Evidence map›Paper›PMID 41782196›Full record

ArticleEar and hearing

Psychometric Validation of the Chinese Versions of the Effort Assessment Scale and Vanderbilt Fatigue Scale for Adults-10 for Assessing Listening Effort and Fatigue.

Zongyun Zhang, Zhaohao Zhang, Junyu Liu, Zhaomin Fan, Haibo Wang, Dongjie Jiang, Ruijie Wang, Lei Xu

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zongyun ZhangDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Zhaohao ZhangDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Junyu LiuDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Zhaomin FanDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Haibo WangDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Dongjie JiangDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Ruijie WangDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.
Lei XuDepartment of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, Shandong, China.

Funding

Horizontal Project of Shandong University 6010420001Major Fundamental Research Program of Natural Science Foundation of Shandong Province, China ZR2021ZD40Major Program of National Natural Science Foundation of China No. 82192861Medical Health Science and Technology Project of Shandong Province No. 202307010345National Key Research and Development Project of China 2022YFC2703602Taishan Scholars Program of Shandong Province-Youth Scholar Program No. tsqn202211357
6 · The paper itself

Abstract

objectivesListening effort and listening-related fatigue are clinically important yet rarely assessed in routine audiology. This study culturally adapted the Effort Assessment Scale (EAS) into Chinese and psychometrically evaluated the Chinese EAS (C-EAS) and the 10-item Vanderbilt Fatigue Scale for Adults-10 (C-VFS-A-10) in Chinese-speaking adults. Associations with better-ear pure-tone average (PTA), tinnitus, and key demographic factors were also examined.

designA two-phase study was conducted. Phase 1 followed established guidelines to translate and culturally adapt the EAS. Phase 2 was a cross-sectional validation in 701 adults recruited from a tertiary hospital in China (normal hearing, n = 180; unilateral hearing loss, n = 22; bilateral hearing loss, n = 499). A subsample of 85 participants with hearing loss completed repeat testing over 7 to 21 days to assess test-retest reliability. All participants completed the C-EAS, C-VFS-A-10, the Hearing Handicap Inventory for the Elderly/Adults-Screening version (HHIE/A-S), and pure-tone audiometry. Psychometric evaluation included internal consistency, test-retest reliability, factor analyses, convergent validity with PTA and HHIE/A-S, and item response theory (IRT) modeling, alongside ANCOVA and multivariable regression.

resultsBoth scales showed excellent internal consistency and high short-interval stability. Scale-specific confirmatory factor analyses supported essential unidimensionality adequate for total-score use. Convergent validity was supported by moderate associations with better-ear PTA and HHIE/A-S ( ρ = 0.47 to 0.63). Item-level diagnostics indicated localized local dependence for both instruments. For the C-EAS, item-level IRT parameter estimates were unstable under local dependence, supporting the use of summed total scores. For the C-VFS-A-10, a graded-response testlet model produced stable item parameters and high measurement precision across the range where most respondents fell. Scores on both measures increased with hearing-loss severity. In multivariable models, higher better-ear PTA and tinnitus independently predicted higher effort and fatigue scores, while age showed a small additional association with effort only.

conclusionsThe C-EAS and C-VFS-A-10 are reliable, culturally adapted measures of listening effort and listening-related fatigue for Chinese-speaking adults. Associations with better-ear PTA and tinnitus support clinical relevance.

Indexed as

FatigueHearing LossAdultAgedAudiometry, Pure-ToneChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesTinnitusYoung AdultChinese-speaking adultsCultural adaptationItem response theoryListening effortListening-related fatigue

Identifiers

PMID41782196
PMCPMC13252973

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.