June 11, 2025
10 minutes
Written by
Minah Han
Community News
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Real-World Phone Call Challenges for Deaf Individuals

June 11, 2025
10 minutes
Written by
Minah Han
Community News
No items found.

For individuals who are deaf or hard of hearing, phone calls remain a persistent communication hurdle—even with the support of modern hearing technology. Audiologists can play a pivotal role in helping patients navigate these challenges by introducing tools like InnoCaption, a free mobile app that delivers real-time captions during calls. This allows users to read spoken content as they listen, making phone conversations more accessible and less stressful.

This blog explores common phone-related communication barriers and offers guidance on how audiologists can empower their patients through assistive technologies.

A digital graphic with a blue background featuring a smiling older woman looking at her smartphone. The text reads: “InnoCaption is promoting a more inclusive society by helping to bridge the communication gap for the deaf and hard of hearing community.” The InnoCaption logo is placed at the bottom.

Understanding the Realities of Phone Calls for DHH Individuals

Traditional phone systems were not designed with hearing accessibility in mind. As a result, many deaf and hard of hearing (DHH) individuals struggle to stay connected with family, friends, and colleagues. These difficulties stem from several overlapping factors:

Limitations of Traditional Phone Technology

Phone audio compresses sound into a narrow frequency band (300–3400 Hz), while human speech spans a broader range of roughly 250–8000 Hz. This discrepancy can lead to dropped consonants and distorted sound clarity—making it difficult to distinguish between similar-sounding words.

Moreover, phone conversations lack visual cues such as lip reading, facial expressions, and body language. These non-verbal elements often supplement speech, especially for those with hearing loss. Without them, phone calls demand more cognitive effort, which can lead to listening fatigue and frustration.

A man in a black suit sits at a desk in a modern office, holding a smartphone to his ear with a serious expression. An open laptop, coffee cup, and notepad are on the table in front of him.
Image source: Canva

Emotional and Psychological Impacts

These communication barriers can also take an emotional toll. Struggling to keep up with conversations may lead to anxiety or embarrassment. For some, even the sound of a ringing phone can provoke apprehension.

Over time, these challenges can lead to avoidance behaviors—skipping phone calls altogether. This withdrawal not only results in missed information, but can also contribute to feelings of isolation and reduced confidence in social and professional settings.

Consequences in the Workplace and Everyday Life

Phone communication remains a critical part of workplace dynamics. Employees who can’t fully engage in phone conversations may miss important details, appear disengaged, or be unintentionally excluded from meetings—all of which can affect professional growth.

In everyday life, avoiding phone calls can result in missed medical appointments, social invitations, or emergency updates. The cumulative effect can be a diminished sense of autonomy and connection.

Technology as a Bridge: Assistive Tools That Enhance Phone Communication

While hearing aids and cochlear implants offer valuable support, many DHH individuals still face challenges with phone use. Fortunately, today’s assistive tools are helping to bridge that gap.

Common Solutions That Improve Communication

  • Relay Services: Video Relay Service (VRS) and TTY enable communication via sign language or text, supported by interpreters.
  • Video Calling Platforms: Apps like FaceTime, WhatsApp, and Zoom reintroduce visual cues, helping users lip read and see facial expressions.
  • Captioning Tools: Apps like InnoCaption provide real-time transcriptions of spoken dialogue, giving users the clarity they need to participate fully in phone calls.

InnoCaption in Focus: Bridging the Accessibility Gap

InnoCaption is built specifically for individuals with hearing loss, delivering real-time captions on smartphone screens during phone calls. This removes one of the biggest communication hurdles: understanding speech without visual cues.

Measurable Impact from a User Study:

  • Phone call fatigue dropped from 62% to 14% after three months of use
  • Effortful phone calls decreased from 66% to 19%
  • Regular smartphone call use increased from 59% to 70%

These results reflect a key insight: when phone communication becomes accessible, users feel empowered to stay connected. Read more on InnoCaption’s white paper page.

A bar chart on a dark blue background shows a 49% decrease in listening effort after using InnoCaption. The average effort rating drops from 7.1 (before) to 3.6 (after). The InnoCaption logo appears at the bottom.

The Audiologist’s Role in Supporting Communication Confidence

Audiologists can offer more than clinical care—they can transform communication by introducing assistive tools and supporting confident use.

Educate Patients About Technology Options

Start by asking patients about situations where phone communication is difficult—whether it's work meetings, calls with loved ones, or doctor’s appointments. Based on their needs, introduce tools like InnoCaption and explain how each one fits their lifestyle.

Live demonstrations help build confidence and reduce hesitancy. Show how captioned calls work in real-world scenarios, like calling a pharmacy or placing a takeout order.

A female audiologist in a white coat smiles warmly while holding a pamphlet and explaining its contents to a seated patient. They are in a clinic setting with hearing equipment visible in the background.
Photo by Aurora Vilchis for InnoCaption

Promote Self-Advocacy and Confidence

Tools alone aren’t enough—confidence matters. Encourage patients to communicate their needs clearly, for example:

“I use captions during phone calls. Please give me a moment to read before I respond.”

Suggest practicing in low-pressure situations (like calling a family member or friend) before using the technology in professional or medical settings.

Tailor Recommendations Based on Lifestyle

One size doesn’t fit all. A tech-savvy professional who fields frequent work calls in noisy environments may rely on captioning apps daily. Someone else might only need them for occasional personal calls. Consider:

  • At Work: Ensure no detail is missed in meetings or client calls.
  • At Home: Help users stay engaged in personal conversations.
  • In Emergencies: Real-time captions support quick understanding under pressure.

Implementing Tools into Clinical Practice

Step 1: Conduct a Thorough Communication Assessment

Ask patients how, when, and why they use the phone. What’s been difficult? What’s worked? Do they feel confident using technology? Do they avoid calls entirely? These answers guide tailored support.

A female audiologist speaks with a patient in a soundproof booth. The image is taken through the booth’s glass window, capturing both participants and hearing test equipment in the room.
Photo by Aurora Vilchis for InnoCaption

Step 2: Guide Implementation and Provide Follow-Up

Audiologists can introduce tools like InnoCaption by explaining how they support phone communication and recommending them based on individual needs. For setup—such as downloading the app, making a test call, or enabling features like call forwarding—patients can be referred to InnoCaption’s dedicated customer support team, who are available to answer questions and provide ongoing assistance. Having a trusted support resource empowers patients to confidently integrate the app into their daily lives.

Step 3: Involve Family and Workplace Support

Hearing loss affects more than just the individual—it can impact families, caregivers, and communication at work. Encourage patients to bring a trusted family member or support person to appointments if helpful. In work settings, if technical questions arise, InnoCaption’s team is happy to assist with IT or compliance-related needs. Demonstrating how captioning works—and providing simple, actionable next steps—helps create a more supportive and informed environment.

An older couple smiles while shaking hands with a professional woman seated across from them. They appear to be in a warm, home-like setting, possibly during a consultation.
Image Source: Hearing Review

Continuing Education: Staying Informed to Serve Better

To provide the most effective care, audiologists must stay up to date with evolving technologies and patient needs. Continuing education plays a key role in equipping clinicians with the tools and insight to support deaf and hard of hearing individuals more effectively.

Recommended CEU Course: “From Silence to Connection: My Journey as a DHH Audiologist and How InnoCaption Can Transform Communication Access”
Presented by Michelle Hu on AudiologyOnline

This on-demand webinar blends clinical guidance with lived experience, offering a meaningful look at how phone-related challenges affect DHH patients—and how audiologists can help.

Key Takeaways:

  • Understand the everyday barriers DHH individuals face during phone calls
  • Learn how InnoCaption improves accessibility through real-time captioning
  • Discover how to align assistive tools with each patient’s communication style
  • Gain practical strategies for addressing emotional impacts with empathy
Michelle Hu, a Deaf audiologist, laughs joyfully while wrapped in a personalized gray and white blanket. The Instagram caption announces her CEU course with AudiologyOnline, highlighting her as the featured presenter.
Screenshot and Reel via @InnoCaptionApp and Mama.Hu.Hears on Instagram

Closing the Gap: Empowering Every Patient to Be Heard

With the right tools and the right support, phone communication becomes a source of confidence, not anxiety. Audiologists who introduce apps like InnoCaption and promote self-advocacy can help patients take back control—whether it’s in their career, relationships, or healthcare.

Frequently Asked Questions

What is InnoCaption, and how does it help with phone calls?

InnoCaption is a free mobile app that provides real-time captions during phone calls, allowing deaf and hard of hearing users to follow conversations with greater ease and accuracy.

Can audiologists help patients set up InnoCaption?

Audiologists can explain how the app works and how it fits into a patient’s daily communication needs. For live demonstrations, they can also use InnoCaption’s demo account to walk patients through the app’s features in real time. For full setup, patients should be referred to InnoCaption’s customer support team.

Where can I access the CEU featuring Michelle Hu?

Visit AudiologyOnline and search for:
“From Silence to Connection: My Journey as a DHH Audiologist.”

Is InnoCaption covered by insurance or funding?

InnoCaption is free of charge for eligible users who are deaf or hard of hearing and prefer to use their own voice to speak but need assistance understanding the other party. This is made possible through funding from the FCC’s Telecommunications Relay Services (TRS) fund—no insurance or payment is required.

What self-advocacy skills should audiologists promote?

Encourage patients to clearly communicate their preferences, use assistive tools with confidence, and request accommodations when needed—especially in healthcare, work, and social settings.

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Make calls with confidence

InnoCaption provides real-time captioning technology making phone calls easy and accessible for the deaf and hard of hearing community. Offered at no cost to individuals with hearing loss because we are certified by the FCC. InnoCaption is the only mobile app that offers real-time captioning of phone calls through live stenographers and automated speech recognition software. The choice is yours.

Llame con confianza

InnoCaption proporciona tecnología de subtitulado en tiempo real que hace que las llamadas telefónicas sean fáciles y accesibles para la comunidad de personas sordas y con problemas de audición. Se ofrece sin coste alguno para las personas con pérdida auditiva porque estamos certificados por la FCC. InnoCaption es la única aplicación móvil que ofrece subtitulación en tiempo real de llamadas telefónicas mediante taquígrafos en directo y software de reconocimiento automático del habla. Usted elige.