Validation of the Ukrainian version of the tinnitus quality of life assessment questionnaire "Tinnitus Handicap Inventory"
DOI:
https://doi.org/10.15587/2519-4798.2024.323699Keywords:
tinnitus, Tinnitus Handicap Inventory, audiometry, sudden sensorineural hearing loss, hearing impairmentAbstract
Tinnitus (the sensation of ringing or noise in the ears) is a common condition, particularly associated with hearing impairments, and significantly affects patients' quality of life, especially due to disturbances in sleep, concentration, and the deterioration of emotional well-being. One of the most widely used tools for assessing the severity of tinnitus symptoms is the Tinnitus Handicap Inventory (THI) questionnaire. It was developed to comprehensively evaluate the impact of tinnitus on various aspects of a patient's life, and as a result, this questionnaire has gained international recognition. Validating the Ukrainian version of the Tinnitus Handicap Inventory will ensure the accuracy and reliability of data related to the impact of tinnitus on patients. It will allow for the integration of the tool into clinical practice for more effective monitoring of patient status and selection of optimal treatment methods.
The aim of the study: To validate the Ukrainian version of the "Tinnitus Handicap Inventory" questionnaire for evaluating the quality of life of patients with tinnitus.
Materials and methods: A total of 65 individuals participated in the study. Based on the established diagnosis of sudden sensorineural hearing loss (35 individuals) or chronic sensorineural hearing loss (30 individuals), the patients were divided into Group A and Group B. The study design involved conducting questionnaires, otolaryngological examinations, and full audiological assessments. The questionnaires were administered to all patients twice — at the time of hospitalization and discharge from the otolaryngology department. Two questionnaires were used: the Tinnitus Handicap Inventory and a 10-point VAS (Visual Analog Scale) for quality of life.
Results: When evaluating dynamic changes in THI questionnaire data during treatment, patients with sensorineural hearing loss (SNHL) and tinnitus showed statistically significant changes between the initial and follow-up measurements (p<0.0001). The psychometric sensitivity of the Ukrainian version of the THI questionnaire is high. No significant difference was observed for patients with chronic sensorineural hearing loss (CSNHL) and tinnitus. Based on the statistical analysis of the survey data from Group B, it can be concluded that the reliability of the psychometric measure is high (r>0.8), and the validation of the questionnaire is complete.
Conclusions: According to current data, the Tinnitus Handicap Inventory consists of 25 simple questions and has several advantages over other scales or questionnaires, including its widespread use and integration into otolaryngological and neurological practice. This questionnaire is one of the most recognized and frequently used tools to assess tinnitus's impact on patients' quality of life worldwide. The Ukrainian version of the Tinnitus Handicap Inventory has successfully passed psychometric evaluation, making it sensitive, reliable, and valid. All stages of validation of the Ukrainian adapted translation of the Tinnitus Handicap Inventory have been successfully completed, and its use in clinical practice for assessing the quality of life of patients with tinnitus is therefore justified
References
- De Ridder, D., Schlee, W., Vanneste, S., Londero, A., Weisz, N., Kleinjung, T. et al. (2021). Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal). Tinnitus – An Interdisciplinary Approach Towards Individualized Treatment: From Heterogeneity to Personalized Medicine, 1–25. https://doi.org/10.1016/bs.pbr.2020.12.002
- Jarach, C. M., Lugo, A., Scala, M., van den Brandt, P. A., Cederroth, C. R., Odone, A. et al. (2022). Global Prevalence and Incidence of Tinnitus. JAMA Neurology, 79 (9), 888–900. https://doi.org/10.1001/jamaneurol.2022.2189
- Cederroth, C., Lugo, A., Edvall, N., Lazar, A., Lopez-Escamez, J.-A., Bulla, J. et al. (2020). Association between Hyperacusis and Tinnitus. Journal of Clinical Medicine, 9 (8), 2412. https://doi.org/10.3390/jcm9082412
- Meijers, S. M., Rademaker, M., Meijers, R. L., Stegeman, I., Smit, A. L. (2022). Correlation Between Chronic Tinnitus Distress and Symptoms of Depression: A Systematic Review. Frontiers in Neurology, 13. https://doi.org/10.3389/fneur.2022.870433
- Hackenberg, B., Döge, J., O’Brien, K., Bohnert, A., Lackner, K. J., Beutel, M. E. et al. (2023). Tinnitus and Its Relation to Depression, Anxiety, and Stress – A Population-Based Cohort Study. Journal of Clinical Medicine, 12 (3), 1169. https://doi.org/10.3390/jcm12031169
- Annual Benefits Report. Fiscal Year 2022. Available at: https://www.benefits.va.gov/REPORTS/abr/docs/2022-abr.pdf
- Huddle, M. G., Goman, A. M., Kernizan, F. C., Foley, D. M., Price, C. et al. (2017). The Economic Impact of Adult Hearing Loss. JAMA Otolaryngology-Head & Neck Surgery, 143 (10), 1040. doi:10.1001/jamaoto.2017.1243
- Newman, C. W., Jacobson, G. P., Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Archives of Otolaryngology – Head and Neck Surgery, 122 (2), 143–148. https://doi.org/10.1001/archotol.1996.01890140029007
- Meva’a Biouélé, R. C., Andjock Nkouo, Y. C., Mossus, Y., Atanga, L. C., Ngo Nyéki, A. R., Toubue Fomeni, J. B. et al. (2024). Disability Assessment in Chronic Tinnitus Suffers: A Cross-Sectional Study Using the ’’Tinnitus Handicap Inventory’’ : Évaluation du Handicap des Patients Souffrant d’Acouphènes Chroniques: Une Étude Transversale à l’Aide du ‘’Tinnitus Handicap Inventory’’. Health Sciences and Disease, 25 (5). https://doi.org/10.5281/hsd.v25i5.5599
- Wrzosek, M., Szymiec, E., Klemens, W., Kotyło, P., Schlee, W., Modrzyńska, M. et al. (2016). Polish Translation and Validation of the Tinnitus Handicap Inventory and the Tinnitus Functional Index. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.01871
- Schmidt, L. P., Teixeira, V. N., Dall’Igna, C., Dallagnol, D., Smith, M. M. (2006). Brazilian Portuguese Language version of the “Tinnitus Handicap Inventory”: Validity and Reproducibility. Brazilian Journal of Otorhinolaryngology, 72 (6), 808–810. https://doi.org/10.1016/s1808-8694(15)31048-x
- Meeus, O., Blaivie, C., Van de Heyning, P. (2007). Validation of the Dutch and the French version of the Tinnitus Questionnaire. B-ENT 2007, 3 (Suppl 7), 11–17.
- Zachariae, R., Mirz, F., Johansen, L. V., Andersen, S. E., Bjerring, P., Pedersen, Chr. B. (2000). Reliability and validity of a Danish adaptation of the Tinnitus Handicap Inventory. Scandinavian Audiology, 29 (1), 37–43. https://doi.org/10.1080/010503900424589
- Bolduc, D., Désilets, F., Tardif, M., Leroux, T. (2014). Validation of a French (Québec) version of the Tinnitus Handicap Inventory. International Journal of Audiology, 53 (12), 903–909. https://doi.org/10.3109/14992027.2014.935495
- Aksoy, S., Firat, Y., Alpar, R. (2007). The Tinnitus Handicap Inventory: a study of validity and reliability. The International Tinnitus Journal, 13 (2), 94–98.
- Monzani, D., Genovese, E., Marrara, A., Gherpelli, C., Pingani, L., Forghieri, M. (2008). Validity of the Italian adaptation of the Tinnitus Handicap Inventory; focus on quality of life and psychological distress in tinnitus-sufferers. Acta otorhinolaryngologica Italica, 28 (3), 126–134.
- Meng, Z., Zheng, Y., Liu, S., Wang, K., Kong, X., Tao, Y. et al. (2012). Reliability and Validity of the Chinese (Mandarin) Tinnitus Handicap Inventory. Clinical and Experimental Otorhinolaryngology, 5 (1), 10. https://doi.org/10.3342/ceo.2012.5.1.10
- KIM, J. H., LEE, S. Y., KIM, C. H., LIM, S. L., SHIN, J. N., CHUNG, W. H., & HONG, S. H. (2002). Reliability and validity of a Korean adaptation of the tinnitus handicap inventory. Korean Journal of Otolaryngology-Head and Neck Surgery, 328-334.
- Ghulyan-Bédikian, V., Paolino, M., Giorgetti-D’Esclercs, F., Paolino, F. (2010). Propriétés psychométriques d’une version française du Tinnitus Handicap Inventory. L’Encéphale, 36 (5), 390–396. https://doi.org/10.1016/j.encep.2009.12.007
- Moschen, R., Fioretti, A., Eibenstein, A., Natalini, E., Chiarella, G., Viola, P. et al. (2019). Validazione della versione italiana del Questionario sull’Accettazione dell’Acufene Cronico (CTAQ-I). Acta Otorhinolaryngologica Italica, 39 (2), 107–116. https://doi.org/10.14639/0392-100x-2144
- Kleinstäuber, M., Frank, I., Weise, C. (2015). A confirmatory factor analytic validation of the Tinnitus Handicap Inventory. Journal of Psychosomatic Research, 78 (3), 277–284. https://doi.org/10.1016/j.jpsychores.2014.12.001
- Santacruz, J. L., Arnold, R., Tuinstra, J., Stewart, R. E., van Dijk, P. (2021). Validation of a Dutch version of the Tinnitus Functional Index in a tertiary referral tinnitus clinic. Heliyon, 7 (8), e07733. https://doi.org/10.1016/j.heliyon.2021.e07733
- Zeman, F., Koller, M., Schecklmann, M., Langguth, B., Landgrebe, M. (2012). Tinnitus assessment by means of standardized self-report questionnaires: Psychometric properties of the Tinnitus Questionnaire (TQ), the Tinnitus Handicap Inventory (THI), and their short versions in an international and multi-lingual sample. Health and Quality of Life Outcomes, 10 (1), 128. https://doi.org/10.1186/1477-7525-10-128

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Oleksandr Naumenko, Serhii Konovalov, Maksym Tarasenko, Lesia Lymar

This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.