+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Validation of the use of self-reported hearing loss and the Hearing Handicap Inventory for elderly among rural Indian elderly population



Validation of the use of self-reported hearing loss and the Hearing Handicap Inventory for elderly among rural Indian elderly population



Archives of Gerontology and Geriatrics 55(3): 762-767



Hearing loss is a potentially disabling problem among elderly leading to physical and social dysfunction. Though audiometric assessment of hearing loss is considered as gold standard, it is not feasible in community settings. Several questionnaires measuring hearing handicap have been developed. Knowledge regarding applicability of these questionnaires among rural elderly is limited, hence a study was planned to validate single question and Shortened Hearing Handicap Inventory for Elderly (HHIE-S) in detecting hearing loss against pure tone-audiometry among rural Indian elderly. A single question 'do you feel you have a hearing loss?' and the HHIE-S was administered to 175 elderly in two rural areas. Hearing ability was assessed using pure tone audiometry. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of both screening tools were compared with pure tone averages (PTAs) greater than 25, 40 and 55 dB hearing level (mild, moderate and severe hearing loss, respectively). The single question yielded low sensitivity (30.9%) and high specificity (93.9%) for mild hearing loss. Similarly HHIE-S yielded a sensitivity of 26.2% and specificity of 95.9%. Sensitivity with single question increased to 76.2% and specificity decreased to 83.1% with severe hearing loss. Sensitivity with HHIE-S also increased to 76.2% and specificity decreased to 87.7% with severe hearing loss. These hearing screening questionnaires will be useful in identifying more disabling hearing losses among rural elderly which helps in rehabilitation services planning.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036563832

Download citation: RISBibTeXText

PMID: 22898672

DOI: 10.1016/j.archger.2012.07.006


Related references

Identification of hearing impaired elderly in primary care validation of hearing handicap inventory for the elderly hhie s questionnaire. Clinical Research 36(1): 90A, 1988

Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly - Screening Version Effective in Diagnosis When Compared to the Audiometric Test?. International Archives of Otorhinolaryngology 22(1): 1-8, 2018

Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation. Trends in Hearing 20:, 2016

Diagnostic performance of the hearing handicap inventory for the elderly (screening version) against differing definitions of hearing loss. Ear and Hearing 9(4): 208-211, 1988

Validation of hearing handicap inventory for the elderly questionnaire among elderly subjects in Sagamu, Nigeria. Nigerian Postgraduate Medical Journal 22(4): 228-232, 2015

A hearing self-reported survey in people over 80 years of age in China by hearing handicap inventory for the elderly-complete version vs screening version. Acta Oto-Laryngologica 136(12): 1242-1247, 2016

The Revised Hearing Handicap Inventory and Screening Tool Based on Psychometric Reevaluation of the Hearing Handicap Inventories for the Elderly and Adults. Ear and Hearing 2019:, 2019

The Hearing Handicap Inventory for the Elderly as a measure of hearing aid benefit. Ear and Hearing 9(2): 81-85, 1988

The Hearing Handicap Inventory for the Elderly screening version adapted for use with elderly Chinese American individuals. American Journal of Audiology 10(2): 99-103, 2002

Validity and Reliability of the Hearing Handicap Inventory for Elderly: Version Adapted for Use on the Portuguese Population. Journal of the American Academy of Audiology 27(8): 677-682, 2016

Identifying hearing loss and hearing handicap among chronic care elderly people. Gerontologist 33(5): 644-649, 1993

Hearing handicap--an addition to audiometric hearing loss. Results of an exploratory study of auditory communication disorders in the elderly. Hno 44(7): 376-384, 1996

Measuring the psychosocial consequences of hearing loss in a working adult population: focus on validity and reliability of the Italian translation of the hearing handicap inventory. Acta Otorhinolaryngologica Italica 27(4): 186-191, 2007

The Hearing Handicap Inventory for Elderly-Screening (HHIE-S) versus a single question: reliability, validity, and relations with quality of life measures in the elderly community, Japan. Quality of Life Research 22(5): 1151-1159, 2013

The Hearing Handicap Inventory for the Elderly. Ear and Hearing 3(3): 128-134, 1982