- 學位論文
「語音、空間、聽覺品質量表」中文化之信效度研究
Verification of Validity and Reliability of the Speech, Spatial, and Qualities of Hearing Scale Taiwan Version
摘要
語音、空間、聽覺品質量表(The Speech, Spatial and Qualities of Hearing Scale, SSQ)是國際聽力學相關領域廣泛使用的量表，用來評估聽者不同面向的聽覺能力。本研究將49題的SSQ英語原版與12題的簡短版進行中文化的翻譯和改編，成為適用於台灣成人的SSQ-TW和SSQ12-TW繁體中文版本，並完成信度、效度分析。 本研究以網路方式召募18-50歲成人，應答者分為聽常、聽損兩組各103位，總計回收206份資料。信效度檢定包含內部一致性、再測信度、內容效度、建構效度、效標關聯效度與區辨力，最後計算最佳切截點來區分上述兩組受試者的應答結果。 本研究結果顯示，臺灣版SSQ-TW以及短版SSQ12-TW兩款量表具有良好的信效度與區辨力。內部一致性係數分別為0.99與0.96；再測信度r=0.83-0.88(p<0.001)以及r=0.71-0.84(p<0.001)，此與不同語言版本的結果相仿。內容效度邀請5位專家評定，前後兩次的內容效度評估指標皆大於0.8；建構效度分析兩個量表的負荷量皆大於0.5，顯示萃取出的共同因素可以有效反應指標變項；效標關聯效度方面，本研究將SSQ-TW、SSQ12-TW以及HHIA進行交叉分析，所有分量表皆有中度至高度相關性；區辨力方面，SSQ-TW與SSQ12-TW在聽常者與聽損者間的平均得分具有顯著差異並具有大的效果量；切截分數於SSQ-TW曲線分析結果之最佳切截點為7.9分、SSQ12-TW則為7.8分，可做為未來篩檢成人聽力損失的參考切截點。 本研究進行SSQ量表的中文化，產出兩份適用於台灣成人的中文量表SSQ-TW與SSQ12-TW，結果顯示具有良好的信效度，未來可用於成人聽能篩檢、聽覺能力評估、聽覺輔具配戴前後的效益評估、以及擬定聽覺復健計劃的參考工具。
並列摘要
The Speech, Spatial and Qualities of Hearing Scale (SSQ) is a scale widely used in the international field of audiology to assess the listening abilities of listeners in different domains. In this study, the original English version of the 49-item SSQ and the short version of the 12-item SSQ were translated and adapted into Mandarin Chinese versions of the SSQ-TW and SSQ12-TW for Taiwanese adults, and reliability and validity analyses were completed. This study recruited adults aged 18 to 50 through the Internet. Respondents were divided into normal-hearing group and hearing-impaired group, with 103 people in each group. A total of 206 data was collected. Reliability and validity tests included internal consistency, retest reliability, content validity, construct validity, the validity of correlations, and discriminative power. Finally, the best cut-off point was calculated to differentiate the response results of the two groups. The results showed that the Taiwan version of the SSQ-TW and the short version of the SSQ12-TW had good reliability and discriminative power. SSQ-TW and SSQ12-TW presented high internal consistency (Cronbach’s α =0.99 and 0.96) and test-retest reliability [r=0.83-0.88 (p<0.001) and r=0.71-0.84 (p<0.001)] which were similar to the results of different language versions. Content validity was assessed twice by five experts, and content validity values were greater than 0.8 for both assessments. Construct validity was analyzed and factor loadings were greater than 0.5 for both scales, indicating that the extracted common factors were effective in responding to the indicator variables. To assess the criterion-related validity, the SSQ-TW and the SSQ12-TW were compared with Hearing Handicap Inventory for Adults (HHIA), and results showed moderate to high correlations. For discriminant power, the mean scores of SSQ-TW and SSQ12-TW were significantly different and the effect size was large between normal-hearing group and hearing-impaired group. The best cut-off score was 7.9 for the SSQ-TW and 7.8 for the SSQ12-TW based on the ROC curve analysis, and can be used as a reference cut-off point for screening adults with hearing loss in the future. The results showed that the SSQ-TW and SSQ12-TW have good reliability and validity, and can be used as reference tools for adult hearing screening, assessment of hearing ability, evaluation of hearing aid benefit, and development of an auditory rehabilitation program.