Ventry I M, Weinstein B E
Ear Hear. 1982 May-Jun;3(3):128-34. doi: 10.1097/00003446-198205000-00006.
This report describes the development and standardization of the Hearing Handicap Inventory for the Elderly (HHIE). This self-assessment tool is designed to assess the effects of hearing impairment on the emotional and social adjustment of elderly people. The inventory is comprised of two subscales: a 13-item subscale explores the emotional consequences of hearing impairment; a 12-item subscale explores both social and situational effects. The inventory was administered to 100 elderly subjects (mean age = 75 years) with hearing threshold levels in the better ear ranging from normal to severe. The reliability of the HHIE was evaluated by assessing its internal consistency through the computation of Chronbach's alpha. Alpha values ranged from 0.88 (social/situational subscale) to 0.95 for the entire inventory. Split-half reliabilities were equally high. The validity of the HHIE was not directly evaluated. Certain aspects of the data, however, support the construct validity of the instrument, while analysis of the questions themselves appears to attest to its content validity. Possible uses of the inventory were described and suggestions were made regarding future research on the instrument. The reliability and validity of the HHIE as well as its brevity, simplicity, and ease of administration and interpretation all recommend its use in assessing hearing handicap in the elderly.
本报告描述了老年人听力障碍问卷（HHIE）的开发与标准化过程。这种自我评估工具旨在评估听力障碍对老年人情绪和社会适应的影响。该问卷由两个分量表组成：一个包含13个条目的分量表探讨听力障碍的情绪后果；一个包含12个条目的分量表探讨社会和情境影响。该问卷施用于100名老年受试者（平均年龄 = 75岁），其较好耳的听力阈值水平从正常到重度不等。通过计算克朗巴赫α系数评估HHIE的内部一致性来评价其信度。整个问卷的α值范围为0.88（社会/情境分量表）至0.95。分半信度同样很高。未直接评估HHIE的效度。然而，数据的某些方面支持该工具的结构效度，而对问题本身的分析似乎证明了其内容效度。描述了该问卷的可能用途，并对该工具未来的研究提出了建议。HHIE的信度、效度以及其简短性、简易性、易于施测和解释，都表明它适用于评估老年人的听力障碍。
