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Abstract
Objectives: To develop an Image-Based Questionnaire for Hearing (IBQ-H) that uses photographs instead of written descriptions of listening situations to assess hearing difficulties and hearing aid outcomes, with a view to overcoming language and literacy barriers to completing questionnaires. IBQ-H photographs represent the 14 listening situations of the Common Sound Scenarios (CoSS) framework.
Design: Development involved a Patient and Public Involvement (PPI) focus group and three online experiments. The focus group provided insights into the acceptability of an IBQ-H and feedback on photographic content. Experiments 1 and 2 were used to select images for IBQ-H. Experiment 3 examined opinions about the IBQ-H relative to a text-based version.
Study Sample: The three experiments had 70, 42, and 55 participants, respectively.
Results: From Experiment 1, two photographs for each CoSS were selected. Experiment 2 refined this to a single representative image per CoSS, finalising the 14-item IBQ-H. In Experiment 3, participants preferred, found easier, and were more confident completing the IBQ-H over its text-based version.
Conclusions: The 14-item IBQ-H is an accessible questionnaire for assessing hearing difficulties, which can be readily adapted for specific cultural contexts. Reliability, validity, and responsiveness of the IBQ-H are being evaluated.
Design: Development involved a Patient and Public Involvement (PPI) focus group and three online experiments. The focus group provided insights into the acceptability of an IBQ-H and feedback on photographic content. Experiments 1 and 2 were used to select images for IBQ-H. Experiment 3 examined opinions about the IBQ-H relative to a text-based version.
Study Sample: The three experiments had 70, 42, and 55 participants, respectively.
Results: From Experiment 1, two photographs for each CoSS were selected. Experiment 2 refined this to a single representative image per CoSS, finalising the 14-item IBQ-H. In Experiment 3, participants preferred, found easier, and were more confident completing the IBQ-H over its text-based version.
Conclusions: The 14-item IBQ-H is an accessible questionnaire for assessing hearing difficulties, which can be readily adapted for specific cultural contexts. Reliability, validity, and responsiveness of the IBQ-H are being evaluated.
| Original language | English |
|---|---|
| Journal | International Journal of Audiology |
| Publication status | Accepted/In press - 13 Jun 2025 |
Keywords
- Questionnaire development
- Hearing
- Patient-reported outcome measures
- Common Sound Scenarios (CoSS) framework
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NIHR Manchester Biomedical Research Centre
Bruce, I. (PI), Lord, G. (CoI), Lennon, R. (CoI), Black, G. (CoI), Wedge, D. (CoI), Morris, A. (CoI), Hussell, T. (CoI), Sharrocks, A. (CoI), Stivaros, S. (CoI), Buch, M. (CoI), Gough, J. (CoI), Kostarelos, K. (CoI), Thistlethwaite, F. (CoI), Kadler, K. (CoI), Barton, A. (CoI), Hyrich, K. (CoI), Mcbeth, J. (CoI), O'Neill, T. (CoI), Vestbo, J. (CoI), Simpson, A. (CoI), Singh, S. (CoI), Smith, J. (CoI), Felton, T. (CoI), Murray, C. (CoI), Griffiths, C. (CoI), Cullum, N. (CoI), Rhodes, L. (CoI), Warren, R. (CoI), Paus, R. (CoI), Dumville, J. (CoI), Viros Usandizaga, A. (CoI), Keavney, B. (CoI), Tomaszewski, M. (CoI), Allan, S. (CoI), Body, R. (CoI), Cartwright, E. (CoI), Heagerty, A. (CoI), Kalra, P. (CoI), Miller, C. (CoI), Rutter, M. (CoI), Smith, C. (CoI), Trafford, A. (CoI), Evans, D. (CoI), Crosbie, E. (CoI), Crosbie, P. (CoI), Harvie, M. (CoI), Howell, S. (CoI), Renehan, A. (CoI), Dive, C. (CoI), Blackhall, F. (CoI), Landers, D. (CoI), Krebs, M. (CoI), Cook, N. (CoI), Clarke, R. (CoI), Taylor, S. (CoI), Jorgensen, C. (CoI), Lorigan, P. (CoI), Jayson, G. (CoI), Valle, J. (CoI), Mccabe, M. (CoI), Armstrong, A. (CoI), Freitas, A. (CoI), Illidge, T. (CoI), Choudhury, A. (CoI), Hoskin, P. (CoI), West, C. (CoI), Van Herk, M. (CoI), Faivre-Finn, C. (CoI), Bristow, R. (CoI), Kirkby, K. (CoI), Birtle, A. (CoI), Mackay, R. (CoI), Radford, J. (CoI), Linton, K. (CoI), Higham, C. (CoI), Munro, K. (CoI), Plack, C. (CoI), Arden Armitage, C. (CoI), Bruce, I. (CoI), Moore, D. (CoI), Saunders, G. (CoI), Stone, M. (CoI), Haddock, G. (CoI), Lewis, S. (CoI), Elliott, R. (CoI), Green, J. (CoI), Lovell, K. (CoI), Morrison, A. (CoI), Shaw, J. (CoI), Bucci, S. (CoI), Ainsworth, J. (CoI), Webb, R. (CoI), Newman, W. (CoI), Banka, S. (CoI), Clayton-Smith, J. (CoI), Payne, K. (CoI), Moldovan, R. (CoI), Wynn, R. (CoI) & Jones, S. (CoI)
1/12/22 → 30/11/27
Project: Research
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Manchester Centre for Audiology and Deafness (ManCAD)
Munro, K. (PI), Millman, R. (PI), Lamb, W. (Support team), Dawes, P. (PI), Plack, C. (PI), Stone, M. (PI), Kluk-De Kort, K. (PI), Moore, D. (PI), Morton, C. (PI), Prendergast, G. (PI), Couth, S. (PI), Schlittenlacher, J. (PI), Chilton, H. (PI), Visram, A. (Researcher), Dillon, H. (PI), Guest, H. (Researcher), Heinrich, A. (PI), Jackson, I. (Researcher), Littlejohn, J. (Researcher), Jones, L. (PI), Lough, M. (Researcher), Morgan, R. (Researcher), Perugia, E. (Researcher), Roughley, A. (Researcher), Whiston, H. (Researcher), Wright, C. (Support team), Saunders, G. (PI), Kelly, C. (PI), Cross, H. (Researcher), Loughran, M. (Researcher), Hoseinabadi, R. (PI) & Vercammen, C. (PI)
Project: Research