Disclosed herein, among other things, are systems and methods for fitting hearing assistance devices. One aspect of the present subject matter includes a method for assisting wearers in adjusting settings of hearing assistance devices using a mobile adaptation tool. The method includes providing a mobile adaptation tool for a wearer of a hearing assistance device. The wearer is guided using gamification to adjust settings of the hearing assistance device using the mobile adaptation tool, including providing an update to the wearer via the adaptation tool with an indication of a level of matching between current settings and target settings, according to various embodiments.