Research Article  |   December 2011
Development of the Screening Test for Hearing Problems
Author Affiliations & Notes
  • Marilyn E. Demorest
    University of Maryland, Baltimore County, Baltimore
  • David J. Wark
    University of Memphis, Memphis, TN
  • Sue Ann Erdman
    ARCCS, Jensen Beach, FL
  • Correspondence to Marilyn E. Demorest: demorest@umbc.edu
  • Editor: Sheila Pratt
    Editor: Sheila Pratt×
  • Associate Editor: Gabrielle Saunders
    Associate Editor: Gabrielle Saunders×
Hearing Disorders / Special Populations / Early Identification & Intervention / Research Article
Research Article   |   December 2011
Development of the Screening Test for Hearing Problems
American Journal of Audiology December 2011, Vol.20, 100-110. doi:10.1044/1059-0889(2011/10-0048)
History: Accepted 06 May 2011 , Received 30 Nov 2010
American Journal of Audiology December 2011, Vol.20, 100-110. doi:10.1044/1059-0889(2011/10-0048)
History: Accepted 06 May 2011 , Received 30 Nov 2010

Purpose: The goal of this study was to develop a brief self-assessment instrument to screen for communication problems and psychosocial adjustment to hearing impairment as part of a rehabilitative needs assessment.

Method: A pseudorandom sample of 1,000 cases was drawn from a large, heterogeneous clinical database containing audiometric data and responses to the Communication Profile for the Hearing Impaired (CPHI; Erdman & Demorest, 1998a). Item response theory was used to derive item-characteristic curves, and item selection was based primarily on item discrimination. Internal consistency, factor structure, sensitivity, and specificity of 2 scales, Communication and Adjustment, were evaluated in a holdout sample of 319 cases from the same database.

Results: A 9-item Communication scale and an 11-item Adjustment scale both showed satisfactory internal consistency, and the 20-item test presented a clear 2-factor structure. Sensitivity and specificity functions and positive and negative predictive values indicated that the 2 scales could be used to identify the bottom 2 quartiles of the clinical population, as defined by factor scores on the CPHI.

Conclusion: The 2 scales of the Screening Test for Hearing Problems can be used to screen for communication and adjustment problems that warrant a comprehensive rehabilitative assessment.

Order a Subscription
Pay Per View
Entire American Journal of Audiology content & archive
24-hour access
This Article
24-hour access

Related Articles

Evaluating Families' Satisfaction With Early Hearing Detection and Intervention Services in Massachusetts
American Journal of Audiology June 2007, Vol.16, 29-56. doi:10.1044/1059-0889(2007/004)
Adult Hearing Screening: Health Policy Issues—What Happens Next?
American Journal of Audiology June 2013, Vol.22, 167-170. doi:10.1044/1059-0889(2013/12-0062)
Coordinator’s Column
SIG 14 Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse (CLD) Populations October 2011, Vol.18, 55-56. doi:10.1044/cds18.3.55
Improving the Quality and Applicability of the Dutch Scales of the Communication Profile for the Hearing Impaired Using Item Response Theory
Journal of Speech, Language, and Hearing Research June 2010, Vol.53, 556-571. doi:10.1044/1092-4388(2010/09-0035)
Quantitative and Qualitative Follow-Up Outcomes From a Preschool Audiologic Screening Program: Perspectives Over a Decade
American Journal of Audiology June 2007, Vol.16, 4-12. doi:10.1044/1059-0889(2007/002)