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Reliability and Validity of Self-Screening Tool for Hearing Loss in Older Adults

Authors You S, Han W, Kim S, Maeng S, Seo YJ

Received 10 November 2019

Accepted for publication 7 January 2020

Published 17 January 2020 Volume 2020:15 Pages 75—82

DOI https://doi.org/10.2147/CIA.S238053

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


Sunghwa You, 1, 2 Woojae Han, 1–3 Saea Kim, 1, 2 Sanga Maeng, 4 Young Joon Seo 4

1Laboratory of Hearing and Technology; 2Division of Speech Pathology and Audiology; 3Research Institute of Audiology and Speech Pathology, College of Natural Sciences, Hallym University, Chuncheon, Korea; 4Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, Korea

Correspondence: Woojae Han #8603 Natural Sciences Bd., 1 Hallymdaehak-Gil, Chuncheon 24252, Republic of Korea
Tel +82-33-248-2216
Fax +82-33-256-3420
Email woojaehan@hallym.ac.kr

Objective: The present study aimed to identify the reliability and validity of a screening tool for the elderly who wish to check their level of hearing loss by themselves.
Design: A total of 170 older adults with different hearing levels participated. The Self-Assessment for Hearing Screening of the Elderly-Revised (SHSE-R) consisted of 20 questions measured on a 5-point scale and developed in terms of characteristics of age-related hearing loss. For reliability, the subjects responded to SHSE-R twice with a three-week interval. They also took various subjective and objective hearing tests and a working memory test and filled out two other questionnaires for validation.
Results: SHSE-R showed a high internal consistency and a high reliability when comparing test–retest scores. Its content validity was as high as 0.88– 1. Convergent validity supported SHSE-R and its subcategories while showing either a positive or negative correlation with pure-tone average, word recognition scores, and otoacoustic emission tests. Construct validity was proved by a moderate negative correlation with the tests of speech in noise, speech with fast speed, and working memory. In criterion validity, a strong positive correlation existed between SHSE-R and the other questionnaires, except for a group with severe hearing loss. The factor analysis showed similar results to the original version of SHSE having three factors, although some items were interchanged.
Conclusion: We confirmed that SHSE-R was well developed with both excellent internal consistency and test–retest reliability and valuable convergent, construct, and criterion validities, consequently making SHSE-R useful for self-checking hearing loss in the elderly.

Keywords: hearing screening, self-assessment, questionnaire, age-related hearing loss, older adults

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