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×
Article Information
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: Received November 30, 2010 , Accepted May 6, 2011
American Journal of Audiology, December 2011, Vol. 20, 100-110. doi:10.1044/1059-0889(2011/10-0048)
History: Received November 30, 2010; Accepted May 6, 2011
Web of Science® Times Cited: 1

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.

Acknowledgments
The original clinical study was supported by National Institutes of Health Grant R01DC01091. We gratefully acknowledge the following collaborators and the centers with which they were affiliated for their contributions to the clinical database on which the present study is based: Robert D. Madory, San Francisco Hearing and Speech Center; Joseph J. Montano, Manhattan Eye and Ear Hospital; the late Margaret W. Skinner, Washington University, St. Louis; and P. Lee Wilson, Callier Center for Communication Disorders, University of Texas at Dallas.
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