Mohd Yasin Muhammad Danial, Alrashdi Mohammed, Sabri Mohamad Qayum Mohamad, Daud Ahmad Zamir Che
Department of Rehabilitation Medicine, Hospital Sultan Zainal Abidin, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu, Malaysia.
College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia.
Noise Health. 2025;27(125):168-178. doi: 10.4103/nah.nah_149_24. Epub 2025 Apr 29.
Hyperacusis is characterized by an intolerance to loud sounds, causing discomfort, fear, and facial pain. Its evaluation often includes self-report questionnaires. A recent study in 2023 introduced the pediatric parent-report version of the Khalfa Hyperacusis Questionnaire (P-HQ) for children with autism spectrum disorder (ASD), but no Malay version currently exists, creating a barrier for non-English-speaking parents in Malaysia. This study aimed to translate, culturally adapt, and validate the P-HQ into Malay to improve the understanding of hyperacusis among Malay-speaking populations.
The study consisted of six stages: (1) forward and backward translation by five independent translators, (2) content validation by six experts, (3) face validity assessments (n = 11), (4) assessment of internal consistency (n = 54), (5) validation of test-retest reliability (n = 23), and (6) assessment of concurrent validity (n = 54) with parents of children with ASD. Participants were purposively recruited from a community autism center located on the east coast of Malaysia.
The translation process was successful, with experts confirming high relevance and agreement (item-level content validity index = 1.0, modified kappa = 1.0). One item was removed due to low item impact, resulting in a 10-item Malay version of the P-HQ (M-P-HQ). The M-P-HQ demonstrated good internal consistency (Cronbach's alpha = 0.884) and moderate to excellent test-retest reliability, with the intraclass correlation coefficient ranging from 0.62 to 0.96. A strong negative Spearman's rank correlation (rs = -0.648) with the auditory filtering subtest of the Malay version of the Short Sensory Profile supported the concurrent validity of the M-P-HQ.
The M-P-HQ is a valid, reliable, and culturally appropriate tool for assessing hyperacusis among Malay-speaking parents of children with ASD.
听觉过敏的特征是对大声响不耐受，会引起不适、恐惧和面部疼痛。其评估通常包括自我报告问卷。2023年的一项最新研究推出了针对自闭症谱系障碍（ASD）儿童的Khalfa听觉过敏问卷儿科家长报告版（P-HQ），但目前尚无马来语版本，这给马来西亚非英语母语的家长造成了障碍。本研究旨在将P-HQ翻译成马来语，进行文化调适并验证其有效性，以增进马来语人群对听觉过敏的了解。
该研究包括六个阶段：（1）由五名独立翻译人员进行正向和反向翻译；（2）由六名专家进行内容验证；（3）进行表面效度评估（n = 11）；（4）评估内部一致性（n = 54）；（5）验证重测信度（n = 23）；（6）与ASD儿童家长进行同时效度评估（n = 54）。研究对象是从马来西亚东海岸的一个社区自闭症中心有目的地招募的。
翻译过程成功，专家确认相关性高且一致性好（条目级内容效度指数 = 1.0，修正kappa系数 = 1.0）。由于条目影响低，删除了一个条目，最终得到了一个10项的马来语版P-HQ（M-P-HQ）。M-P-HQ显示出良好的内部一致性（Cronbach's alpha = 0.884）和中度至优秀的重测信度，组内相关系数在0.62至0.96之间。与马来语版简短感觉概况的听觉过滤子测试呈强负斯皮尔曼等级相关性（rs = -0.648），支持了M-P-HQ的同时效度。
M-P-HQ是评估ASD儿童马来语家长听觉过敏的有效、可靠且文化适宜的工具。
