Development and psychometric evaluation of a health-related quality of life instrument for individuals with adult-onset hearing loss.

Development and psychometric evaluation of a health-related quality of life instrument for individuals with adult-onset hearing loss.
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DOI:
10.3109/14992027.2016.1166397
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发表时间:
2015-07
影响因子:
2.7
通讯作者:
Hays RD
Hays RD
中科院分区:
医学3区
文献类型:
--
作者:
Stika CJ;Hays RD

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“听力障碍”的自我报告是可用的,但成人发病听力损失(AOHL)个体的健康相关生活质量(HRQOL)的综合衡量标准尚不存在。我们的目标是为 AOHL 患者开发和评估多维 HRQOL 工具。听力损失影响量表工具 (IHEAR-IT) 是根据焦点小组的结果、文献综述、咨询专家小组的意见和认知访谈开发的。这项包含 73 项现场测试的工具由来自美国不同地区、具有不同程度 AOHL 的 409 名成年人(22-91 岁)完成。多特征尺度分析支持四个多项目尺度和五个单独项目。量表的内部一致性信度范围为 0.93 至 0.96。 IHEAR-IT 量表和 36 项简短健康调查 2.0 版 (SF-36v2) 心理综合摘要 (r’s = 0.32 – 0.64) 和老年人/成人听力障碍量表 (HHIE/HHIA) (r’s > -0.70) 之间的相关性支持了结构效度。现场测试为 IHEAR-IT 评估 AOHL 个体 HRQOL 的可靠性和结构有效性提供了初步支持。需要进一步的研究来评估 IHEAR-IT 量表变化的响应能力并确定简短形式的项目。
Self-reports of “hearing handicap” are available, but a comprehensive measure of health-related quality of life (HRQOL) for individuals with adult-onset hearing loss (AOHL) does not exist. Our objective was to develop and evaluate a multidimensional HRQOL instrument for individuals with AOHL. The Impact of Hearing Loss Inventory Tool (IHEAR-IT) was developed using results of focus groups, a literature review, Advisory Expert Panel input, and cognitive interviews. The 73-item field-test instrument was completed by 409 adults (22-91 years old) with varying degrees of AOHL and from different areas of the US. Multitrait scaling analysis supported four multi-item scales and five individual items. Internal consistency reliabilities ranged from 0.93 to 0.96 for the scales. Construct validity was supported by correlations between the IHEAR-IT scales and scores on the 36-Item Short Form Health Survey, Version 2.0 (SF-36v2) Mental Composite Summary (r’s = 0.32 – 0.64) and the Hearing Handicap Inventory for the Elderly/Adults (HHIE/HHIA) (r’s > −0.70). The field test provide initial support for the reliability and construct validity of the IHEAR-IT for evaluating HRQOL of individuals with AOHL. Further research is needed to evaluate the responsiveness to change of the IHEAR-IT scales and identify items for a short-form.
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