The Development and Cross-Validation of a Self-Report Inventory to Assess Pure-Tone Threshold Hearing Sensitivity

Author:

Coren Stanley1,Hakstian A. Ralph1

Affiliation:

1. University of British Columbia, Vancouver, Canada

Abstract

Previous attempts to assess hearing loss by means of self-report survey items have shown only low to moderate correlations with actual audiometric measures, probably because these attempts used items with high face validity rather than laboratory-tested validity. Beginning with a pool of 108 items used with 384 individuals, we developed a self-report inventory (see Appendix) suitable for group testing or survey administration, which appears to have high correlation with pure-tone hearing thresholds. The inventory was then cross-validated against laboratory audiometric measures in a separate sample of 422 subjects. The resulting 12-item Hearing Screening Inventory (HSI) was shown to be reliable with an internal consistency coefficient (alpha) of 0.89 and test-retest stability coefficient of 0.88. The correlation between pure-tone hearing thresholds in the better ear and the HSI scores for the combined samples was r = 0.81. The correct classification rate for the HSI was 92.1% for a low fence of 25-dB hearing level and 93.4% for a high fence of 55-dB hearing level. A conversion equation with estimated variability is also provided for point estimates of pure-tone hearing thresholds from the HSI scores. A copy of the inventory and scoring procedure is appended to this report.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing,Linguistics and Language,Language and Linguistics

Reference40 articles.

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2. American Academy of Ophthalmology and Otolaryngology guide for conservation of hearing 1969 American Academy of Ophthalmology and Otolaryngology

3. American Medical Association Council on Physical Medicine Tentative standard procedure for evaluating the percentage of hearing in medicolegal cases;Journal of the American Medical Association,1947

4. Specifications for audiometers 1970 American National Standards Institute

5. British Association of Otolaryngologists and British Society of Audiology;British Journal of Audiology,1983

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