Development of the Chinese Version of the Listening Self-Efficacy Questionnaire and Psychometric Evaluation for Older Adults With Age-Related Hearing Loss.

PURPOSE: 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).

METHOD: 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 (n = 50), the older adults with normal-hearing group (n = 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.

RESULTS

(a) Reliability: The Cronbach's α coefficients were > .8, and the retest reliability was > 0.9 (p < .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 (p < .001). At a cutoff > 80, C-LSEQ distinguished ARHL from normal hearing with 100% sensitivity and 92.85% specificity.

CONCLUSION

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.

SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.29954486.