Validation of a French-Language Version of the Spatial Hearing Questionnaire, Cluster Analysis and Comparison with the Speech, Spatial, and Qualities of Hearing Scale
Abstract:A comparison of factor analysis outcomes among the English, Dutch, and French versions of the SHQ confirmed good conceptual equivalence across languages and robustness of the SHQ for use in international settings. In addition, SHQ and SSQ scores showed remarkable similarities, suggesting the possibility of extrapolating the results from one questionnaire to the other. Although the SHQ was originally designed in a population of cochlear implant patients, the present results show that its usefulness could easily… Show more
“…This indicates that all individual items correlated well with the total score 11121314. The item-total correlation coefficients for the other language versions of the SHQ were similar to those of our study: Dutch (0.65 to 0.90), French (0.63 to 0.88), Chinese (0.75 to 0.92), and Persian (0.84 to 0.92) 11121314.…”
Section: Discussionsupporting
confidence: 87%
“…Dutch, French, Chinese, and Persian versions of the SHQ reported Cronbach's alpha of 0.98 or greater 11121314. In our study, Cronbach's alpha was 0.982, suggesting good internal consistency.…”
Section: Discussionsupporting
confidence: 51%
“…Factor 1 included understanding speech and music in quiet and in noise, while factor 2 included understanding and locating the origin of sound when the origin cannot be seen. In the other language versions of the SHQ, scores loaded on two to four factors, and in the original version of SHQ, scores loaded on three factors 211121314. Since it is important to assess a patient's spatial hearing in specific conditions, the original SHQ was developed with 8 subscales, and the mean score of each subscale is a useful clinical tool.…”
Section: Discussionmentioning
confidence: 99%
“…Although the original version of the SHQ was developed in English, the SHQ has been translated and validated in other languages, including Dutch, Persian, French, and Chinese 11121314. In this study, we assessed the validity of a Korean version of the SHQ (K-SHQ) and compared the results of the K-SHQ to different classifications of hearing loss.…”
PurposeSpatial hearing refers to the ability to understand speech and identify sounds in various environments. We assessed the validity of the Korean version of the Spatial Hearing Questionnaire (K-SHQ).Materials and MethodsWe performed forward translation of the original English SHQ to Korean and backward translation from the Korean to English. Forty-eight patients who were able to read and understand Korean and received a score of 24 or higher on the Mini-Mental Status Examination were included in the study. Patients underwent pure tone audiometry (PTA) using a standard protocol and completed the K-SHQ. Internal consistency was evaluated using Cronbach's alpha, and factor analysis was performed to prove reliability. Construct validity was tested by comparing K-SHQ scores from patients with normal hearing to those with hearing impairment. Scores were compared between subjects with unilateral or bilateral hearing loss and between symmetrical and asymmetrical hearing impairment.ResultsCronbach's alpha showed good internal consistency (0.982). Two factors were identified by factor analysis: There was a significant difference in K-SHQ scores for patients with normal hearing compared to those with hearing impairment. Patients with asymmetric hearing impairment had higher K-SHQ scores than those with symmetric hearing impairment. This is related to a lower threshold of PTA in the better ear of subjects. The hearing ability of the better ear is correlated with K-SHQ score.ConclusionThe K-SHQ is a reliable and valid tool with which to assess spatial hearing in patients who speak and read Korean. K-SHQ score reflects the severity and symmetry of hearing impairment.
“…This indicates that all individual items correlated well with the total score 11121314. The item-total correlation coefficients for the other language versions of the SHQ were similar to those of our study: Dutch (0.65 to 0.90), French (0.63 to 0.88), Chinese (0.75 to 0.92), and Persian (0.84 to 0.92) 11121314.…”
Section: Discussionsupporting
confidence: 87%
“…Dutch, French, Chinese, and Persian versions of the SHQ reported Cronbach's alpha of 0.98 or greater 11121314. In our study, Cronbach's alpha was 0.982, suggesting good internal consistency.…”
Section: Discussionsupporting
confidence: 51%
“…Factor 1 included understanding speech and music in quiet and in noise, while factor 2 included understanding and locating the origin of sound when the origin cannot be seen. In the other language versions of the SHQ, scores loaded on two to four factors, and in the original version of SHQ, scores loaded on three factors 211121314. Since it is important to assess a patient's spatial hearing in specific conditions, the original SHQ was developed with 8 subscales, and the mean score of each subscale is a useful clinical tool.…”
Section: Discussionmentioning
confidence: 99%
“…Although the original version of the SHQ was developed in English, the SHQ has been translated and validated in other languages, including Dutch, Persian, French, and Chinese 11121314. In this study, we assessed the validity of a Korean version of the SHQ (K-SHQ) and compared the results of the K-SHQ to different classifications of hearing loss.…”
PurposeSpatial hearing refers to the ability to understand speech and identify sounds in various environments. We assessed the validity of the Korean version of the Spatial Hearing Questionnaire (K-SHQ).Materials and MethodsWe performed forward translation of the original English SHQ to Korean and backward translation from the Korean to English. Forty-eight patients who were able to read and understand Korean and received a score of 24 or higher on the Mini-Mental Status Examination were included in the study. Patients underwent pure tone audiometry (PTA) using a standard protocol and completed the K-SHQ. Internal consistency was evaluated using Cronbach's alpha, and factor analysis was performed to prove reliability. Construct validity was tested by comparing K-SHQ scores from patients with normal hearing to those with hearing impairment. Scores were compared between subjects with unilateral or bilateral hearing loss and between symmetrical and asymmetrical hearing impairment.ResultsCronbach's alpha showed good internal consistency (0.982). Two factors were identified by factor analysis: There was a significant difference in K-SHQ scores for patients with normal hearing compared to those with hearing impairment. Patients with asymmetric hearing impairment had higher K-SHQ scores than those with symmetric hearing impairment. This is related to a lower threshold of PTA in the better ear of subjects. The hearing ability of the better ear is correlated with K-SHQ score.ConclusionThe K-SHQ is a reliable and valid tool with which to assess spatial hearing in patients who speak and read Korean. K-SHQ score reflects the severity and symmetry of hearing impairment.
“…-Missing-response rates across items for the German SSQ (Kiessling et al 2011), the English SSQ (Akeroyd et al 2014), and the French SSQ (Moulin et al 2015;Moulin & Richard 2016b).…”
Conflicts of interest and sources of funding Author CM is supported by Starkey Hearing Technologies, a private entity and manufacturer of hearing technology. Author SG is supported by Audition Conseil, a private company and group of audiology clinics. Other than through funding of these two coauthors' salaries, the sponsors for this study had no involvement in the design of the study, the data analysis, or the writing of the manuscript.
Speech perception scores are widely used to assess patient's functional hearing, yet most linguistic material used in these audiometric tests dates to before the availability of large computerized linguistic databases. In an ENT clinic population of 120 patients with median hearing loss of 43-dB HL, we quantified the variability and the sensitivity of speech perception scores to hearing loss, measured using disyllabic word lists, as a function of both the number of ten-word lists and type of scoring used (word, syllables or phonemes). The mean word recognition scores varied significantly across lists from 54 to 68%. The median of the variability of the word recognition score ranged from 30% for one ten-word list down to 20% for three ten-word lists. Syllabic and phonemic scores showed much less variability with standard deviations decreasing by 1.15 with the use of syllabic scores and by 1.45 with phonemic scores. The sensitivity of each list to hearing loss and distortions varied significantly. There was an increase in the minimum effect size that could be seen for syllabic scores compared to word scores, with no significant further improvement with phonemic scores. The use of at least two ten-word lists, quoted in syllables rather than in whole words, contributed to a large decrease in variability and an increase in sensitivity to hearing loss. However, those results emphasize the need of using updated linguistic material for clinical speech score assessments.
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