Construct validity, internal consistency and test-retest reliability of the Swedish version of the Hearing and Functioning in Everyday Life Questionnaire (HFEQ).

IF 2 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Audiology Pub Date : 2026-06-01 Epub Date: 2025-11-06 DOI:10.1080/14992027.2025.2577711
Elin Karlsson, Meenakshi Ramesh, Örjan Dahlström
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引用次数: 0

Abstract

Objective: The overall aim of this study was to evaluate the construct validity, internal consistency and test-retest reliability of the Swedish version of the Hearing and Functioning in Everyday Life Questionnaire (HFEQ-SWE). The aim was to investigate how adults with hearing loss experience their everyday functioning from the perspective of hearing, using the HFEQ-SWE.

Design and study sample: A quantitative cross-sectional survey study with 628 adults, aged 30-96 years (mean 74.4, SD = 10.3) recruited from audiological clinics in three counties of Sweden. The factor structure of the HFEQ was examined by confirmatory factor analysis via comparisons with the 6 subscales of the HFEQ: health, hearing, communication, participation in society, individual resources and societal support. HFEQ ratings were compared for the following variables: sex, level of education, employment and hearing aid usage.

Results: With some modifications of the original HFEQ structure, a CFA showed sufficient model fit and confirmed the HFEQ construct. The internal consistency for the total score was satisfactory, and the correlations between repeated measurements showed stability over time for the total score. There were variations at item level and subscale levels. We identified broad variations in HFEQ ratings and found that the experience of everyday functioning is associated with factors such as age, gender, level of education, employment, and hearing aid usage. Significant correlations were found between self-reported hearing loss and 79% of the HFEQ items.

Conclusion: The overall study results strengthen the validity and reliability of the HFEQ and indicate satisfactory construct validity, internal consistency and test-retest reliability for the total score. Some items need further attention. Differences in the HFEQ rating were found at the item level for the variables of age, gender, education, employment, and hearing aid use, suggesting that these factors affect everyday functioning in addition to hearing loss.

瑞典版听力与日常生活功能问卷(HFEQ)的结构效度、内部一致性和重测信度。
目的:本研究的总体目的是评估瑞典版听力与日常生活功能问卷(HFEQ-SWE)的结构效度、内部一致性和重测信度。目的是利用HFEQ-SWE从听力的角度调查听力损失的成年人如何体验他们的日常功能。设计和研究样本:一项定量横断面调查研究,从瑞典三个县的听力学诊所招募了628名年龄在30-96岁之间(平均74.4岁,SD = 10.3)的成年人。通过与健康、听力、沟通、社会参与、个人资源和社会支持6个分量表的比较,采用验证性因子分析对HFEQ的因子结构进行检验。HFEQ评分比较了以下变量:性别、教育水平、就业和助听器使用情况。结果:在对原HFEQ结构进行一些修改后,CFA显示了足够的模型拟合,证实了HFEQ的结构。总分的内部一致性是令人满意的,重复测量之间的相关性随着时间的推移显示总分的稳定性。在项目水平和子量表水平上存在差异。我们确定了HFEQ评分的广泛差异,并发现日常功能体验与年龄、性别、教育水平、就业和助听器使用等因素有关。自我报告的听力损失与79%的HFEQ项目之间存在显著相关性。结论:总体研究结果增强了HFEQ的效度和信度,总体得分的结构效度、内部一致性和重测信度令人满意。有些项目需要进一步注意。在项目水平上发现了年龄、性别、教育、就业和助听器使用等变量的HFEQ评分差异,这表明这些因素除了影响听力损失外,还影响日常功能。
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
International Journal of Audiology
International Journal of Audiology 医学-耳鼻喉科学
CiteScore
4.90
自引率
14.80%
发文量
133
审稿时长
4-8 weeks
期刊介绍: International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.
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