Department of Audiology, Hacettepe University, Ankara, Turkey.
Vocational School of Social Sciences, Hacettepe University, Ankara, Turkey.
Am J Audiol. 2022 Mar 3;31(1):155-165. doi: 10.1044/2021_AJA-21-00094. Epub 2022 Feb 3.
This study aimed to investigate the validity and reliability of the Turkish version of the Auditory Behavior in Everyday Life (ABEL) questionnaire.
The ABEL questionnaire was translated into Turkish using the "back-translation" method. The study included 130 parents of children with cochlear implantation, and 126 parents of children with typical hearing were included as a control group. In the study group, there were 62 unilateral and 68 bilateral cochlear implant (CI) users. The age at implantation ranged from 1 to 10 years, as they have substantial auditory skills. The participants' parents completed the ABEL individually, and 73 parents (28, study group; 45, control group) completed the ABEL again for test-retest reliability. Construct validity was tested using confirmatory factor analysis (CFA), and internal consistency was tested using Cronbach's alpha. Spearman's correlation test was used to assess the external validity of the total and all subscales of the ABEL and the Meaningful Auditory Integration Scale (MAIS). Test-retest reliability was measured using the intraclass correlation coefficient.
The Cronbach's α values for subscales ranged from .67 to .89, and the value was .93 (excellent) for the overall scale. External validity analyses showed moderate to strong correlations between the total and subscale scores of the ABEL and the MAIS, indicating high external validity. According to the CFA findings, the construct validity of the Turkish version of the ABEL was satisfactory. For the three-factor structure, the goodness-of-fit indices revealed a good fit, and only the normed fit index revealed an acceptable fit.
The Turkish version of the ABEL is a reliable and valid assessment tool for children with CIs.
本研究旨在调查土耳其版听觉行为日常生活问卷（ABEL）的有效性和可靠性。
ABEL 问卷通过“回译”法翻译成土耳其语。该研究纳入了 130 名人工耳蜗植入儿童的家长，同时纳入了 126 名听力正常儿童的家长作为对照组。研究组中，有 62 名单侧和 68 名双侧人工耳蜗植入（CI）使用者。植入年龄为 1 至 10 岁，他们具备较强的听觉技能。参与者的父母单独完成 ABEL，73 名父母（28 名，研究组；45 名，对照组）再次完成 ABEL 以评估重测信度。验证性因子分析（CFA）用于测试结构效度，Cronbach's alpha 用于测试内部一致性。Spearman 相关检验用于评估 ABEL 总分和所有分量表以及有意义听觉整合量表（MAIS）的外部效度。采用组内相关系数评估重测信度。
分量表的 Cronbach's α 值范围为 0.67 至 0.89，总量表值为 0.93（优秀）。外部效度分析显示，ABEL 总分和分量表与 MAIS 之间存在中度至高度相关，表明具有较高的外部效度。根据 CFA 结果，土耳其版 ABEL 的结构效度令人满意。对于三因素结构，拟合优度指数显示出良好的拟合度，只有规范拟合指数显示出可接受的拟合度。
土耳其版 ABEL 是评估 CI 儿童的可靠、有效的工具。
