Hearing-related adaptive strategies : Development and initial validation of the AStra scale.

IF 1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-08-27 DOI:10.1007/s00391-025-02482-w

Rosa-Linde Fischer, Bettina Williger, Lisa Incerti, Stefan T Kamin

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引用次数: 0

Abstract

Background: Hearing loss (HL) is a chronic disease with high prevalence in older adults and with negative impact on quality of life. The primary intervention is hearing aids (HAs); however, HA acceptance and usage stay low and the psychological mechanisms of HL adaptation remain poorly understood. To address this knowledge gap, we developed a psychometric instrument to assess hearing-related adaptive strategies (AStra).

Material and methods: The study was administered via self-report in three different samples (online, paper-pencil, app-based). In total, 169 individuals with subjective HL (mean age 62.51 years; 49.11% female; 57.40% HA users) participated. We included coping measures, subjective HL and HA satisfaction to assess AStra's construct validity, and HA use for criterion-related validity.

Results: The AStra demonstrated robust psychometric properties, yielding a three-factor solution with strong internal consistency. AStra showed good construct validity with coping measures and was associated with HA use independently of traditional factors such as age and education.

Discussion: The results highlight AStra's utility in understanding hearing-related adaptive strategies and emphasize the proactive role of older adults when dealing with HL. Further research is needed on when, how, and why adaptive strategies are used.

Practical recommendations: Adaptive strategy use may be translated into behavioral interventions for people with HL.

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听力相关适应策略：AStra量表的开发和初步验证。

背景：听力损失（HL）是一种在老年人中高发的慢性疾病，对生活质量有负面影响。主要干预措施是助听器（HAs）；然而，对羟基磷灰石的接受和使用仍然很低，对羟基磷灰石适应的心理机制仍然知之甚少。为了解决这一知识差距，我们开发了一种心理测量工具来评估听力相关的适应策略（AStra）。材料和方法：本研究采用三种不同样本（在线、纸笔、应用程序）的自我报告方式进行。共有169名主观HL患者（平均年龄62.51岁，女性49.11%，HA使用者57.40%）参与研究。我们包括应对措施、主观HL和HA满意度来评估AStra的结构效度，以及HA使用来评估标准相关效度。结果：AStra显示出强大的心理测量特性，产生具有强内部一致性的三因素解决方案。AStra与应对措施具有良好的结构效度，与HA使用相关，独立于年龄和教育等传统因素。讨论：研究结果强调了AStra在理解听力相关适应策略方面的效用，并强调了老年人在处理HL时的积极作用。何时、如何以及为什么使用适应性策略需要进一步的研究。实用建议：适应性策略的使用可以转化为HL患者的行为干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift Fur Gerontologie Und Geriatrie 医学-老年医学

CiteScore

2.00

自引率

16.70%

发文量

126

审稿时长

6-12 weeks

期刊介绍： The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.