耳鸣残疾量表的信度和效度：问卷的临床研究。
Reliability and Validity of the Tinnitus Handicap Inventory: A Clinical Study of Questionnaires.
机构信息
Department of Otolaryngology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Otolaryngology, Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa, USA.
出版信息
J Int Adv Otol. 2022 Nov;18(6):522-529. doi: 10.5152/iao.2022.21503.
BACKGROUND
The aim of this study is to observe the application of the Chinese version of Tinnitus Handicap Inventory-China in Tinnitus patients and verify its reliability and validity.
METHODS
About 1129 patients with tinnitus as the first complaint were selected as subjects. The patients were randomly divided into 2 groups: exploration group (n = 565), whose data were analyzed with reliability analysis method using Statistical Package for the Social Sciences software 19.0, validation group (n = 564), whose data were analyzed with validity analysis method using AMOS21.0.
RESULTS
(1) Reliability test: The Cronbach's α coefficients of the Tinnitus Handicap Inventory-China scale in both groups were 0.94, among which, the Cronbach's α coefficients of functional factor (F), emotion factor (E), and catastrophic factor (C) in group E were 0.87, 0.90, and 0.78, respectively. The half-reliability of the 2 components is 0.87. The correlation coefficient between items and the scale in group E and group V is 0.36-0.78 and 0.33-0.77, respectively. (2) Content validity: The Kaiser-Meyer-Olkin value of group E is 0.96, a total of 4 common factors were extracted, and the cumulative interpretation rate is 57.844%. The number of factors with load less than 0.4 on the 4 common factors is only 1 (F24), suggesting that this factor had little significance; the number of factors with load more than 0.4 on the 2 common factors is 8 (F1, E6, F9, C11, F15, E21, E22, and C23), suggesting that patients had different understandings of these 8 questions. (3) Structural validity: The root mean square error of approximation value of the AMOS structural model in group V is 0.065, and the root mean square residual value is 0.114, indicating low fitness; the NC value is 3.353, indicating good fitness of the scale, but it still needed to be simplified.
CONCLUSION
The Chinese version of Tinnitus Handicap Inventory-China has a high reliability when applied in China, but the content validity and structure validity are not high, and the clinical practicability needs to be improved.
背景
本研究旨在观察耳鸣残疾量表中文版在耳鸣患者中的应用，并验证其信度和效度。
方法
选取以耳鸣为首发症状的患者 1129 例为研究对象。患者随机分为 2 组：探索组（n=565），采用社会科学统计软件包 19.0 进行可靠性分析；验证组（n=564），采用 AMOS21.0 进行效度分析。
结果
（1）信度检验：探索组、验证组量表的 Cronbach's α 系数分别为 0.94，其中 E 组功能因子（F）、情绪因子（E）、灾难化因子（C）的 Cronbach's α 系数分别为 0.87、0.90、0.78。2 个分量表的半信度分别为 0.87。E 组和 V 组各条目与量表的相关系数分别为 0.360.78 和 0.330.77。（2）内容效度：E 组的 Kaiser-Meyer-Olkin 值为 0.96，提取 4 个公因子，累计解释率为 57.844%。在 4 个公因子中，负荷<0.4 的因子数仅为 1 个（F24），提示该因子意义不大；在 2 个公因子中，负荷>0.4 的因子数为 8 个（F1、E6、F9、C11、F15、E21、E22、C23），提示患者对这 8 个问题的理解存在差异。（3）结构效度：验证组 AMOS 结构模型的近似均方根误差值为 0.065，残差均方根值为 0.114，提示拟合度低；NC 值为 3.353，提示量表拟合度较好，但仍需简化。
结论
耳鸣残疾量表中文版在中国应用时信度较高，但内容效度和结构效度不高，临床实用性有待提高。
Zotero 插件