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| quality_of_life_hhia [2021/11/18 15:19] – trynke | quality_of_life_hhia [2025/02/05 13:49] (current) – external edit 127.0.0.1 |
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| ====== Quality of Life (HHIA) ====== | ====== Quality of Life (HHIA/E) ====== |
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| The Hearing Handicap Inventory for Adults - screening version (HHIA-S) is a 10-item self-assessment scale that aims to assess the presence of hearing loss and its impact on the quality of life ([[sections|section]]: [[wellbeing & subjective health]]). It is a shorter version of the HHIA, which in turn is a modification of the Hearing Handicap Inventory for the Elderly (HHIE) ((Newman, CW et al. Test-Retest Reliability of the Hearing Handicap Inventory for Adults. Ear and Hearing 12(5); 355-357))\\ | The Hearing Handicap Inventory for Adults - screening version (HHIA-S) and the Hearing Handicap Inventory for the Elderly - screening version (HHIE-S) are two largely overlapping 10-item self-assessment scales that aim to assess the presence of hearing loss and its impact on the quality of life ([[sections|section]]: [[wellbeing & subjective health]]). They are the shorter versions of the 25-item HHIA and HHIE((Newman, CW et al. (1991) Test-Retest Reliability of the Hearing Handicap Inventory for Adults. Ear and Hearing 12(5); 355-357))((Liechtenstein MJ et al. (1988) Validation of screening tools for identifying hearing-impaired elderly in primary care. JAMA 259(19):2875-2878))\\ |
| Note that quality of life is also assessed in Lifelines using the [[Quality of Life (RAND)|RAND]] and [[Life satisfaction (SWLS)|SWLS]] questionnaires.\\ | Note that quality of life is also assessed in Lifelines using the [[Quality of Life (RAND)|RAND]], [[Quality of Life (EQ5D)|EQ5D]] and [[Life satisfaction (SWLS)|SWLS]] questionnaires.\\ |
| Other ear- and hearing-related problems are assessed with some [[ear conditions|general questions]]. | Other ear- and hearing-related problems are assessed with some [[ear conditions|general questions]]. |
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| ===== Scoring ===== | ===== Scoring ===== |
| The 10-item screening version of the HHIA contains 5 emotional (2a/b/e/i/k), and five social/situational (2d/f/h/j/l) items, selected from the 25-item version of the HHIA.\\ | The HHIA contains 10 questions: 5 'emotional' items (2a/b/e/i/k) and 5 'social/situational' items (2d/f/h/j/l).\\ |
| Participants indicated if the description in the item was applicable to their life: yes (4 points), no (0 points), or sometimes (2 points). Higher total score values indicate greater perceived handicap.\\ | The HHIE contains the same 10 questions, except that two of the 'social/situation' items are replaced by items that fit better with the elderly target group (2d -> 2c, and 2h -> 2g). |
| Note that one basic question about potential hearing problems (1) was added, determining if participants should fill in the HHIA-S, and two questions about limitations (2c/2g) were added but should not be included in the scoring.\\ | |
| | Scoring works as follows:\\ |
| | Participants indicated for all 12 items (8 overlapping HHIA/E items + 2 HHIA-specific items + 2 HHIE-specific items) to what extent it was applicable to their life: yes (4 points), no (0 points), or sometimes (2 points).\\ |
| | Since the scoring is validated for only 10 items, researchers must decide whether they want to score the HHIA (8 overlapping items + 2 HHIA-specific items) or the HHIE (8 overlapping questions + 2 HHIE-specific items) for a given participant. |
| | Adding up all the points for the resulting set of 10 age-appropriate items gives the following sum scores: |
| | * 0-8 = no self-perceived handicap |
| | * 10 to 24 = mild to moderate handicap |
| | * 26 to 40 = severe handicap |
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| | Note that one basic question about potential hearing problems (1) preceded the HHIA/E-S. Participants without any hearing problems skipped the HHIA/E-S.\\ |
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| ===== Variables ===== | ===== Variables ===== |
| | **Questions English** | **Questions Dutch** | **Code** | **Variable** | **Assessment** | **Age** | | | **Questions English** | **Questions Dutch** | **Code** | **Variable** | **Assessment** | **Age** | |
| | do you have hearing problems? | hebt u hoorproblemen? | hhia_hearingproblems_adu_q_01 | HHIAS1 | [[2B]] | 18+ | | | do you have hearing problems? | hebt u hoorproblemen? | hhia_hearingproblems_adu_q_01 | hhias1 | [[2B]] [[3B]] [[ACTQ]] | 18+ | |
| | are you embarrassed about your hearing problem when you meet new people? | schaamt u zich vanwege uw hoorprobleem als u nieuwe mensen ontmoet? | hhia_shame_adu_q_02_a | HHIAS2A | [[2B]] | 18+ | | | are you embarrassed about your hearing problem when you meet new people? | schaamt u zich vanwege uw hoorprobleem als u nieuwe mensen ontmoet? | hhia_shame_adu_q_02_a | hhias2a | [[2B]] [[3B]] | 18+ | |
| | do you feel frustrated by your hearing problem when talking to relatives? | voelt u zich door uw hoorprobleem gefrustreerd als u met familieleden praat? | hhia_frustration_adu_q_02_b | HHIAS2B | [[2B]] | 18+ | | | do you feel frustrated by your hearing problem when talking to relatives? | voelt u zich door uw hoorprobleem gefrustreerd als u met familieleden praat? | hhia_frustration_adu_q_02_b | hhias2b | [[2B]] [[3B]] | 18+ | |
| | do you find it difficult to understand other people when they whisper? | hebt u er moeite mee om een ander te verstaan als deze persoon fluistert? | hhia_whispers_adu_q_02_c | HHIAS2C | [[2B]] | 18+ | | | do you find it difficult to understand other people when they whisper? | hebt u er moeite mee om een ander te verstaan als deze persoon fluistert? | hhia_whispers_adu_q_02_c \\ **(hhie-specific)** | hhias2c | [[2B]] [[3B]] | 18+ | |
| | does your hearing disorder bother you in the cinema or the theatre? | ondervindt u door uw hoorprobleem hinder als u in de bioscoop of het theater bent? | hhia_theatre_adu_q_02_d | HHIAS2D | [[2B]] | 18+ | | | does your hearing disorder bother you in the cinema or the theatre? | ondervindt u door uw hoorprobleem hinder als u in de bioscoop of het theater bent? | hhia_theatre_adu_q_02_d \\ **(hhia-specific)** | hhias2d | [[2B]] [[3B]] | 18+ | |
| | do you feel limited by your hearing problem? | voelt u zich beperkt door uw hoorprobleem? | hhia_limitations_adu_q_02_e | HHIAS2E | [[2B]] [[ACTQ]] | 18+ | | | do you feel limited by your hearing problem? | voelt u zich beperkt door uw hoorprobleem? | hhia_limitations_adu_q_02_e | hhias2e | [[2B]] [[3B]] [[ACTQ]] | 18+ | |
| | when you visit friends, family or neighbours, does your hearing problem make that difficult? | als u op bezoek bent bij vrienden, familie of buren, maakt uw hoorprobleem dat dan lastig? | hhia_socialvisits_adu_q_02_f | HHIAS2F | [[2B]] | 18+ | | | when you visit friends, family or neighbours, does your hearing problem make that difficult? | als u op bezoek bent bij vrienden, familie of buren, maakt uw hoorprobleem dat dan lastig? | hhia_socialvisits_adu_q_02_f | hhias2f | [[2B]] [[3B]] | 18+ | |
| | do your hearing problems cause you to attend fewer religious meetings than you would like? | gaat u door uw hoorprobleem minder vaak naar religieuze bijeenkomsten dan u zou willen? | hhia_religion_adu_q_02_g | HHIAS2G | [[2B]] | 18+ | | | do your hearing problems cause you to attend fewer religious meetings than you would like? | gaat u door uw hoorprobleem minder vaak naar religieuze bijeenkomsten dan u zou willen? | hhia_religion_adu_q_02_g \\ **(hhie-specific)** | hhias2g | [[2B]] [[3B]] | 18+ | |
| | do you find it difficult to hear/understand colleagues, clients or customers because of your hearing problem? | hebt u door uw hoorprobleem moeite om collega’s, cliënten, of klanten te horen/verstaan? | hhia_workplace_adu_q_02_h | HHIAS2H | [[2B]] | 18+ | | | do you find it difficult to hear/understand colleagues, clients or customers because of your hearing problem? | hebt u door uw hoorprobleem moeite om collega’s, cliënten, of klanten te horen/verstaan? | hhia_workplace_adu_q_02_h \\ **(hhia-specific)** | hhias2h | [[2B]] [[3B]] | 18+ | |
| | does your hearing problem ever cause quarrels or rows with family members? | hebt u door uw hoorprobleem wel eens onenigheid of ruzie met familieleden? | hhia_fights_adu_q_02_i | HHIAS2I | [[2B]] | 18+ | | | does your hearing problem ever cause quarrels or rows with family members? | hebt u door uw hoorprobleem wel eens onenigheid of ruzie met familieleden? | hhia_fights_adu_q_02_i | hhias2i | [[2B]] [[3B]] | 18+ | |
| | does your hearing disorder bother you when listening to the tv or radio? | ondervindt u door uw hoorprobleem hinder bij het luisteren naar de televisie of radio? | hhia_television_adu_q_02_j | HHIAS2J | [[2B]] | 18+ | | | does your hearing disorder bother you when listening to the tv or radio? | ondervindt u door uw hoorprobleem hinder bij het luisteren naar de televisie of radio? | hhia_television_adu_q_02_j | hhias2j | [[2B]] [[3B]] | 18+ | |
| | do you think that your hearing problem limits your personal or social life? | vindt u dat uw hoorprobleem uw persoonlijke of sociale leven beperkt? | hhia_sociallife_adu_q_02_k | HHIAS2K | [[2B]] [[ACTQ]] | 18+ | | | do you think that your hearing problem limits your personal or social life? | vindt u dat uw hoorprobleem uw persoonlijke of sociale leven beperkt? | hhia_sociallife_adu_q_02_k | hhias2k | [[2B]] [[3B]] [[ACTQ]] | 18+ | |
| | does your hearing disorder bother you when you are in a restaurant with family or friends? | ondervindt u hinder door uw hoorprobleem als u met familie of vrienden in een restaurant bent? | hhia_restaurant_adu_q_02_l | HHIAS2L | [[2B]] | 18+ | | | does your hearing disorder bother you when you are in a restaurant with family or friends? | ondervindt u hinder door uw hoorprobleem als u met familie of vrienden in een restaurant bent? | hhia_restaurant_adu_q_02_l | hhias2l | [[2B]] [[3B]] | 18+ | |
