The Revised Hearing Handicap Inventory and Screening Tool Based on Psychometric Reevaluation of the Hearing Handicap Inventories for the Elderly and Adults
The Revised Hearing Handicap Inventory and Screening Tool Based on Psychometric Reevaluation of the Hearing Handicap Inventories for the Elderly and Adults
复制标题
DOI：
10.1097/aud.0000000000000746
复制
发表时间：
2020-01-01
期刊：
影响因子：
3.7
通讯作者：
Dubno, Judy R.
中科院分区：
文献类型：
--
作者：
Cassarly, Christy;Matthews, Lois J.;Dubno, Judy R.
目的：本研究评估项目的听力障碍量表的老年人和听力障碍量表的成人（HHIE/A）使用Mokken量表分析（MSA），一种非参数项目反应理论，并开发更新的工具与最佳的psychometric properties.Design：在纵向研究年龄相关的听力损失，1447成年人完成了HHIE/A和听力测试在基线。结果：HHIE/A量表是测量自感听力障碍的单维度量表，但两个分量表的区分效度不高。两个修订的量表，18项修订听力障碍清单和10项修订听力障碍清单筛选，从原来的HHIE/A的共同项目，满足MSA的假设。两个修订的规模上的项目可以在增加的难度。结论：本研究的结果表明，新开发的修订听力障碍清单和修订听力障碍清单筛选是强大的单维，临床信息措施自我感知的听力障碍，可用于所有年龄段的成年人。真实数据的例子也表明，MSA是一个有价值的替代经典的心理测量分析。
Objectives: The present study evaluates the items of the Hearing Handicap Inventory for the Elderly and Hearing Handicap Inventory for Adults (HHIE/A) using Mokken scale analysis (MSA), a type of nonparametric item response theory, and develops updated tools with optimal psychometric properties.Design: In a longitudinal study of age-related hearing loss, 1447 adults completed the HHIE/A and audiometric testing at baseline. Discriminant validity of the emotional consequences and social/situational effects subscales of the HHIE/A was assessed, and nonparametric item response theory was used to explore dimensionality of the items of the HHIE/A and to refine the scales.Results: The HHIE/A items form strong unidimensional scales measuring self-perceived hearing handicap, but with a lack of discriminant validity of the two distinct subscales. Two revised scales, the 18-item Revised Hearing Handicap Inventory and the 10-item Revised Hearing Handicap Inventory-Screening, were developed from the common items of the original HHIE/A that met the assumptions of MSA. The items on both of the revised scales can be ordered in terms of increasing difficulty.Conclusions: The results of the present study suggest that the newly developed Revised Hearing Handicap Inventory and Revised Hearing Handicap Inventory-Screening are strong unidimensional, clinically informative measures of self-perceived hearing handicap that can be used for adults of all ages. The real-data example also demonstrates that MSA is a valuable alternative to classical psychometric analysis.