This study, based on constructs from Roy’s adaptation model, examined the relationship between cognitive adaptation processes and self-consistency in hearing-impaired elders (N = 130). Data were collected through survey questionnaires. Major research hypotheses were formulated and tested. Results of this study supported Roy’s theoretical proposition of cognitive adaptation processes and their role in the maintenance of self-consistency. Three cognitive processes (clear focus and methods, knowing awareness, and self-perception) significantly contributed to the maintenance of self-consistency. Understanding these cognitive processes helps nurses to promote effective adaptation in older persons.
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