J Am Acad Audiol 2020; 31(09): 656-665
DOI: 10.1055/s-0040-1718702
Research Article

Clinical Application and Psychometric Properties of a Swedish Translation of the Abbreviated Profile of Hearing Aid Benefit

K. Jonas Brännström
1   Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences – Lund, Lund University, Lund, Sweden
,
Ketty Andersson
1   Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences – Lund, Lund University, Lund, Sweden
,
Olof Sandgren
1   Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences – Lund, Lund University, Lund, Sweden
,
Susanna Whitling
1   Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences – Lund, Lund University, Lund, Sweden
› Author Affiliations

Abstract

Background The impact of hearing loss on the individual and his/her everyday life can be assessed using questionnaires with the purpose to improve rehabilitation quality. The Abbreviated Profile of Hearing Aid Benefit (APHAB) can be used to evaluate disability in everyday life associated with hearing loss. Previous studies have examined APHAB outcomes in sensorineural hearing loss and we do not know whether the type of hearing loss influence questionnaire outcomes.

Purpose The purpose was to evaluate the psychometric properties of a Swedish translation of the APHAB and the influence of demographic variables on the outcome in a clinical sample.

Research Design A descriptive, cross-sectional study in a clinical sample.

Study Sample Forty-eight participants with no hearing aid experience seeking audiological rehabilitation for the first time. These participants represented different degrees of hearing loss and three types of hearing loss: monaural mixed, binaural mixed, and binaural sensorineural hearing loss.

Data Collection and Analysis Pure-tone audiometry was conducted and the participants completed the unaided APHAB during their first appointment at the clinic. Psychometric properties of the questionnaire were examined and the influence of age, gender, type of hearing loss, and degree of hearing loss on APHAB scores were studied.

Results The psychometric properties indicate high test-retest reliability but there seems to be some potential issues with the properties of the reverberation (RV) subscale. The items from the RV subscale failed to load as a separate component and the internal consistency of the subscale improved by removing four items (items 1, 9, 11, and 16). With few exceptions, APHAB scores were not influenced by age, gender, or type of hearing loss. APHAB scores were generally influenced by degree of hearing loss in both the best and the worst ear.

Conclusion This Swedish version of the APHAB can be additionally improved by addressing the inconsistencies found in the RV subscale by rephrasing or removing some items. The degree of hearing loss has some influence on questionnaire outcomes but not age, gender, and type of hearing loss.

Authors' Contributions

The authors alone are responsible for the content and writing of the article. The authors confirm this manuscript is an original contribution, not previously published and not under consideration for publication elsewhere.


Notification of Ethical Adherence

The study received approval from the regional ethics committee. The study adhered to the Declaration of Helsinki ethical principles.




Publication History

Received: 06 December 2019

Accepted: 03 February 2020

Article published online:
09 December 2020

© 2020. American Academy of Audiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Arlinger S. Negative consequences of uncorrected hearing loss--a review. Int J Audiol 2003; 42 (Suppl. 02) S17-S20
  • 2 Stark P, Hickson L. Outcomes of hearing aid fitting for older people with hearing impairment and their significant others. Int J Audiol 2004; 43: 390-398
  • 3 Öberg M, Lunner T, Andersson G. Psychometric evaluation of hearing specific self-report measures and their associations with psychosocial and demographic variables. Audiol Med 2007; 5: 188-199
  • 4 Cox RM, Alexander GC. The abbreviated profile of hearing aid benefit. Ear Hear 1995; 16: 176-186
  • 5 Beck LB. The role of outcomes data in health-care resource allocation. Ear Hear 2000; 21: 89S-96S
  • 6 Knudsen LV, Oberg M, Nielsen C, Naylor G, Kramer SE. Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature. Trends Amplif 2010; 14: 127-154
  • 7 Hickson L, Clutterbuck S, Khan A. Factors associated with hearing aid fitting outcomes on the IOI-HA. Int J Audiol 2010; 49: 586-595
  • 8 WHO. International Classification of Functioning Disability and Health: ICF. Geneva: World Health Organization; 2001
  • 9 Cox RM, Alexander GC, Gray GA. Audiometric correlates of the unaided APHAB. J Am Acad Audiol 2003; 14: 361-371
  • 10 Löhler J, Wollenberg B, Schlattmann P, Hoang N, Schonweiler R. Associations between the probabilities of frequency-specific hearing loss and unaided APHAB scores. Eur Arch Otorhinolaryngol 2017; 274: 1345-1349
  • 11 Heggdal POL, Nordvik O, Brännström J, Vassbotn F, Aarstad AK, Aarstad HJ. Clinical application and psychometric properties of a Norwegian questionnaire for the self-assessment of communication in quiet and adverse conditions using two revised APHAB subscales. J Am Acad Audiol 2018; 29: 25-34
  • 12 Arlinger S, Billermark E, Öberg M, Lunner T, Hellgren J. Clinical trial on a hearing aid. Scand Audiol 1998; b 27: 51-61
  • 13 Berninger E, Karlsson KK. Clinical study of Widex Senso on first-time hearing aid users. Scand Audiol 1999; 28: 117-125
  • 14 IEC 60318–3, IEC 60318–3. Electroacoustics - Simulators of human head and ear - Part 3: acoustic coupler for the calibration of supra-aural earphones used in audiometry. Geneva: International Electrotechnical Commission; 1998
  • 15 ISO 389–3. ISO 389–3, Acoustics: reference zero for the calibration of audiometric equipment. Part 3: reference equivalent threshold force levels for pure tones and bone vibrators. Geneva: International Organization for Standardization; 1994
  • 16 ISO 389–1, ISO 389–1. Acoustics: reference zero for the calibration of audiometric equipment. Part 1: reference equivalent threshold sound pressure levels for pure tones and supra-aural earphones. Geneva: International Organization for Standardization; 1998
  • 17 ISO 8253–1, ISO 8253–1. Acoustics: audiometric test methods part 1: basic pure tone air and bone conduction threshold audiometry. Geneva: International Organization for Standardization; 1998
  • 18 Kline P. A Psychometrics Primer. London: Free Association Books; 2000
  • 19 Wood ND, Akloubou Gnonhosou DC, Bowling J. Combining parallel and exploratory factor analysis in identifying relationship scales in secondary data. Marriage Fam Rev 2015; 51: 385-395
  • 20 Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15: 155-163