Service d'Otorhinolaryngologie, de Chirurgie Cervico-Faciale et d'ORL Pédiatrique, Centre Hospitalier Universitaire Pellegrin, Bordeaux - Université de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux, France.
Unité d'Informatique et Archivistique Médicale, Service d'Information Médicale, Pôle de Santé Publique, Centre Hospitalier Universitaire Pellegrin, Bordeaux - Université de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2022 Aug;139(4):198-201. doi: 10.1016/j.anorl.2021.11.003. Epub 2021 Dec 9.
The HHIE-S (Hearing Handicap Inventory for the Elderly - Screening) is widely used for hearing-loss disorder in the elderly. The main objective of the present study was to validate a French version. The secondary objective was to determinate a cut-off score as indication for hearing rehabilitation.
We translated the HHIE-S into French, respecting the cross-cultural adaptation process for medical questionnaires. An observational study assessed the translation (10 questions, scored from 0 to 40) used for screening purposes in a prospective cohort, aged ≥60 years, with comparison to pure tone, speech-in-silence and speech-in-noise audiometry. Subjects were considered hearing-impaired if the pure-tone average at 500, 1,000, 2,000 and 4,000 Hz was >20 dB HL in one or both ears.
We tested 294 subjects (mean age =67±6 years). Hearing loss prevalence was 34.7 %. Cronbach's alpha (test reliability) was high (0.84). Taking HHIE-S score >8/40 as cut-off defining hearing loss, sensitivity was 80.4%, specificity 85.4 %, positive predictive value 74.5 % and negative predictive value 89.1 %. Seventy-three subjects (24.8 %) had theoretic indications for hearing aids, optimally detected by HHIE-S score >16/40 (88,4 %).
Our study validated the French version of the HHIE-S. This tool could be useful in screening for age-induced hearing loss in the elderly French population.
HHIE-S（老年人听力障碍筛查问卷）广泛用于老年人的听力损失障碍。本研究的主要目的是验证其法译本。次要目的是确定一个截止分数作为听力康复的指标。
我们按照医学问卷的跨文化适应过程将 HHIE-S 翻译成法语。一项观察性研究评估了该问卷（共 10 个问题，评分范围为 0 至 40 分）用于前瞻性队列研究中的筛查目的，该队列年龄≥60 岁，并与纯音听阈测试、言语静默测试和言语噪声测试进行了比较。如果双耳 500、1000、2000 和 4000 Hz 的纯音平均听阈>20 dB HL，则认为受试者有听力障碍。
我们测试了 294 名受试者（平均年龄为 67±6 岁）。听力损失的患病率为 34.7%。Cronbach's alpha（测试可靠性）较高（0.84）。将 HHIE-S 评分>8/40 作为定义听力损失的截止值，其灵敏度为 80.4%，特异性为 85.4%，阳性预测值为 74.5%，阴性预测值为 89.1%。73 名受试者（24.8%）有理论上的助听器需求，最佳检测方法为 HHIE-S 评分>16/40（88.4%）。
我们的研究验证了 HHIE-S 的法译本。该工具可能有助于筛查法国老年人群中的年龄相关性听力损失。
