Branch of Clinical Sciences, College of Medicine, University of Sulaimani, Sulaimani City, 46001, Iraq.
Sci Rep. 2024 Nov 18;14(1):28508. doi: 10.1038/s41598-024-78075-1.
The Revised Hearing Handicap Inventory-Screening (RHHI-S) is a robust 10-item Patient-Reported Outcome Measure (PROM) that can quantify impacts of hearing loss (HL). Employing a cross-sectional study, the psychometric properties of a cross-culturally adapted Kurdish version of RHHI-S (RHHI-S-CK) were investigated. According to the degrees of HL, 168 enrollees (64.3% male; mean-age 63.1 ± 12.6 years) were divided into three subgroups; that is, mild (n = 56; 67.9% male; mean-age 60 ± 12.5 years), moderate (n = 64; 60.9% male; mean-age 64.6 ± 12.5), & moderately-severe (n = 48; 64.6% male; mean-age 63.1 ± 12.6). The internal cohesion among the items was confirmed by Cronbach's alpha (0.94). Confirmatory factor analysis recognised structural validity when a strong unidimensional factor was extracted. Convergent validity was verified (P-value < 0.001) via Spearman's correlation between the scale and a subjective correlator (visual analogue scale). A large effect size (0.88) from Kruskal-Wallis & Dunn-Bonferroni post-hoc tests established the discrimination between different degrees of HL. Lastly, intraclass correlation coefficient (ICC) proved the external reliability of the adapted version of the tool (Test-retest ICC = 0.95). RHHI-S-CK is a robust PROM that can measure the impacts of HL in adults across all age ranges. Accordingly, RHHI-S-CK augmented the clinical and academic practice of the Kurdish medical community.
经修正的听力障碍问卷-筛查版（RHHI-S）是一种稳健的 10 项患者报告结局测量（PROM），可量化听力损失（HL）的影响。本研究采用横断面研究，调查了库尔德语经文化调适的 RHHI-S 版本（RHHI-S-CK）的心理测量学特性。根据 HL 的严重程度，将 168 名参与者（64.3%为男性；平均年龄 63.1±12.6 岁）分为三组；即轻度（n=56；67.9%为男性；平均年龄 60±12.5 岁）、中度（n=64；60.9%为男性；平均年龄 64.6±12.5 岁）和中重度（n=48；64.6%为男性；平均年龄 63.1±12.6 岁）。Cronbach's alpha（0.94）证实了项目间的内部凝聚力。验证性因子分析在提取出一个强有力的单维因子时，确认了结构有效性。通过量表与主观关联者（视觉模拟量表）之间的 Spearman 相关验证了收敛效度（P 值<0.001）。Kruskal-Wallis 和 Dunn-Bonferroni 事后检验的大效应量（0.88）建立了不同 HL 程度之间的区分。最后，内部一致性系数（ICC）证明了工具经调适后的版本具有外部可靠性（Test-retest ICC=0.95）。RHHI-S-CK 是一种稳健的 PROM，可衡量所有年龄段成年人 HL 的影响。因此，RHHI-S-CK 增强了库尔德医学社区的临床和学术实践。
