Jiang Wenling, Zhou Qian, Ren Yan, Li Haifeng, Huang Zhiwu
Faculty of Hearing and Speech Science, College of Health Science and Technology, Shanghai Jiao Tong University School of Medicine, China.
Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People's Hospital, China.
Am J Audiol. 2025 Sep 2;34(3):722-733. doi: 10.1044/2025_AJA-25-00033. Epub 2025 Aug 28.
This study developed and translated the Chinese version of the Listening Self-Efficacy Questionnaire (C-LSEQ), tested its reliability and validity, and explored listening self-efficacy characteristics among older adults with age-related hearing loss (ARHL).
One hundred seventy-two patients with ARHL aged ≥ 60 years completed the C-LSEQ by the direct interview method, as well as the pure-tone hearing threshold test, the speech recognition threshold test in noise, and the Hearing Handicap Inventory for Elderly-Screening. Using the random number table method, the C-LSEQ was resurveyed to 20 of the 172 study participants 2 weeks after the initial evaluation. The validity of C-LSEQ was further determined by comparing the scores of three groups: the young adults with normal-hearing group ( = 50), the older adults with normal-hearing group ( = 20), and the older adults with ARHL with no hearing aid use history. Analysis of variance and post hoc tests analyzed sex, education, and hearing loss's impact on listening self-efficacy in ARHL.
(a) Reliability: The Cronbach's α coefficients were > .8, and the retest reliability was > 0.9 ( < .001). (b) Validity test: The composite reliability of the two subscales and the summary questionnaire were all > 0.7, and the average variance extracted was all > 0.5. The level of efficacy was higher with two normal-hearing groups compared to ARHL ( < .001). At a cutoff > 80, C-LSEQ distinguished ARHL from normal hearing with 100% sensitivity and 92.85% specificity.
The structure of the C-LSEQ was stable, with good reliability and validity, and it could be used to assess the listening self-efficacy of older adults.
本研究开发并翻译了听力自我效能量表中文版（C-LSEQ），测试其信效度，并探讨年龄相关性听力损失（ARHL）老年人的听力自我效能特征。
172名年龄≥60岁的ARHL患者通过直接访谈法完成C-LSEQ，以及纯音听阈测试、噪声下言语识别阈测试和老年人听力障碍筛查量表。采用随机数字表法，在初始评估2周后对172名研究参与者中的20名进行C-LSEQ复测。通过比较三组得分进一步确定C-LSEQ的效度：听力正常的年轻成人组（=50）、听力正常的老年人组（=20）和无助听器使用史的ARHL老年人组。方差分析和事后检验分析了性别、教育程度和听力损失对ARHL患者听力自我效能的影响。
（a）信度：Cronbach's α系数>.8，重测信度>0.9（<.001）。（b）效度检验：两个子量表和汇总问卷的组合信度均>0.7，平均提取方差均>0.5。与ARHL组相比，两个听力正常组的效能水平更高（<.001）。在临界值>80时，C-LSEQ区分ARHL与正常听力的灵敏度为100%，特异度为92.85%。
C-LSEQ结构稳定，具有良好的信效度，可用于评估老年人的听力自我效能。
