A hearing assistive device is provided having a microphone, at least one audio signal processing mechanism, a vibration signal processing mechanism, and a vibrator. The audio signal processing mechanism receives an input audio signal from the microphone and generates a first output signal according to the received input audio signal wherein the first output signal coupled to a transducer that generates auditory perception in an ear of a user. The vibration signal processing mechanism receives the input audio signal and generates a second output signal according to the input audio signal. The vibrator is configured to be placed adjacent to the skin of the user, and configured to generate a vibration stimulation signal on the skin of the user according to the second output signal.