中文版聆听自我效能感问卷信度和效度评价  

Evaluation of the reliability and validity of the Chinese listening self-efficacy questionnaire

作　　者：姜汶伶 朱珺妍 周嵌 金宇琪 任燕 李海峰 黄治物[1,2,3] JIANG Wenling;ZHU Junyan;ZHOU Qian;JIN Yuqi;REN Yan;LI Haifeng;HUANG Zhiwu(Department of Otolaryngology-Head and Neck Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Faculty of Hearing and Speech Science,College of Health Science and Technology,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Ear Institute,Shanghai Jiao Tong University School of Medicine,Shanghai 200125,China)

机构地区：[1]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,上海200011 [2]上海交通大学医学院医学技术学院听觉言语科学系,上海200025 [3]上海交通大学医学院耳科学研究所,上海200125

出　　处：《听力学及言语疾病杂志》2025年第2期134-139,共6页Journal of Audiology and Speech Pathology

基　　金：上海市科委医学创新研究专项项目(22Y11902000);上海交通大学医工交叉研究基金(YG2021ZD14)。

摘　　要：目的研译中文版聆听自我效能感问卷(Chinese listening self-efficacy questionnaire,C-LSEQ),并探讨其信度和效度,为听力损失者提供一种简便、可行、有效的评估方法。方法通过直接访谈法,对172例年龄≥60岁的老年性聋患者进行C-LSEQ问卷调查,并进行纯音听阈测试、普通话噪声下言语测试和老年听力障碍筛查量表简化版调查。初评两周后,从中随机抽取20例,再次填写C-LSEQ问卷。结果①信度检验:内部一致性检验中3个子维度和总表的Cronbachα系数均大于0.8,3个子维度及总表的重测信度系数均大于0.9(P<0.001)。②效度检验:内容效度上由相关专家共同评议语句的代表性,评价结果较好。聚合效度检验显示2个子维度和总表的组合信度(composite reliability,CR)均>0.7,平均方差萃取(average variance extracted,AVE)均>0.5。复杂聆听维度的CR值为0.655,AVE值为0.937。校标效度检验显示,C-LSEQ的总表及三个子维度与平均听阈、噪声下言语识别阈和老年听力障碍筛查量表简化版得分均存在显著相关性(P<0.001)。结论C-LSEQ问卷结构稳定,信度和效度良好,可用于评估听力损失者、尤其是老年性聋患者的聆听自我效能感。Objective To develop and translate the Chinese listening self-efficacy questionnaire(C-LSEQ)and to test its reliability and validity.Methods A total of 172 subjects aged≥60 years with age-related hearing loss completed the C-LSEQ questionnaire via direct interviews.Pure tone hearing threshold test,Mandarin hearing in noise test,and the hearing handicap inventory for elderly-screening(HHIE-S)were evaluated.Twenty subjects were randomly selected from the original group to complete the C-LSEQ questionnaire in 2 weeks after the initial evaluation.Results①Reliability:The Cronbach's α coefficients of the three sub-dimensions and the overall questionnaire were all>0.8,and the test-retest reliability coefficients of the three sub-dimensions and the overall questionnaire were all>0.9(P<0.001).②Validity:The experts collectively evaluated the representativeness of the statements with good content validity.The convergent validity test showed that the composite reliability(CR)of the 2 sub-dimensions and the overall questionnaire were all>0.7,and the average variance extracted(AVE)were all>0.5.The CR value of the complex listening dimension was 0.655,and the AVE value was 0.937.The criterion validity test showed that the overall questionnaire and the three sub-dimensions of the C-LSEQ were significantly correlated with the pure-tone average,speech recognition thresholds in noise,and HHIE-S(P<0.001).Conclusion The C-LSEQ exhibits stable structure,with good reliability and validity.It can be used to assess listening self-efficacy in adults with hearing loss,especially in the elderly with age-related hearing loss.

关 键 词：聆听自我效能感 问卷调查 老年性聋 信度 效度 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]