Laboratory of Hearing and Technology.
Division of Speech Pathology and Audiology.
Clin Interv Aging. 2020 Jan 17;15:75-82. doi: 10.2147/CIA.S238053. eCollection 2020.
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.
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.
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.
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.
本研究旨在确定一种适合希望自行检查听力损失的老年人的筛查工具的信度和效度。
共有 170 名不同听力水平的老年人参与。经修订的老年人自我听力筛查评估（SHSE-R）由 20 个问题组成，采用 5 点量表进行测量，并根据与年龄相关的听力损失的特点进行了开发。为了评估信度，被试者在三周的间隔内对 SHSE-R 进行了两次回答。他们还接受了各种主观和客观听力测试以及工作记忆测试，并填写了另外两份用于验证的问卷。
SHSE-R 在比较测试-重测分数时表现出较高的内部一致性和可靠性。其内容效度高达 0.88-1。同时，它的收敛效度支持了 SHSE-R 及其子类别，与纯音平均听力、单词识别分数和耳声发射测试呈正相关或负相关。结构效度通过与噪声下言语测试、快速语速言语测试和工作记忆测试的中度负相关得到证明。在标准效度方面，SHSE-R 与其他问卷之间存在很强的正相关，除了一组严重听力损失的人群。因子分析结果与 SHSE-R 的原始版本相似，具有三个因素，尽管有些项目进行了互换。
我们证实 SHSE-R 具有极好的内部一致性和测试重测可靠性，以及有价值的收敛、结构和标准效度，因此使 SHSE-R 成为老年人自我检查听力损失的有用工具。
