Validation of a Quality-of-Life Measure for Deaf or Hard of Hearing Youth
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2011/07/01
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Personal Author:Edwards TC ; Kushalnagar P ; Leng M ; O'Neill-Kemp AM ; Patrick DL ; Schick B ; Sie K ; Skalicky AM ; Topolski TD
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Description:Objective. Quality-of-life (QOL) measures targeting youth with hearing loss are useful in population needs assessment, educational placement, and program design and evaluation. This study assesses the cross-sectional validity of the Youth Quality of Life Instrument-Deaf and Hard of Hearing Module (YQOL-DHH). Study Design. Instrument development and cross-sectional survey. Setting. Recruitment through schools, professional organizations, clinics, and programs for youth who are deaf or hard of hearing. Subjects and Methods. Thirty-five candidate items were administered to 230 adolescents aged 11 to 18 years: 49% female, 61% white, 11% mild hearing loss, 20% moderate/moderate-severe, 41% severe/profound, and 28% with cochlear implants. Participants completed individual or group-administered questionnaires by paper and pencil (58%), Web-based English (29%), American Sign Language (ASL) or Pidgin Signed English (PSE) (9%) on DVD, or interviewer-supervised ASL or PSE DVD (4%). The Children's Depression Inventory (CDI-S) was also completed. Factor structure, reliability, construct validity, and respondent burden were assessed. Results. Thirty-two items were retained in the final instrument covering 3 domains: self-acceptance/advocacy (14 items, Cronbach a = 0.84), perceived stigma (8 items, Cronbach a = 0.85), and participation (10 items, Cronbach a = 0.86). QOL was not significantly associated with hearing level. One-week test-retest coefficients were acceptable: self-acceptance/ advocacy (0.70), perceived stigma (0.78), and participation (0.92). As predicted, the total CDI-S score was associated in the appropriate direction (P < .0001) with all YQOL-DHH domains. Time to complete the paper-and-pencil version was 12 minutes. Conclusion. The YQOL-DHH shows good reliability and validity for assessing hearing-specific QOL in adolescents. [Description provided by NIOSH]
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ISSN:0194-5998
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Pages in Document:137-145
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Volume:145
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Issue:1
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NIOSHTIC Number:nn:20057078
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Citation:Otolaryngol Head Neck Surg 2011 Jul; 145(1):137-145
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Contact Point Address:Donald L. Patrick, PhD, MSPH, Department of Health Services, University of Washington, Box 359455, Seattle, WA 98195-9455, USA
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Email:donald@u.washington.edu
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Federal Fiscal Year:2011
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Performing Organization:University of Washington
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Peer Reviewed:True
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Start Date:20050701
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Source Full Name:Otolaryngology - Head and Neck Surgery
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End Date:20250630
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Main Document Checksum:urn:sha-512:5838a1ff5a1101de183c207cb9219cfc274bcc02b84e92fbe40a4061c1d516fbdd6d0bdd8f462b635af950f19b21db9fb606a3233a3cf04239752a3510510e9e
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