Reliability and Validity of Self-Screening Tool for Hearing Loss in Older Adults
Received 10 November 2019
Accepted for publication 7 January 2020
Published 17 January 2020 Volume 2020:15 Pages 75—82
Checked for plagiarism Yes
Review by Single-blind
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
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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