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dc.contributor.authorHeinrich, Antje
dc.contributor.authorMikkola, Tuija M.
dc.contributor.authorPolku, Hannele
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorViljanen, Anne
dc.date.accessioned2019-10-02T10:59:35Z
dc.date.available2019-10-02T10:59:35Z
dc.date.issued2019
dc.identifier.citationHeinrich, A., Mikkola, T. M., Polku, H., Törmäkangas, T., & Viljanen, A. (2019). Hearing in Real-Life Environments (HERE) : Structure and Reliability of a Questionnaire on Perceived Hearing for Older Adults. <i>Ear and Hearing</i>, <i>40</i>(2), 368-380. <a href="https://doi.org/10.1097/AUD.0000000000000622" target="_blank">https://doi.org/10.1097/AUD.0000000000000622</a>
dc.identifier.otherCONVID_28136964
dc.identifier.otherTUTKAID_78113
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/65728
dc.description.abstractObjectives: The ability to hear in a variety of social situations and environments is vital for social participation and a high quality of life. One way to assess hearing ability is by means of self-report questionnaire. For questionnaires to be useful, their measurement properties, based on careful validation, have to be known. Only recently has consensus been reached concerning how to perform such validation and been published as COSMIN (consensus-based standards for the selection of health status measurement instruments) guidelines. Here the authors use these guidelines to evaluate the measurement properties of the “Hearing in Real-Life Environments” (HERE) questionnaire, a newly developed self-report measure that assesses speech perception, spatial orientation, and the social-emotional consequences of hearing impairment in older adults. The aim is to illustrate the process of validation and encourage similar examinations of other frequently used questionnaires. Design: The HERE questionnaire includes 15 items with a numeric rating scale from 0 to 10 for each item and allows the assessment of hearing with and without hearing aids. The evaluation was performed in two cohorts of community-dwelling older adults from Finland (n = 581, mean 82 years) and the United Kingdom (n = 50, mean 69 years). The internal structure of the questionnaire and its relationship to age, hearing level, and self-reported and behavioral measures of speech perception was assessed and, when possible, compared between cohorts. Results: The results of the factor analysis showed that the HERE’s internal structure was similar across cohorts. In both cohorts, the factor analysis showed a satisfactory solution for three factors (speech hearing, spatial hearing, and socio-emotional consequences), with a high internal consistency for each factor (Cronbach’s α’s for the factors from 0.90 to 0.97). Test–retest analysis showed the HERE overall mean score to be stable and highly replicable over time (intraclass correlation coefficient = 0.86, standard error of measurement of the test score = 0.92). The HERE overall mean score correlated highly with another self-report measure of speech perception, the Speech Spatial Qualities of Hearing questionnaire (standardized regression coefficient [β] = −0.75, p < 0.001), moderately highly with behaviorally assessed hearing level (best-ear average: β = 0.45 to 0.46), and moderately highly with behaviorally measured intelligibility of sentences in noise (β = −0.50, p < 0.001). Conclusions: Using the COSMIN guidelines, the authors show that the HERE is a valid, reliable, and stable questionnaire for the assessment of self-reported speech perception, sound localization, and the socio-emotional consequences of hearing impairment in the context of social functioning. The authors also show that cross-cultural data collected using different data collection strategies can be combined with a range of statistical methods to validate a questionnaire.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofseriesEar and Hearing
dc.rightsCC BY-NC 4.0
dc.subject.otheraging
dc.subject.otherCOSMIN criteria
dc.subject.otherhearing
dc.subject.otherquestionnaire validation
dc.subject.otherspeech perception
dc.titleHearing in Real-Life Environments (HERE) : Structure and Reliability of a Questionnaire on Perceived Hearing for Older Adults
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201909264271
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-09-26T12:15:24Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange368-380
dc.relation.issn0196-0202
dc.relation.numberinseries2
dc.relation.volume40
dc.type.versionpublishedVersion
dc.rights.copyright© 2018 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysokuulo
dc.subject.ysoikääntyneet
dc.subject.ysoikääntyminen
dc.subject.ysovanhukset
dc.subject.ysoikäkuulo
dc.subject.ysohuonokuuloisuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p1937
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p2434
jyx.subject.urihttp://www.yso.fi/onto/yso/p28757
jyx.subject.urihttp://www.yso.fi/onto/yso/p1939
dc.rights.urlhttps://creativecommons.org/licenses/by-nc/4.0/
dc.relation.doi10.1097/AUD.0000000000000622
dc.type.okmA1


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