Öberg Marie, Björling Ida, de Haan Lisa
Department of Otorhinolaryngology in Östergötland, Linköping University, Linköping, Sweden.
Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Int J Audiol. 2021 Nov;60(11):867-874. doi: 10.1080/14992027.2020.1846087. Epub 2020 Nov 18.
The aim of the current study was to develop a reliable instrument for the Active Communication Education (ACE) programme evaluating changes in communication strategies and the emotional consequences, knowledge and acceptance of hearing loss and to examine its reliability and face, content and construct validity.
Semistructured interviews and questionnaires were conducted with participants and clinicians engaged in the ACE intervention.
The psychometric properties were evaluated in two phases for two samples of adults with hearing loss who participated in the ACE programme, including 61 and 41 participants, respectively.
The final Communication and Acceptance Scale (CAS) contained 18 items, and the reliability of the overall scale (Cronbach's alpha 0.86) and the test-retest reliability ( = 0.89, < 0.001) were good. The construct validity, evaluated with principal component analysis, suggested a five-factor solution explaining 72% of the variance. The questionnaire revealed statistically significant short- and long-term effects of the ACE programme. Both participants and clinicians found the questionnaire relevant, useful and easy to administer.
The CAS questionnaire was found to be valid and reliable, but because of the low sample size, further analysis with a larger population is needed.
本研究的目的是开发一种可靠的工具，用于主动沟通教育（ACE）项目，评估沟通策略的变化以及听力损失的情感后果、知识和接受度，并检验其信度以及表面效度、内容效度和结构效度。
对参与ACE干预的参与者和临床医生进行了半结构化访谈和问卷调查。
对参与ACE项目的两个听力损失成人样本分两个阶段评估心理测量特性，分别包括61名和41名参与者。
最终的沟通与接受量表（CAS）包含18个项目，总量表的信度（克朗巴哈系数α为0.86）和重测信度（=0.89，<0.001）良好。通过主成分分析评估的结构效度表明有一个五因素解决方案，可解释72%的方差。该问卷显示ACE项目有统计学上显著的短期和长期效果。参与者和临床医生都认为该问卷相关、有用且易于实施。
发现CAS问卷有效且可靠，但由于样本量较小，需要对更大的人群进行进一步分析。
