Hearing in Real-Life Environments (HERE): Structure and Reliability of a Questionnaire on Perceived Hearing for Older Adults.
Hearing in Real-Life Environments (HERE): Structure and Reliability of a Questionnaire on Perceived Hearing for Older Adults.
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DOI：
10.1097/aud.0000000000000622
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发表时间：
2019
期刊：
影响因子：
3.7
通讯作者：
Viljanen A
中科院分区：
文献类型：
--
作者：
Heinrich A;Mikkola TM;Polku H;Törmäkangas T;Viljanen A
补充数字内容可在正文中找到。在各种社会情况和环境中倾听的能力对于社会参与和高质量的生活至关重要。评估听力的一种方法是通过自我报告问卷的方式。要使调查问卷有用，就必须知道其基于仔细验证的测量属性。直到最近才就如何进行这种验证达成共识，并作为COSMIN(基于共识的健康状况测量工具选择标准)指南发布。在这里，作者使用这些指南来评估“现实生活环境中的听力”(HERE)问卷的测量特性，这是一种新开发的自我报告测量工具，用于评估老年人听力障碍的言语感知、空间定向和社会情绪后果。目的是说明验证过程，并鼓励对其他经常使用的问卷进行类似的检查。HERE问卷包括15个项目，每个项目的数字评分范围从0到10，并允许评估佩戴助听器和不佩戴助听器的听力。这项评估是在来自芬兰(n=581，平均82岁)和英国(n=50，平均69岁)的两个社区居住老年人队列中进行的。对问卷的内部结构及其与年龄、听力水平以及言语感知的自我报告和行为测量的关系进行了评估，并在可能的情况下进行了队列之间的比较。因素分析的结果表明，HERE的内部结构在各队列中是相似的。在两个队列中，三个因素(言语听力、空间听力和社会情绪后果)的因素分析结果令人满意，每个因素的内部一致性都很高(克朗巴赫的α‘S的因素从0.9到0.97%)。重测分析表明，HERE总平均分是稳定的，随着时间的推移具有很高的重复性(组内相关系数=0.86，测试分数的测量标准误差=0.92)。这里的总体平均分与言语知觉的另一种自我报告测量工具--言语空间听觉质量问卷高度相关(标准化回归系数[β]=−0.75，p<；0.001)，与行为评估的听力水平中等高度相关(最佳耳朵平均值：β=0.45至0.46)，与噪声中句子的行为测量可理解性中等高度相关(β=−0.50，p<；0.001)。使用Cosmin指南，作者表明，HERE是一个有效、可靠和稳定的问卷，用于评估自我报告的言语知觉、声音定位和社会功能背景下听力障碍的社会情感后果。作者还表明，使用不同的数据收集策略收集的跨文化数据可以与一系列统计方法相结合来验证问卷的有效性。
Supplemental Digital Content is available in the text. The ability to hear in a variety of social situations and environments is vital for social participation and a high quality of life. One way to assess hearing ability is by means of self-report questionnaire. For questionnaires to be useful, their measurement properties, based on careful validation, have to be known. Only recently has consensus been reached concerning how to perform such validation and been published as COSMIN (consensus-based standards for the selection of health status measurement instruments) guidelines. Here the authors use these guidelines to evaluate the measurement properties of the “Hearing in Real-Life Environments” (HERE) questionnaire, a newly developed self-report measure that assesses speech perception, spatial orientation, and the social-emotional consequences of hearing impairment in older adults. The aim is to illustrate the process of validation and encourage similar examinations of other frequently used questionnaires. The HERE questionnaire includes 15 items with a numeric rating scale from 0 to 10 for each item and allows the assessment of hearing with and without hearing aids. The evaluation was performed in two cohorts of community-dwelling older adults from Finland (n = 581, mean 82 years) and the United Kingdom (n = 50, mean 69 years). The internal structure of the questionnaire and its relationship to age, hearing level, and self-reported and behavioral measures of speech perception was assessed and, when possible, compared between cohorts. The results of the factor analysis showed that the HERE’s internal structure was similar across cohorts. In both cohorts, the factor analysis showed a satisfactory solution for three factors (speech hearing, spatial hearing, and socio-emotional consequences), with a high internal consistency for each factor (Cronbach’s α’s for the factors from 0.90 to 0.97). Test–retest analysis showed the HERE overall mean score to be stable and highly replicable over time (intraclass correlation coefficient = 0.86, standard error of measurement of the test score = 0.92). The HERE overall mean score correlated highly with another self-report measure of speech perception, the Speech Spatial Qualities of Hearing questionnaire (standardized regression coefficient [β] = −0.75, p < 0.001), moderately highly with behaviorally assessed hearing level (best-ear average: β = 0.45 to 0.46), and moderately highly with behaviorally measured intelligibility of sentences in noise (β = −0.50, p < 0.001). Using the COSMIN guidelines, the authors show that the HERE is a valid, reliable, and stable questionnaire for the assessment of self-reported speech perception, sound localization, and the socio-emotional consequences of hearing impairment in the context of social functioning. The authors also show that cross-cultural data collected using different data collection strategies can be combined with a range of statistical methods to validate a questionnaire.