C Manchaiah Vinaya K, Molander Peter, Rönnberg Jerker, Andersson Gerhard, Lunner Thomas
Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK.
BMJ Open. 2014 Jan 8;4(1):e004066. doi: 10.1136/bmjopen-2013-004066.
This study developed the Hearing Disability Acceptance Questionnaire (HDAQ) and tested its construct and concurrent validities.
Cross-sectional.
A total of 90 participants who were experiencing hearing difficulties were recruited in the UK.
The HDAQ was developed based on the Tinnitus Acceptance Questionnaire (TAQ). Participants completed self-report measures regarding hearing disability acceptance, hearing disability, symptoms of anxiety and depression and a measure of stages of change.
The HDAQ has a two-factor structure that explains 75.69% of its variance. The factors identified were activity engagement and avoidance and suppression. The scale showed a sufficient internal consistency (Cronbach's α=0.86). The HDAQ also had acceptable concurrent validity with regard to self-reported hearing disability, self-reported anxiety and depression and readiness to change measures.
Acceptance is likely an important aspect of coping with chronic health conditions. To our knowledge, no previously published and validated scale measures the acceptance of hearing disability; therefore, the HDAQ might be useful in future research. However, the role of acceptance in adjusting to hearing disability must be further investigated.
本研究编制了听力障碍接纳问卷（HDAQ），并对其结构效度和同时效度进行了检验。
横断面研究。
在英国招募了90名有听力困难的参与者。
HDAQ是在耳鸣接纳问卷（TAQ）的基础上编制的。参与者完成了关于听力障碍接纳、听力障碍、焦虑和抑郁症状以及改变阶段的自我报告测量。
HDAQ具有两因素结构，解释了其75.69%的方差。确定的因素为活动参与和回避及抑制。该量表显示出足够的内部一致性（克朗巴哈α系数=0.86）。HDAQ在自我报告的听力障碍、自我报告的焦虑和抑郁以及改变意愿测量方面也具有可接受的同时效度。
接纳可能是应对慢性健康状况的一个重要方面。据我们所知，以前没有发表和验证过的量表来测量对听力障碍的接纳；因此，HDAQ可能在未来的研究中有用。然而，接纳在适应听力障碍中的作用必须进一步研究。
