Musicians' Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals
Purpose: We aimed to develop and validate the Musicians' Hearing Handicap Index (MHHI), a new self-evaluation tool for quantifying occupation-related auditory difficulties in music professionals. Although pure-tone audiometry is often considered the "gold standard" and is usually empl...
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| Veröffentlicht in: | Journal of speech, language, and hearing research language, and hearing research, 2020-12, Vol.63 (12), p.4219-4237 |
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| container_title | Journal of speech, language, and hearing research |
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| creator | Vardonikolaki, Aikaterini Pavlopoulos, Vassilis Pastiadis, Konstantinos Markatos, Nikolaos Papathanasiou, Ilias Papadelis, Georgios Logiadis, Miltos Bibas, Athanasios |
| description | Purpose: We aimed to develop and validate the Musicians' Hearing Handicap Index (MHHI), a new self-evaluation tool for quantifying occupation-related auditory difficulties in music professionals. Although pure-tone audiometry is often considered the "gold standard" and is usually employed as the main instrument for hearing assessment, it cannot fully describe the impact of hearing dysfunction. The MHHI is an attempt to complement the hearing impairment assessment toolbox and is based on a unique approach to quantify the effects of hearing-related symptoms or hearing loss on the performance of musicians and other music industry professionals. Method: An initial set of 143 questionnaire items was successively refined through a series of critical appraisals, modifications, and suggestions. This yielded an intermediate questionnaire consisting of 43 items, which was administered to 204 musicians and sound engineers. After exploratory factor analysis, the final form of the MHHI questionnaire was obtained, consisting of 29 items. The questionnaire's test-retest reliability, internal consistency, discriminating power, content validity, criterion validity, and aspects of construct validity and inherent conceptual structure were assessed. Results: Exploratory factor analysis revealed a combination of four common factors for the 29 validated questionnaire items. They were named "impact on social and working lives," "difficulties in performance and sound perception," "communication difficulties," and "emotional distress." The MHHI was shown to be a valid and reliable instrument to assess musicians' and sound engineers' occupational difficulties due to hearing impairment and related symptoms. Conclusion: The ability of the MHHI to discriminate between groups of music professionals with different auditory symptoms or pure-tone audiometry thresholds suggests that auditory symptoms might influence a professional's performance to an extent that cannot be assessed by a pure-tone audiogram. |
| doi_str_mv | 10.1044/2020_JSLHR-19-00165 |
| format | Article |
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Although pure-tone audiometry is often considered the "gold standard" and is usually employed as the main instrument for hearing assessment, it cannot fully describe the impact of hearing dysfunction. The MHHI is an attempt to complement the hearing impairment assessment toolbox and is based on a unique approach to quantify the effects of hearing-related symptoms or hearing loss on the performance of musicians and other music industry professionals. Method: An initial set of 143 questionnaire items was successively refined through a series of critical appraisals, modifications, and suggestions. This yielded an intermediate questionnaire consisting of 43 items, which was administered to 204 musicians and sound engineers. After exploratory factor analysis, the final form of the MHHI questionnaire was obtained, consisting of 29 items. The questionnaire's test-retest reliability, internal consistency, discriminating power, content validity, criterion validity, and aspects of construct validity and inherent conceptual structure were assessed. Results: Exploratory factor analysis revealed a combination of four common factors for the 29 validated questionnaire items. They were named "impact on social and working lives," "difficulties in performance and sound perception," "communication difficulties," and "emotional distress." The MHHI was shown to be a valid and reliable instrument to assess musicians' and sound engineers' occupational difficulties due to hearing impairment and related symptoms. Conclusion: The ability of the MHHI to discriminate between groups of music professionals with different auditory symptoms or pure-tone audiometry thresholds suggests that auditory symptoms might influence a professional's performance to an extent that cannot be assessed by a pure-tone audiogram.</description><identifier>ISSN: 1092-4388</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/2020_JSLHR-19-00165</identifier><identifier>PMID: 33253626</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Audiology ; Audiometry ; Auditory Perception ; Auditory thresholds ; Barriers ; Clinical Diagnosis ; Communication disorders ; Communication Problems ; Communication Skills ; Construct Validity ; Content Validity ; Cultural Influences ; Emotional Response ; Engineers ; Environmental Influences ; Factor Analysis ; Health aspects ; Hearing disorders ; Hearing Impairments ; Hearing loss ; Item Analysis ; Job Skills ; Music ; Music industry ; Musical performances ; Musicians ; Musicians & conductors ; Perceptions ; Predictive Validity ; Professional Personnel ; Professionals ; Psychological Patterns ; Questionnaires ; Scientific Research ; Self evaluation ; Self Evaluation (Individuals) ; Singers ; Social aspects ; Statistical analysis ; Test Construction ; Test Reliability ; Test Validity ; Test validity and reliability ; Tinnitus ; Validity ; Voice Disorders</subject><ispartof>Journal of speech, language, and hearing research, 2020-12, Vol.63 (12), p.4219-4237</ispartof><rights>COPYRIGHT 2020 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Dec 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-4daf3119bfca9a17846534b12ca7ff7796e4c2a151009b11909e4dc615e951aa3</citedby><cites>FETCH-LOGICAL-c524t-4daf3119bfca9a17846534b12ca7ff7796e4c2a151009b11909e4dc615e951aa3</cites><orcidid>0000-0003-3359-8865</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1281433$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33253626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vardonikolaki, Aikaterini</creatorcontrib><creatorcontrib>Pavlopoulos, Vassilis</creatorcontrib><creatorcontrib>Pastiadis, Konstantinos</creatorcontrib><creatorcontrib>Markatos, Nikolaos</creatorcontrib><creatorcontrib>Papathanasiou, Ilias</creatorcontrib><creatorcontrib>Papadelis, Georgios</creatorcontrib><creatorcontrib>Logiadis, Miltos</creatorcontrib><creatorcontrib>Bibas, Athanasios</creatorcontrib><title>Musicians' Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: We aimed to develop and validate the Musicians' Hearing Handicap Index (MHHI), a new self-evaluation tool for quantifying occupation-related auditory difficulties in music professionals. Although pure-tone audiometry is often considered the "gold standard" and is usually employed as the main instrument for hearing assessment, it cannot fully describe the impact of hearing dysfunction. The MHHI is an attempt to complement the hearing impairment assessment toolbox and is based on a unique approach to quantify the effects of hearing-related symptoms or hearing loss on the performance of musicians and other music industry professionals. Method: An initial set of 143 questionnaire items was successively refined through a series of critical appraisals, modifications, and suggestions. This yielded an intermediate questionnaire consisting of 43 items, which was administered to 204 musicians and sound engineers. After exploratory factor analysis, the final form of the MHHI questionnaire was obtained, consisting of 29 items. The questionnaire's test-retest reliability, internal consistency, discriminating power, content validity, criterion validity, and aspects of construct validity and inherent conceptual structure were assessed. Results: Exploratory factor analysis revealed a combination of four common factors for the 29 validated questionnaire items. They were named "impact on social and working lives," "difficulties in performance and sound perception," "communication difficulties," and "emotional distress." The MHHI was shown to be a valid and reliable instrument to assess musicians' and sound engineers' occupational difficulties due to hearing impairment and related symptoms. Conclusion: The ability of the MHHI to discriminate between groups of music professionals with different auditory symptoms or pure-tone audiometry thresholds suggests that auditory symptoms might influence a professional's performance to an extent that cannot be assessed by a pure-tone audiogram.</description><subject>Audiology</subject><subject>Audiometry</subject><subject>Auditory Perception</subject><subject>Auditory thresholds</subject><subject>Barriers</subject><subject>Clinical Diagnosis</subject><subject>Communication disorders</subject><subject>Communication Problems</subject><subject>Communication Skills</subject><subject>Construct Validity</subject><subject>Content Validity</subject><subject>Cultural Influences</subject><subject>Emotional Response</subject><subject>Engineers</subject><subject>Environmental Influences</subject><subject>Factor Analysis</subject><subject>Health aspects</subject><subject>Hearing disorders</subject><subject>Hearing 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Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals</title><author>Vardonikolaki, Aikaterini ; Pavlopoulos, Vassilis ; Pastiadis, Konstantinos ; Markatos, Nikolaos ; Papathanasiou, Ilias ; Papadelis, Georgios ; Logiadis, Miltos ; Bibas, Athanasios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-4daf3119bfca9a17846534b12ca7ff7796e4c2a151009b11909e4dc615e951aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Audiology</topic><topic>Audiometry</topic><topic>Auditory Perception</topic><topic>Auditory thresholds</topic><topic>Barriers</topic><topic>Clinical Diagnosis</topic><topic>Communication disorders</topic><topic>Communication Problems</topic><topic>Communication Skills</topic><topic>Construct Validity</topic><topic>Content Validity</topic><topic>Cultural 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speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vardonikolaki, Aikaterini</au><au>Pavlopoulos, Vassilis</au><au>Pastiadis, Konstantinos</au><au>Markatos, Nikolaos</au><au>Papathanasiou, Ilias</au><au>Papadelis, Georgios</au><au>Logiadis, Miltos</au><au>Bibas, Athanasios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1281433</ericid><atitle>Musicians' Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>63</volume><issue>12</issue><spage>4219</spage><epage>4237</epage><pages>4219-4237</pages><issn>1092-4388</issn><eissn>1558-9102</eissn><abstract>Purpose: We aimed to develop and validate the Musicians' Hearing Handicap Index (MHHI), a new self-evaluation tool for quantifying occupation-related auditory difficulties in music professionals. Although pure-tone audiometry is often considered the "gold standard" and is usually employed as the main instrument for hearing assessment, it cannot fully describe the impact of hearing dysfunction. The MHHI is an attempt to complement the hearing impairment assessment toolbox and is based on a unique approach to quantify the effects of hearing-related symptoms or hearing loss on the performance of musicians and other music industry professionals. Method: An initial set of 143 questionnaire items was successively refined through a series of critical appraisals, modifications, and suggestions. This yielded an intermediate questionnaire consisting of 43 items, which was administered to 204 musicians and sound engineers. After exploratory factor analysis, the final form of the MHHI questionnaire was obtained, consisting of 29 items. The questionnaire's test-retest reliability, internal consistency, discriminating power, content validity, criterion validity, and aspects of construct validity and inherent conceptual structure were assessed. Results: Exploratory factor analysis revealed a combination of four common factors for the 29 validated questionnaire items. They were named "impact on social and working lives," "difficulties in performance and sound perception," "communication difficulties," and "emotional distress." The MHHI was shown to be a valid and reliable instrument to assess musicians' and sound engineers' occupational difficulties due to hearing impairment and related symptoms. Conclusion: The ability of the MHHI to discriminate between groups of music professionals with different auditory symptoms or pure-tone audiometry thresholds suggests that auditory symptoms might influence a professional's performance to an extent that cannot be assessed by a pure-tone audiogram.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>33253626</pmid><doi>10.1044/2020_JSLHR-19-00165</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0003-3359-8865</orcidid></addata></record> |
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| ispartof | Journal of speech, language, and hearing research, 2020-12, Vol.63 (12), p.4219-4237 |
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| source | Education Source; Alma/SFX Local Collection |
| subjects | Audiology Audiometry Auditory Perception Auditory thresholds Barriers Clinical Diagnosis Communication disorders Communication Problems Communication Skills Construct Validity Content Validity Cultural Influences Emotional Response Engineers Environmental Influences Factor Analysis Health aspects Hearing disorders Hearing Impairments Hearing loss Item Analysis Job Skills Music Music industry Musical performances Musicians Musicians & conductors Perceptions Predictive Validity Professional Personnel Professionals Psychological Patterns Questionnaires Scientific Research Self evaluation Self Evaluation (Individuals) Singers Social aspects Statistical analysis Test Construction Test Reliability Test Validity Test validity and reliability Tinnitus Validity Voice Disorders |
| title | Musicians' Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals |
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