ASL interpreter salary in the U.S. around $64,000/year (from ZipRecruiter.com)
  • Average BSL interpreter salary in the U.K. around £35,000 (from Talent.com)
  • Average sign language interpreter salary in Canada around $70,000 (from Talent.com)

Bear in mind, what you can expect for a sign language interpreter salary will vary considerably by experience, certifications, location, and specialization. There can also be significant differences in interpreter income between employee positions versus freelance work, and that’s partly due to additional factors like benefits and taxes.

When weighing compensation for different career options, you may want to think about what you’re likely to get in a week, in a year, and in the long run. This is particularly important when considering freelance vs. employee interpreting paths.

  • Negotiating rates: As we discussed above, freelance interpreting offers the most opportunity to negotiate your rates, which can significantly impact your earning potential, especially if you have in-demand specialization or experience (or if you’re in an area where the need for interpreting services exceeds availability).
    However, if you don’t have the credentials yet to command top tier rates, if the demand for interpreting doesn’t give you leverage in negotiations, or if you’re not consistently booking work independently you may want to compare the average rate for freelance interpreting to the total compensation you could earn in a staff position.
  • Health insurance: Health insurance can be expensive. If you’re responsible for your own insurance, you’ll want to price policies to factor that into your income calculations. Likewise, health insurance benefits can add thousands of dollars a year to the value of a compensation package from an employer.
  • Retirement savings: Retirement is where long-term compensation considerations really come into play. Much like insurance, if you opt to work freelance as an interpreter, you’ll need to look into independently setting up and contributing to a retirement savings account and planning for that money to come out of your earnings.
    If you choose an employee interpreting position, retirement benefits do increase the value of your compensation package, but the amount may vary greatly; compare employers’ retirement contributions and/or matching as part of your evaluation of offers.

Three women practice sign language interpreting in a classroom workshop setting, Woman giving presentation in front of conference room with virtual sign language interpreter on screen behind her, Woman at cubicle desk uses sign language to communicate on a video call.

Variety of interpreting opportunities

If you could only do one type of sign language interpreting for the rest of your career, what would it be? VRS, community interpreting, scheduled VRI, on-demand VRI? Would it be a specialized service like legal interpreting or DeafBlind interpreting? Can’t choose just one, or haven’t tried them all to know for sure? 

When plotting where to steer your career, factor in how important it is to you to have a variety of interpreting opportunities.

Video Remote Interpreting (VRI):

VRI has skyrocketed in popularity as an enterprise service. For interpreters, scheduled VRI combines the remote video interpreting aspect of VRS with the slower pace and greater potential for prep of community interpreting. The relatively recent introduction of on-demand VRI skews toward a quicker pace for short conversations in an enterprise environment.

Video Relay Service (VRS):

It’s tough, it’s rewarding, and it generates the biggest demand for sign language interpreters. VRS is fast-paced and unpredictable, allowing interpreters to connect sometimes dozens of conversations in a workday.

On-site/community interpreting:

On-site (or community) interpreting is often the option clients name as their favorite for the greater visibility, mobility, and elimination of technical difficulties. Those are equally beneficial for interpreters, though on-site work does require travel, which can include dealing with traffic, parking, and checking in at the location.

Specialized interpreting:

The term “specialized interpreting” casts a wide net and can refer to interpreting needs that require niche skills, additional training, or techniques to fit particular situations or content — like interpreting emergency government news conferences or theater performances. Most often, specialized interpreting falls into three high-demand categories:

  • Legal interpreting: Legal interpreting can encompass court proceedings, conversations between attorneys and clients, as well as law enforcement interviews and investigations. It’s another area of specialization that requires specific skills and terminology.
  • Medical interpreting: Medical settings are one of the highest needs for specialized interpreters, both in person and VRI. Medical interpreting requires additional knowledge of medical terminology as well as compliance with state and institutional policies relating to safety and privacy.
  • Educational interpreting: There’s steady demand for educational interpreters in primary, secondary, and higher education. With more deaf children attending mainstream schools and deaf college enrollment growing at a faster rate than that of hearing peers, the need for sign language interpreting at all levels of education has never been higher. In fact, in the U.S., the National Deaf Center points out that higher education is one of the sectors most keenly feeling the shortage of sign language interpreters as universities struggle to keep pace with the influx of deaf students.

Traditionally, educational interpreting has been largely on-site, but the increase in remote learning has created a need for VRI in education as well.

Those are only a few examples. Specialized interpreting can also include different approaches to interpreting to better meet the linguistic needs of clients, like low vision interpreting or interpreter teaming with a hearing interpreter and a Deaf interpreter.

  • Certified Deaf interpreters: If you’re a Deaf interpreter who’s gone through the necessary training to become certified (or plan to), you’re well-versed in interpreter teaming (or you will be). Even for interpreters with native language proficiency, teaming is a skill in itself, and it takes training and practice for Deaf and hearing interpreters to collaborate seamlessly. That’s one of the key elements of Sorenson’s Deaf Interpreter Academy, a no-cost program for Deaf interpreters to hone their skills and build a foundation for professional interpreting success.

To acquire the training required for specialized interpreting, you’ll need to enroll for continuing education programs/courses and training.

Some companies that employ interpreters will provide the necessary training for interpreters to maintain their certifications and licensure. Sorenson is unique in the size and scope of its interpreting and interpreter training teams that it offers wide range of professional development for its staff at no cost to boost the pool of qualified interpreters for any need. Interpreters may even get reimbursement for related costs like testing fees, registration for professional conferences, and interpreting organization membership.

Design your own sign language interpreter career

The biggest takeaway from this guide is that you have options as a professional sign language interpreter. Demand is high for your skill set, and a global shortage of interpreters means you have the power to be selective about your career moves.

There’s not a one-size-fits-all path to suit every interpreter. Weigh your priorities and preferences from the factors we’ve laid out here, talk to mentors and peers about their experiences, and research your options.

Sorenson is always hiring sign language interpreters to support connection and language equity on a global scale. We encourage you to browse our interpreting opportunities and interpreter training opportunities to advance your career.

Sources

  1. Dive into your exclusive access to RID publications and materials.
  2. How many people use Sign Language? A national health survey-based estimate
  3. Prevalence of British Sign Language
  4. Facts and statements on inclusion
  5. Casli directory of members
  6. Statistics on deaf Canadians
  7. The ASL interpreter shortage and its impact on accessibility in college settings

Ways to Maintain Independence as You Age

Senior couple sit on front porch smiling at their shared tablet.

An overwhelming majority — 92% — of older adults reported that they would prefer to live out their golden years in their current home.  In fact, the percentage of older adults checking in to assisted living or nursing homes has declined over the past 20 years.

As a culture, Americans place a high value on independence. The ability to be self-reliant and maintain control over one’s own life is a source of confidence, self-esteem, and (perhaps counterintuitively) a feeling of belonging for many.

Aging in place is clearly a popular dream, but achieving it is easier said than done. This article will cover:

  • Why independence is so beneficial as you age
  • Common issues that may get in the way
  • Actionable tips to help you prepare yourself or your loved ones to continue to enjoy an active and independent lifestyle for years to come

The impact of aging on independence 

Older age groups in the U.S. are growing faster than their younger counterparts, with the number of people over the age of 65 on track to rise from 56 million in 2020 to 95 million by 2060. By 2030, nearly 1 in 5 Americans will be in this age group. It’s a big demographic, and one that’s growing quickly. 

As you age, any number of health concerns can crop up that eat away at your independence. Chronic illnesses begin to become more apparent, loss of mobility can start a vicious cycle, hearing and sight can start to make it more difficult to take calls or handle paperwork, and a myriad of other issues begin to make themselves known. 

Common age-related issues 

Getting older impacts your independence in three broad ways: reduced hearing, reduced vision, and mobility issues. These are very common among seniors in the U.S.

  • 31.1% of people aged 65 and older experience hearing loss
  • 40.3% over the age of 75 experience hearing loss
  • 23.3% of people over 65 have vision loss
  • 40% of seniors reporting trouble with things like walking or climbing stairs

Why personal independence matters 

To be clear, when we talk about “independence,” we don’t mean “never needing or asking for help from anyone.” Everyone needs a hand every now and again. In fact, that kind of community support can help you achieve the type of independence we’re talking about — the ability to age in place without constant care.  

This kind of independence is an important part of mental health. It gives you a sense of autonomy, purpose, and control over your life. After living independently for decades, loss of independence can be a big blow to your self-esteem.   

Tips for staying independent as you age 

There is no shame in deciding to take advantage of assisted living options, and many of them have great programs in place to help their residents maintain a sense of independence. Still, 77% of Americans over the age of 50 say they prefer to age in place. 

So here are a few tips that can help you maintain your independence as you age:  

Physical activity 

Regular exercise is the best way to prevent mobility issues down the line. Whether you can go for bike rides, swim, do Pilates, hit the weights, or just go out for a nice walk, any level of activity can be beneficial. 

Depending on your age and health, it may be a good idea to talk with your doctor before starting a new exercise regimen. They can help you set reasonable goals and identify workouts that will work for you. 

Here are a few keys to keep in mind when developing your own exercise routine:

  • Start simple: Treadmills have lower settings for a reason. Walking can be an excellent aerobic exercise to start building endurance.
  • Never skip a warmup: Especially as you get up there in years, preparing your body for a workout will help you avoid injury and make the most of the workout. Hop on a stationary bike for a few minutes or go through some active stretches that get your body moving, bring your heart rate up gradually, and loosen up your muscles.
  • Everyone — even you — can benefit from strength training: The goal doesn’t have to be bulky muscle mass; training key muscle groups can help with your balance, posture, and even bone density.
  • Soreness is different than pain: If a joint or a muscle hurt for longer than a day or two, stop exercising that area and consult your doctor. They can diagnose whether you have a more serious problem or injury and may even be able to suggest alternative exercises to help you stay active while avoiding pain. 

The key to any workout routine is consistency. Find an activity that gets you moving and stick to it.

Cognitive health 

Keeping your body fit is great, but it’s just as important to break the occasional mental sweat. Daily crossword puzzles and similar brain games are a fun way to keep your mind sharp, but they’re only part of the picture. It’s also important to maintain other mentally stimulating habits, like reading, listening to or playing music, and most importantly, staying socially active. 

Studies have found a link between socializing and both mental flexibility and brain resilience. Similarly, research shows that maintaining close friendships delays mental decline. Face-to-face interactions with other people can activate parts of your nervous system that regulate stress and anxiety.  

Plus, social interaction presents critical learning experiences no matter how old you are. Everyone has something they can teach you, and everyone is capable of surprising you. 

Find opportunities to interact with your local community and get to know your neighbors. Enroll in group classes, get involved with some charity work, or find clubs centered around your interests.  

Home modifications  

There’s plenty you can do to prepare yourself, body and mind, to age in place. There’s also another factor to the equation — the place. An AARP survey found that nearly three quarters (71%) of adults said their homes and some accessibility issues.  

Fortunately, there’s an entire world of products designed to help you overcome home accessibility hurdles based on your particular needs. 

For example, if you’re worried about getting around your house, you can install grab bars in key locations, replace loose rugs with non-slip alternatives, swap corded vacuums with rechargeable cordless versions (or, better yet, autonomous robot vacuum cleaners). 

Improving your indoor lighting can help if you’ve noticed your vision is going, and it also makes a big difference in preventing falls. You can also get low-intensity non-prescription glasses from just about any pharmacy and even invest in some personal magnifying glasses to keep in high-use areas.  

There are also services like CaptionCall, which provide real-time captioning at no cost for people with hearing loss who need captions to understand phone calls. It even comes with a captioned landline phone included!

Embrace technology 

We’ve touched on this above, but it bears repeating — in the quest for self-reliance, technology can be your friend. Technology that makes it easier for you to stay connected with your family, your community, your doctors, repair or delivery services — basically anyone outside your home — is probably worth learning to use.  

Smartphones enable communication anywhere, offering reliable applications for everything from video calling to home grocery deliveries. They can even sync with smart home appliances, allowing you to control lights, air conditioning, televisions, and even window blinds with a few taps on your phone. Getting comfortable with a smartphone can go a long way toward ensuring greater independence as you get older. 

Another technology worth highlighting is telehealth portals — online communication systems that allow your doctor to share important medical information and updates with you. Doctors often use this as a follow-up to an appointment, sometimes even as an alternative to an otherwise unnecessary appointment. They can provide lab results, complete with your doctor’s notes for you to review at any time to ensure you have a better understanding of your own health. 

Ask for help when needed 

Independence doesn’t mean never asking for help. It means knowing how to proactively get the help you need when you need it. Nobody gets by entirely on their own; it always takes a village. 

When you start having trouble with health, mobility, or any other issue that might impact your ability to take care of yourself, it's best to address it immediately. Consult your friends, family, neighbors, doctors, and other professionals where appropriate to find a solution that will help you maintain your independence. Accepting help from home health aids or through regular check-ins from loved ones will help you extend your years of living independently. 

Social Isolation Among Seniors with Hearing Loss

Older woman looking out window with concern.As the U.S. senior population climbs, so does hearing loss. More than 30% of seniors 65 and older experience hearing loss, reaching 40% for those 75 and older.1 A sudden or gradual hearing loss can be a jarring experience for seniors already dealing with health or community issues.

Chart titled Seniors with Hearing Loss 2024. Chart shows 15% of people age 20+, 31.1% of people 65+ and 40.3% of people 75+ with hearing loss.

Social isolation is a lack of contact or meaningful interaction with friends, family, and the larger community. As one gets older, social isolation can occur due to health issues, the deaths of loved ones, and especially hearing loss. Add this to the fact that 27% of adults aged 60 and older live alone.2 Older adults may already be coping with social isolation when they begin losing their hearing.3 Since communication is the root of social interaction, hearing loss can sap enjoyment of social activity. Conversations become muffled and faded, forcing a retreat into solitude. Seniors with hearing loss use tools to support their communication and independence. These solutions include:

  • Captioned phone service4
  • Mobile apps5
  • Hearing aids

With assistive technology becoming more accessible, social isolation among seniors with hearing loss can be alleviated.6

Understanding social isolation in the context of hearing loss

Social isolation is a significant challenge for seniors with hearing loss. It concerns not only the physical aspect of being unable to hear but also the social and psychological effects. The psychological impact of hearing loss can be profound, leading to emotional distress, frustration, and cognitive overload. I am reminded of my grandmother, who began losing her hearing in her 70s. Before that, she was talkative and loved sharing stories, but she became withdrawn when she realized she couldn’t follow conversations at the family table. One-on-one conversations became the norm for her. She loved shopping if only one person went with her, but she was not the same person she had been before the hearing loss. For Paul, 82, the impact of social isolation alleviated when he got his first pair of hearing aids. They help him feel included in conversations, and he doesn’t say “What?” as often anymore. Living alone affords him the solitude he craves, surrounded by books and art, and he has regular social engagements. Seniors who crave social interaction often find hearing loss robs them of this joy. Consequences can include:

  • Decreased social activity
  • Miscommunication and misunderstandings
  • Strained family relationships
  • Stigma7

Challenges for seniors with hearing loss

Hearing loss can make everyday interactions discouraging. Some common frustrations can include:

  • Phone conversations
  • Group conversations
  • TV and film viewing
  • Discerning speech and sounds
  • Living independently
  • Social misunderstandings

Hearing loss also affects quality of life in many ways:

  • Limited access to treatment: The stigma of hearing loss can prevent seniors from accessing hearing aids and assistive technologies8 when needed. Lack of awareness and access are also factors.
  • Increased health risks: Studies show links between hearing loss and cognitive decline, falls, and depression.9
  • Insufficient healthcare communication: Hearing loss can lead to misunderstandings and miscommunication between seniors and healthcare professionals, which can have serious health consequences.
  • Poor communication: Communication challenges can lead to low interest in social activity, frustration, and detachment.

While these challenges can be overwhelming, solutions such as assistive listening devices10 and family support can help seniors regain their independence.

Benefits of staying socially connected

Two older men laughing together over lunch. One wears a hearing aid on his right ear.

Maintaining social connections is good for everyone, not only seniors. Here’s how being socially engaged yields benefits for seniors with hearing loss:

  1. Better mental health: Daily social interactions stave off depression and anxiety.11
  2. Improved cognition: Social activity keeps the brain active and sharp.12
  3. A longer life: Studies show that strong social connections can improve lifespan.13
  4. Improved emotional health: Sharing life experiences with others boosts quality of life. Having confidants is invaluable during tough times.
  5. Sense of belonging: Being part of a community helps seniors feel valued.
  6. Promotes physical activity: Social activities involving group exercises and daily walks encourage movement.
  7. Improved well-being: Socially active seniors report being happier and more content.

A crucial aspect of supporting social connections for a senior with hearing loss is using hearing aids. However, only 1 in 6 people with hearing loss uses this technology.14 Despite more seniors experiencing hearing loss yearly, hearing aid use is seeing slow growth.

Technology’s role in combating social isolation

Assistive technology’s continued advancements are a boon for seniors with hearing loss, giving them ways to combat social isolation and protect themselves. Here’s how this technology plays a vital role in allaying social isolation:

  • Video calls: Services like Skype and FaceTime enable seniors to converse face-to-face with friends and family.
  • Mobile apps: Many apps, including CaptionCall Mobile and Sound Amplifier for iPhone, are available to seniors with hearing loss.15
  • Telehealth services: Telehealth became more available during the COVID-19 pandemic and enables easier access to healthcare services.16
  • Smart home devices: These devices connect to the internet and can help seniors live more independently without relying on others. Some examples are Google Home, ecobee Smart Thermostat, and SimpliSafe Home Security System.
  • Personal Emergency Response Systems (PERS): These come in wearable devices that seniors can use to contact emergency services and family members.17

Seniors today overall are growing more comfortable with technology, with 81% of adults 60 to 69 years of age owning a smartphone.18 However, there’s high interest among seniors to make smart technology more user friendly.19

CaptionCall: A key tool to stay connected

Sorenson, the leading language services provider for the Deaf and hard-of-hearing worldwide, provides no-cost captioned phone services for seniors with hearing loss who need captions to use the phone effectively20 through CaptionCall and CaptionCall Mobile.21 CaptionCall benefits include:

  • Live captions in time with conversation
  • Adjustable amplification settings
  • Saved transcripts
  • Stored contacts
  • Real-time captions for 911 calls
  • Captioned voicemails

A leader in the industry, Sorenson is paving the way for seniors to maintain solid social connections through captioned phone services. CaptionCall is part of a federally funded program, so Sorenson doesn’t charge users for the service or equipment.

Practical tips to alleviate social isolation among seniors with hearing Loss

We know social isolation can affect a senior’s health and well-being. People with hearing loss who need captions to use the phone the same way a hearing person does can stay connected through captioned phone calls:

  • CaptionCall: Sorenson’s CaptionCall service for landline phones converts speech to text, which helps seniors easily follow conversations and creates a gratifying experience.
  • CaptionCall Mobile: The mobile caption app is useful away from home and for those who prefer using a smartphone or tablet. This has the same features and benefits as CaptionCall.

CaptionCall by Sorenson provides user-friendly guides and customer support, as well as complimentary delivery, installation, and training.22

Four middle ages adults playing pickleball.

In addition to getting CaptionCall for captioned phone calls, these tips can extend your social connections beyond friends and family:

  • Join a local community group: Explore the local senior center or church. Many of them have a range of activities, from cooking to exercise classes. Search Facebook groups, Meetup | Find Local Groups, Events, and Activities Near You , and AARP.
  • Volunteer: Volunteering can provide a sense of purpose. Check out VolunteerMatch and Create the Good.23 You can also contact local organizations.
  • Maintain connections online: With assistive technologies and social media, staying in touch with family and friends is easier than ever.
  • Explore online learning: Signing up for online courses and workshops is a way to meet others while exploring interests.
  • Join a support group: This provides a safe space for sharing your experiences and getting emotional support.24
  • Find a community garden: Being outside in nature is therapy for many people, and this is a wonderful way to connect with neighbors.25
  • Engage in daily physical activity: Look for exercise groups tailored for seniors.
  • Adopt a pet: There are many health benefits to owning a pet.26
  • Engage with younger people: Young people and seniors can both learn from the other generation.Learn something new: Exploring a new hobby or interest can lead to new friends and more fulfilling experiences.

Conclusion

Social isolation among seniors with hearing loss is a grave issue but with assistive technology — including CaptionCall by Sorenson — it is possible to break down communication barriers and stay connected.

Maintaining social connections for seniors contributes to increased health, well-being, and longevity. Embracing modern technology can grant seniors newfound confidence and a higher quality of life.

Sorenson is here to help you take advantage of CaptionCall’s features and benefits. We encourage you to reach out and connect with us to build stronger ties with your family and community. Sign up for CaptionCall today.

Sources

  1. Hearing Loss Statistics 2024: More Common Than You Might Think
  2. Older people are more likely to live alone in the U.S. than elsewhere in the world
  3. NCBI - WWW Error Blocked Diagnostic
  4. Captioned Phones for Seniors
  5. The Best Hearing Loss Apps of 2023 - Sorenson
  6. A Longitudinal Framework to Describe the Relation Between Age-Related Hearing Loss and Social Isolation - Aysha Motala, Ingrid S. Johnsrude, Björn Herrmann, 2024
  7. The Stigma of Hearing Loss
  8. Assistive Devices for People with Hearing, Voice, Speech, or Language Disorders
  9. Hearing Loss and Cognitive Decline in Older Adults
  10. Assistive Devices for People with Hearing, Voice, Speech, or Language Disorders
  11. Social Connection
  12. 3 ways to build brain-boosting social connections - Harvard Health .
  13. Social Relationships and Mortality Risk: A Meta-analytic Review
  14. Reasons for Low Hearing Loss Treatment
  15. The Best Hearing Loss Apps of 2023 - Sorenson
  16. The State of Telehealth Before and After the COVID-19 Pandemic
  17. Best Personal Emergency Response Systems (PERS)
  18. 2020 Tech Trends of the 50+
  19. 2023 Tech Trends: No End in Sight for Age 50+ Market Growth
  20. Senior Living Residents - Sorenson
  21. Captioned Phones for Seniors
  22. Captioned Phones for Seniors
  23. Create the Good: Find Volunteer Opportunities Near You
  24. Joining a Hearing Loss Support Group
  25. What is a Community Garden?
  26. How Having a Pet Can Benefit Your Health

Signs You Might Be Losing Your Hearing

Man puts hand behind ear indicating he couldn't hear something you said.

Worried your hearing might be going? You’re not alone! Hearing loss impacts almost one-third (30.9%) of Americans over the age of 65 and around 60.7 million Americans as young as 12 years old.

On top of that, global rates of hearing loss have risen sharply in recent years. The World Health Organization estimates this number will reach nearly 2.5 billion by 2050.

Much of that growth is among younger people. According to a recent national study, about 12% of children between ages 6 and 19 have permanent hearing damage from exposure to excessive noise. Some research suggests this is often related to listening to music at high volumes with earbuds.

Why it’s important to address hearing loss

An absence of sensation is often more difficult to notice than a new ache or pain. That’s why losing hearing in one ear may be easier to notice than gradual loss on both sides. Add social stigma around hearing loss, and it’s no surprise that it often goes undiagnosed and unaddressed.

According to one estimate, as much as 80% of hearing loss goes undiagnosed. This may not seem like a big deal. After all, many people who were born deaf or have adapted to limited hearing over the course of their lifetimes don’t see it as a problem. However, when hearing individuals begin losing that sense and don’t make necessary adjustments, it can contribute to serious issues.

Untreated/undiagnosed hearing loss can have considerable negative impacts on quality of life.

What causes hearing loss?

You may think of hearing loss as one of those things that just happens as you age — like back pain or getting really into WWII documentaries. However, there are certain risk factors that may contribute to hearing loss. There are also precautions you can take to protect your ears as you age.

Risk factors for hearing loss

  • Aging — The parts of your ears responsible for detecting sounds break down with time. 
  • Genetics — Your DNA and genetics may increase your chances of inheriting some types of hearing loss.
  • Noisy work environments — Working long hours around loud equipment, increases your risk of noise-induced hearing loss. However, wearing ear protection can help mitigate that risk. Headphones playing music do not count as ear protection — in fact, they can make it worse! 
  • Loud hobbies — Spending your free time in noisy environments like concerts or gun ranges can be dangerous for your hearing. Again, wearing proper ear protection can reduce the risk of these activities.
  • Certain medications — Some medications, including some antibiotics, some chemotherapy drugs, and even some over-the-counter painkillers can increase the chances of someone losing their hearing. Consult a physician or look for warning labels about “ototoxicity,” which is the term for this kind of damage if you’re concerned about any medications you may be taking. 

Types of hearing loss 

The cause of your hearing loss will partially determine your treatment options. There are three distinct types of hearing loss:  

  • Sensorineural hearing loss occurs when a part of the inner ear or the actual hearing nerve itself gets damaged. This is the most common type of hearing loss and can be caused by any of the factors listed above. While this often happens over a long period of time, loud noises can sometimes cause sudden hearing loss, which should be treated quickly.
  • Conductive hearing loss occurs when an obstruction of some kind prevents sound from passing through the outer or middle ear. This could be related to a buildup of earwax or some other object blocking the ear canal. However, infections, abnormal bone growths, or even damage to the eardrum or ossicles (the three bones attached to the eardrum) can also be the source.
  • Mixed hearing loss is a combination of sensorineural and conductive hearing loss impacting the middle or outer ear as well as the inner ear.

Signs of hearing loss in

Young children are especially unlikely to recognize when their hearing is going. Even if they do, they may not know how to effectively communicate their situation.

Child squeezes eyes closed and holds hands to head. Text says 12% of children ages 6-9 have permanent hearing damage from exposure to excessive noise.

Mistaking the signs that a child may be experiencing hearing loss for other issues is common.

It’s important for parents, teachers, and other guardians to be alert for a combination of these potential signs: 

  • Poor enunciation 
  • Not following instructions 
  • Confusion or lack of attention in conversation with others 
  • Setting volume on TVs and other devices very high 
  • Trouble in school 

Many schools administer free hearing screenings to all students, usually every other year beginning in kindergarten or first grade. If a child fails a screening or if there is ever a concern about a child’s hearing,the next step is to get a full hearing loss test from an Audiologist. 

Signs of hearing loss in adults 

Even for grown-ups, it can sometimes be difficult to recognize. It can be tempting to write off potential warning signs or chalk it up to something else. 

Below is a list of common signs to watch out for. Read through the list and check those that apply to help you determine whether you or a loved one might be experiencing hearing loss. 

Do you: 

  • Have difficulty understanding conversations in noisy environments 
  • Have difficulty hearing consonants 
  • Frequently ask people to speak slower 
  • Frequently ask people to speak louder 
  • Frequently ask people to speak more clearly 
  • Hear better in one ear 
  • Feel exhausted after social gatherings, possibly due to listening fatigue 
  • Look at people’s mouths when they speak instead of their eyes 
  • Hear a persistent ringing or buzzing in the ears 
  • Frequently turn up the volume when watching TV or listening to music 
  • Have difficulty understanding people on the phone 
  • Experience dizziness or loss of balance 
  • Feel pressure within the ear canal 
  • Speak too loudly 

A person with undiagnosed hearing loss may also come across as clumsy or nonsocial. An outside observer may even mistake hearing loss symptoms for age-related cognitive decline.  

Test your hearing at home 

Looking for further proof before you set up an appointment with an audiologist? There are plenty of online options for a quick, self-administered hearing check. These are not replacements for professional hearing screenings, but they can be useful to gauge your current hearing loss. 

Here are a couple of good options to check out: 

  • AARP’s National Hearing Test — A free phone-based hearing test available once per year to all AARP members.
  • Audicus Online Hearing Test — This free online test takes about 20 minutes and requires headphones. 
  • CheckHearing.org — A 3-step test that doesn’t require any membership and provides results in the form of an audiogram similar to those produced by professional screenings. 
  • Hear.com A convenient online hearing test that provides a simple score on a scale of 1-10

There are also a number of smartphone apps designed to help you test your hearing.

  • Mimi Hearing Technologies — This app allows you to test and track your hearing over time. It can even link with certain headphones to personalize your device’s audio output. 
  • MindEar — With a specific focus on tinnitus relief, MindEar also offers a convenient hearing test for your smartphone. 

Degrees of hearing loss

Losing your hearing isn’t an all-or-nothing situation. Sudden extreme hearing loss is possible, but gradual loss of hearing in one or both ears is much more common. Most experts organize hearing loss into four commonly used categories based on severity. 

Table explaining degrees of hearing loss. Mild hearing loss has 26-40dB threshold and includes soft voices, vowels, and birds. Moderate hearing loss has 41070dB threshold and includes most conversation and light traffic. Severe has 71-90dB threshold, includes alarm clocks and all normal speech. Profound is over 90dB threshold, including fire alarms and power tools.

Mild

The hearing threshold for mild hearing loss is between 26 and 40 dB in the sound frequencies related to human speech. It may feel like trying to listen through earmuffs. Many people with mild hearing loss are able to manage without treatment. Some opt for hearing aids, especially in noisy environments. 

Sounds that are difficult to hear with mild hearing loss might include:

  • Soft voices or children
  • Vowel sounds
  • Low-volume notifications or alerts, like car turn signals
  • Chirping birds
  • A person walking behind you

Moderate

Moderate hearing loss means you can’t hear 41-70 dB sounds in the speech frequency range. Conversations involve a lot of asking people to repeat themselves. At this level of hearing loss, most people are more comfortable with hearing aids. 

Sounds that are difficult to hear with moderate hearing loss include:

  • Most normal conversational speech
  • Voices on the phone
  • Consonant and vowel sounds
  • Light traffic

Severe 

A person with severe hearing loss cannot hear sounds lower than 71-90 dB. At this level of hearing loss, amplification or hearing aids are necessary for comprehension.  

Sounds that are difficult to hear with severe hearing loss include:

  • All normal speech
  • Some loud noises
  • Alarm clocks
  • Loud traffic

Profound

When you can’t hear sounds below 90 dB, you’re suffering from profound hearing loss. At this level, even loud noises aren’t audible without hearing aids or a cochlear implant. Without assistive technology, someone with profound hearing loss relies on reading lips or communicating via sign language. 

Sounds that are difficult to hear with profound hearing loss include:

  • Fire alarms
  • Power tools
  • Food processors
  • Lawn mowers 

What to do next 

Just like any health-related issue, don’t simply rely on what you read online. If you think you are experiencing hearing loss, it may be time to set an appointment with an audiologist.

They will run some hearing loss tests which will produce an audiogram. This is a visual representation of your unique hearing loss. It shows the degree of hearing loss in each ear and which frequencies you’re having the most trouble hearing.   

Your audiologist specialist will work with you to develop a treatment plan based on your unique hearing loss profile. 

Accessibility in Sports: Building Economic Power and Innovation for Enterprise

Group of sports fans in matching colors celebrate their team's victory in an outdoor restaurant.

The love of sports transcends cultures and countries. Chances are you know a sports fanatic, or you are one yourself. The collective experience of enjoying a sporting event is palpable, and we revel in the athletic competition and the spectacle.

However, the universal love of sports doesn’t equate to universal design. Attending and enjoying sporting events comes with challenges for many sports lovers. Take, for instance, Deaf and hard-of-hearing communities and multilingual audiences where language barriers blunt the full joy of watching sports, leading to an exclusive environment rather than an inclusive one.

Given the incredible variety that sporting events attract, providing accessibility in sports can create the ultimate inclusive experience for sports fans, increasing the potential for audience expansion and attendance.

We’ll look at the benefits of inclusivity in sports, both for fans and the sports industry, and address:

  • The revenue potential for improved accessibility at sporting events
  • The current accessibility gaps in sports
  • The benefits of making sporting events more accessible

The goal of language accessibility for sports and sports entertainment is to increase business and boost the enjoyment of these events for the global audience. The ability to fully enjoy the spectacle that plays out before us amps up the thrill and energy of the experience.

Current state of language accessibility in sports

It’s been more than 40 years since the first closed captioning during a live sports event on New Year’s Day 1981, when the Georgia Bulldogs and Notre Dame played at the New Orleans Superdome. Yet even today, full accessibility for sports audiences remains a novelty — exciting and well-received — rather than the standard.

  • Deaf rappers Sean Forbes and Warren Snipe made history at the 2022 Super Bowl as the first deaf halftime show performers in the game’s history.
  • In 2023, Justina Miles, a hard-of-hearing American Sign Language (ASL) performer, gained positive attention after her ASL performance for Rihanna’s Super Bowl halftime show.

However, the world’s largest international sporting events offer a glimpse at the inclusivity that’s possible with language accessibility:

At FIFA World Cup 2022 in Qatar, most of the one million attendees came from Saudi Arabia, India, U.S., UK, and Mexico. However, translation services for sports fans from around the world meant volunteers didn’t need to speak multiple languages, and broadcasters could provide commentary in multiple languages through real-time translation services.  The use of translation technology and real-time interpreting and translation services achieved the goal of making the game accessible and enjoyable for fans.

For the 2024 Olympic Games, athletes from more than 200 countries competed in Paris with an estimated three billion people watching from around the world. Organizers translated all signage and provided live interpreting at the Games as well as captions and/or subtitles for broadcasts.

Sports viewership

An undeniable aspect of language accessibility for these events is demand. Global sporting events attract billions of fans around the world. Here’s a brief rundown of the number of viewers or attendees for international competitions :

  • 2022 FIFA World Cup: 1.5 billion
  • 2023 Tour de France: 42.5 million French viewers
  • 2023 Women’s World Cup: 2 billion (a record) 
  • 2020 Tokyo Summer Olympics: 3 billion
  • 2022 Beijing Winter Olympics: 2 billion

Improved technology has both increased sports viewership through real-time availability and contributed to making sports more accessible for the varied audiences watching around the world.

Language accessibility at U.S. sporting events

Though more sports venues have become proactive in integrating accessibility for Deaf and hard-of-hearing live sports attendees, a national ESPN study shows that organizations have lots of room for improvement to accommodate sports fans with “invisible” disabilities (which includes Deaf and hard-of-hearing individuals) who come to the games expecting a thrilling and seamless experience.

ESPN conducted a survey of 136 sports teams (NFL, NBA, WNBA, MLB and NHL) and received responses from 120 teams. The top concerns of fans with invisible disabilities in this study include:

  • Dedicated accessible entrances
  • Drop-off zones
  • Elevator access
  • Printed menus
  • Training for stadium staff

Less than half of the teams said they provide dedicated entrances for people with disabilities. About the same number said they provide printed menus that customers can point to.

That’s not to say that venues aren’t moving the needle at all on accessibility. Many upgrades that improve the experience for fans with disabilities are part of innovations that benefit everyone at the event.

Smart stadiums elevating accessibility in sports

Take “smart stadiums” for example. This digital age innovation emphasizes connectivity with 5G and Wi-fi and optimizes fan engagement through assistive tools and beacon technology. With ticketing, concession sales, and seat assistance right on their mobile devices, language barriers pose less of a hurdle for fans to navigate their game day experience.

Smart stadiums are not explicitly for the benefit of sports attendees with disabilities, and many of the intelligent features are beneficial for fans and stadium staff alike:

  • Faster and more personalized purchases
  • Responsive to changes throughout the stadium grounds (parking, concession stands, weather)
  • Monitor bathroom traffic
  • Wi-fi availability
  • Mobile app that enables attendees to interact personally with stadium staff
  • Ability to enjoy the game wherever fans are

These, and other features, improve profitability and the fan experience by saving time and boosting sales.

Additionally, reliable connectivity throughout the venue enables fans to use internet-based assistive technology like speech-to-text captioning and translation apps or on-demand interpreting services.

Woman video chats with interpreter on smartphone from upper decks of stadium during tennis match.

Accessibility for Deaf and hard-of-hearing individuals

Wider availability of tools like sign language interpreting, closed captioning, and assistive listening devices (ALDs) at some sports arenas are a big step in improving information and language access for Deaf and hard-of-hearing individuals attending sports events. They are improving language accessibility for Deaf and hard-of-hearing attendees with sign language interpreting, closed captioning, assistive listening devices (ALDs), and upgrading their sports venues to “smart stadiums.” Smart stadiums optimize fan engagement through assistive tools, 5G and Wi-fi connectivity, and beacon technology.

Slowly but surely, these kinds of considerations for deaf fans are permeating major league sports. Just this year, the National Hockey League debuted “NHL in ASL” for the Stanley Cup Finals, a broadcast of the games with complete commentary in ASL with Deaf broadcasters for Deaf and hard-of-hearing fans watching at home. The broadcast also includes visual features to depict fan noise at the game so viewers can see when the crowd goes wild.

Experts expect the rate of hearing loss to double by the year 2060. With the average age of a baseball fan being 57, stadiums ought to take heed of these changing demographics and lean into accessibility for a growing demographic. 

Multilingual accessibility 

Multilingual accessibility in sports is a complex issue: while linguistically diverse fans don’t have the same legal protections that people with disabilities do to compel the sports industry to adapt, they have something else in their favor: numbers. The U.S. Census Bureau’s 2023 American Community Survey reports more than 22% of people living in the U.S. speak a language other than English.

And it’s not only fans bringing linguistic variation to sports. Twenty eight percent (28%) of MLB players are non-U.S. born. Most of those players are from the Dominican Republic, followed by Venezuela, Cuba, Puerto Rico, and Mexico.

In 2015, Major League Baseball (MLB) instituted a rule requiring each of its 30 teams to have at least two full-time Spanish-language interpreters.

The Los Angeles Dodgers go a step further to cater to its Hispanic fans with a Spanish version of its website and broadcasts of its games in Spanish (live radio and TV).

Major sporting events (Super Bowl, World Series), global competitions (Olympics, FIFA World Cup), and US sports venues (MetLife, Levi’s) offer on-site multilingual interpreting services. The international makeup of players and fans obliges stadiums to adopt these inclusive language practices.

Examples of venues offering language accessibility in sports  

Several major sports arenas in the U.S. provide accessibility services for Deaf, hard-of-hearing, and multilingual fans. Here are some successful examples of language accessibility in sports.

Mercedes-Benz Stadium

This Atlanta, GA stadium provides:

  • Assistive listening devices
  • Closed captioning handheld devices you can check out from guest services. Closed captioning is viewable on all boards within the stadium
  • Obtain accessible seats by contacting Ticketmaster

Madison Square Garden

This New York stadium provides comprehensive accessibility services:

  • Assistive listening devices
  • Open and closed captions

For hockey and basketball games, open and closed captions are available on a ribbon board for sports commentary.

What’s the difference between open captions and closed captions?

Open captions are burned into the video and are always visible. They cannot be turned off. You can turn closed captions on or off.

Sign language interpreting or closed captions are available for other sports events for fans who request them with two weeks’ notice

Crypto.com Arena  

Formerly the Staples Center, this Los Angeles stadium follows ADA mandates for effective communication:

AT&T Stadium

This Arlington, TX, sports venue provides:

  • Assistive listening devices
  • Handheld captioning devices that provide real-time captions for all public announcements
  • Choose English or Spanish as your preferred language for audio
  • Sign language interpreters available for select concerts with 30 days’ advance notice.
  • Casino.com recognizes AT&T Stadium as the country's most accessible sports stadium.

Fenway Park  

Home to the Boston Red Sox, this historic ballpark offers:

Benefits of language accessibility in sports

Although accessibility planning is not part of every sports venue’s operations, there are benefits to making accessibility in sports standard for attendees:

  • Higher attendance: Accessibility features help stadiums attract a broader audience. When Deaf, hard-of-hearing, and multilingual fans come away with a positive experience, they help spread the word about the thrilling experience they had at a game, which gets more people interested.
  • Greater participation: Accessibility can boost fan excitement during live games and help everyone cheer and celebrate game wins and boo the losses together. Ever see “the wave” at sports events?
  • Positive brand reputation: Stadiums that prioritize accessibility demonstrate inclusivity, encouraging fans to return to relive the same fan experience.
  • Robust communication: Captioning, sign language interpreting and spoken language interpreting, and translation services contribute to positive experiences and effective communication for fans and staff.
  • Increased revenue: A larger fan base, sponsorships, concession and merchandise sales, and accessible online platforms all contribute to higher revenue.

Financial incentives

The sports industry is wildly profitable. A 2023 study from Statista showed tickets for major sporting events yielded more than 14 billion dollars in 2022, with that number on track to reach 15 billion in 2024. Even with more fans watching their favorite pro sports at home, experts expect the demand for live sporting event tickets to exceed two billion by 2028. Being inclusive of all fans can bring increased attendance at stadiums, considering — as we mentioned above — there are more than 22 million people in the U.S. alone who speak languages other than English, not to mention international visitors. And more than a quarter of American adults have a disability. If sports venues committed to offering those fans the same quality of experience as other fans, how much more likely do you think they’d be to buy tickets? Add in concessions and merchandise sales on top of that.

With the advent of AI tools for real-time captioning and translation and the adoption of universal design, sports attendance will only increase when Deaf, hard-of-hearing, and multilingual fans learn there are language services that directly cater to their communication needs.

The benefits for sports fans are clear, but language accessibility can also benefit sports venues and athletic organizations through increased partnerships and sponsorships. 

Case study: 2024 US Open Tennis Championships

Sorenson sponsored the 2024 US Open, and a multilingual Sorenson team attended the tournament with two Sorenson products — Sorenson Forum and Sorenson Express — to facilitate communication with staff and fellow fans. How did it go? We asked them about the experience.

An unexpected experience for deaf fans

  • The US Open website states, “The US Open is fully accessible for guests with disabilities.” Our team said many of the accessibility services appear to focus on patrons with physical disabilities and less so on sensory disabilities. Without the invaluable support of Sorenson Express for on-demand ASL interpreting and Sorenson Forum for live captioning, our Deaf team members noted that language accessibility at the tournament would have been a challenge: On the first day, the team visited guest services to request captioning. Unfortunately, there seemed to be a misunderstanding as the stadium staff believed that captions should be available once they found their seats.
  • When the captioning was not available, the team returned to guest services. The staff then offered assistive listening devices. Despite the team explaining they were Deaf and unable to use the devices, the staff struggled to understand the device’s limitations.
  • “They were really pushing me to try it,” says Jessie Adner, Sorenson Director of Design Consulting. “I was saying over and over again that I can’t hear. I use sign language interpreters.” Finally, the stadium staff understood and they put the device away. “I could see their wheels turning,” Ms. Adner says. “I gave them my business card and told them I’d be happy to consult with them.” 
  • When they were seated in the stadium, the Sorenson team happily used the captions on the video board, but said captions cut in and out throughout the game and primarily focused on the referee speaking rather than announcements, the players, the coaches, or introductions.
  • Then they had an idea. They connected a small radio that was available for hearing patrons to a smartphone with the Sorenson Express app to get an ASL interpreter on demand to interpret the game.

Something as simple as interpreting available in a mobile app fulfilled the basic desire to enjoy the game along with other fans.

“People can cheer for their favorite players or talk with the person sitting next to them,” Ms. Adner says. “We were really emphasizing the game day experience that Deaf people often lack.”

Ms. Adner says she’d love to go back to the US Open next year. “It was so fun with my colleagues, with the food and the experience, and just being in the same area as all of the players,” Ms. Adner says. “I’m addicted to tennis now.”

This year’s US Open did have a sign language interpreter for the national anthem as the result of deaf fans’ recommendations in 2023.

Using Sorenson Forum for seamless communication

The U.S. Open attracts not only athletes from around the world, but also fans spanning languages and cultures. A highlight of the game experience for the Sorenson team was being able to talk to those fans using Sorenson Forum’s on-demand translation and spoken language interpreting.

“We had the opportunity to use Sorenson Forum with foreign language speakers,” says Sorenson Director of Corporate Events Britnee Hursin. “We were able to have a conversation which was really cool.”

A Spanish-speaking Sorenson team member carried on a full conversation with a Chinese couple who spoke Mandarin, using Sorenson Forum to translate in real time between their respective languages.

Three people use real-time translation to communicate in stadium stands during event.

The last word

The Sorenson team said they saw for themselves a significant accessibility gap in sports, even at events that aim to provide accessibility for all fans.

The team emphasized that captions benefit not only Deaf and hard-of-hearing audiences but also multilingual speakers, provided they can access captions in their preferred language. They met many non-English speaking fans and say multilingual captioning would make the sporting events “inclusive for a broader audience,” rather than just a tool for deaf communities.

“We’re not just accepting [the] status quo,” Ms. Hursin says. “We want to work in partnership with them .”

A vision for accessibility in sports

The vision for sports is accessible. By integrating language accessibility, the sports entertainment industry can offer multilingual, Deaf and hard-of-hearing fans a prime seat for the thrill and camaraderie of sporting events — and watch inclusion pay off.

Catering to a multilingual audience reaps economic benefits through increased attendance: higher ticket and merchandise sales (including concessions).

Language accessibility benefits also extend to staff, players, and officials through clear communication with customers and teammates.

We encourage sports venues and organizations to prioritize accessibility in their operations. Reach out to accessibility professionals, invest in staff training and technology, and, most of all, listen to audience feedback.

Ready to start implementing language accessibility for your sports events? Request a meeting with Sorenson’s consultant team today to discuss your needs to make your sports events accessible and inclusive.

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