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Validity and Reliability of Age-Related Hearing Loss Questionnaire in Korean Elderly

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Purpose: The objective of this study is to investigate the validity and reliability of the Age-Related Hearing Loss Questionnaire (ARHLQ) for Korean elderly, originally developed by Choi, to evaluate the communication difficulties faced by Korean elderly individuals with hearing loss everyday life. The ARHLQ consists of twenty-three questions in four subcategories of communication difficulties (9 items), communication environment (5 items), emotion and other’s reaction (6 items), and communication strategy (3 items). Methods: The ARHLQ was administrated to a total ninety subjects composed of three or four subject groups based on mild, moderate, moderate severe, and severe hearing loss determined by the pure tone threshold average (PTA) and high frequency threshold average (HFPTA), with an average age with the age of 77.22 ± 6.36 years old. Validity and reliability were calculated using Pearson’s correlation coefficient, the Kruskal-Wallis test for nonparametric independent samples, and Cronbach alpha coefficient. Results: Pearson’s correlations coefficients between total scores and four subcategories of ARHLQ were high ranging from 0.813 to 0.971 and the correlation coefficient between ARHLQ and the Korean Hearing Handicap Inventory for the Elderly (K-HHIE) was high (0.736). The correlation coefficients between four subcategories of ARHLQ and the two subcategories of K-HHIE were high ranging from 0.598 to 0.770. The mean difference in total score and four subcategories of ARHLQ by the hearing degrees of PTA and HFPTA were significantly observed. For internal consistency, Cronbach’s alpha coefficient in total scores and four subcategories was high ranging from 0.807 to 0.966. The test-retest correlation for reliability was very high (0.996). Conclusion: These findings suggest that the ARHLQ is a clinically useful tool to evaluate age-related hearing loss according to the degree of hearing loss.

Abstract

Purpose: The objective of this study is to investigate the validity and reliability of the Age-Related Hearing Loss Questionnaire (ARHLQ) for Korean elderly, originally developed by Choi, to evaluate the communication difficulties faced by Korean elderly individuals with hearing loss everyday life. The ARHLQ consists of twenty-three questions in four subcategories of communication difficulties (9 items), communication environment (5 items), emotion and other’s reaction (6 items), and communication strategy (3 items). Methods: The ARHLQ was administrated to a total ninety subjects composed of three or four subject groups based on mild, moderate, moderate severe, and severe hearing loss determined by the pure tone threshold average (PTA) and high frequency threshold average (HFPTA), with an average age with the age of 77.22 ± 6.36 years old. Validity and reliability were calculated using Pearson’s correlation coefficient, the Kruskal-Wallis test for nonparametric independent samples, and Cronbach alpha coefficient. Results: Pearson’s correlations coefficients between total scores and four subcategories of ARHLQ were high ranging from 0.813 to 0.971 and the correlation coefficient between ARHLQ and the Korean Hearing Handicap Inventory for the Elderly (K-HHIE) was high (0.736). The correlation coefficients between four subcategories of ARHLQ and the two subcategories of K-HHIE were high ranging from 0.598 to 0.770. The mean difference in total score and four subcategories of ARHLQ by the hearing degrees of PTA and HFPTA were significantly observed. For internal consistency, Cronbach’s alpha coefficient in total scores and four subcategories was high ranging from 0.807 to 0.966. The test-retest correlation for reliability was very high (0.996). Conclusion: These findings suggest that the ARHLQ is a clinically useful tool to evaluate age-related hearing loss according to the degree of hearing loss.

참고문헌 (15)

  1. Choi, C. H., "Development of age-related hearing loss questionnaire in Korean elderly", Audiology and Speech Research, 19(1), pp.17~27 (2023)
  2. Choi, J., "Age-related hearing loss and the effects of hearing aids", Journal of the Korean Medical Association, 54(9), pp.918~924 (2011)
  3. Ju, Y. M., "Effect of frequency range and degree of hearing loss on word recognition in elderly listeners", Audiology and Speech Research, 5(1), pp.36~41 (2009)
  4. Jung, S. Y., "Age-related hearing loss : Pathophysiology and recent researches", Journal of Medicine and Life Science, 11(2), pp.152~157 (2014)
  5. Ku, H., "Test-retest reliability of the Korean Hearing Handicap Inventory for the Elderly(KHHIE)", Korean Journal of Communication Disorders, 5(1), pp.133~154 (2000)
  6. Kim, G. B., "The development and standardization of self-assessment for hearing screening of the elderly", Clinical International in Aging, 11, pp.787~795 (2016)
  7. Kim, S. H., "Presbycusis", Hanyang Medical Review, 35(2), pp.78~83 (2015)
  8. Kim, Y. S., "Usability of HHIE-S as a screening test of hearing impairment in the Korean elderly", Journal of Korean Academy of Family Medicine, 22(6), pp.878~885 (2001)
  9. "Presbycusis" (2022)[URL]
  10. Lee, D. H., "Validity and reliability of Korean version of quality of life questionnaire related with music perception and engagement in the elderly", The Journal of the Acoustical Society of Korea, 41(1), pp.87~98 (2022)
  11. Lee, S. H., "Awareness of audiological rehabilitation service programs for elderly hearing loss", Korean Journal of Hearing and Language Impairment Education, 10(1), pp.79~104 (2019)
  12. Park, S. N., "Standardization for a Korean version of Hearing Handicap Inventory for the Elderly", Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 54, pp.828~834 (2011)
  13. Roh, J. Y., "Validity and reliability of the Korean version of the communication scale for older adults", Communication Science and Disorder, 26(4), pp.945~964 (2021)
  14. "Statistics on Seniors" (2023)[URL]
  15. Ventry, I. M., "The hearing handicap inventory for the elderly : A new tool", Ear and Hearing, 3(3), pp.128~134 (1982)

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