Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory

Tinnitus is the perception of abnormal sounds in the ears or head without external auditory stimulation. While classical test theory is often used in tinnitus questionnaire development, it has limitations in assessing item characteristics. Item response theory (IRT) offers more precise individual ab...

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Main Authors: Ga-Young Kim, Young Sang Cho, Ji Hyun An, Jung-Wan Kim, Il Joon Moon
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/18/5785
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author Ga-Young Kim
Young Sang Cho
Ji Hyun An
Jung-Wan Kim
Il Joon Moon
author_facet Ga-Young Kim
Young Sang Cho
Ji Hyun An
Jung-Wan Kim
Il Joon Moon
author_sort Ga-Young Kim
collection DOAJ
description Tinnitus is the perception of abnormal sounds in the ears or head without external auditory stimulation. While classical test theory is often used in tinnitus questionnaire development, it has limitations in assessing item characteristics. Item response theory (IRT) offers more precise individual ability estimations and identifies key and less important items, making it superior for reliable measurement tools. This study investigated the suitability of the Korean version of the Tinnitus Handicap Inventory (K-THI) as a patient-reported outcome measure (PROM) for clinical trials. Using Rasch analysis based on IRT, we evaluated K-THI’s measurement of tinnitus-related disability in 545 patients (40.4% men, 59.6% women). Five items (2, 7, 8, 19, and 24) did not fit the Rasch model, yet a unidimensional scale and good fit for person and item data emerged (person: 0.89; item: 0.98). The three-point rating scale in K-THI proved suitable. IRT allowed precise evaluation of K-THI’s properties, vital for reliable PROMs in patient-centered care. Our findings highlight IRT’s role in questionnaire development, contributing to the advancement of PROMs.
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spelling doaj.art-99801019a518467fb760fbf394e757ed2023-11-19T11:17:16ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011218578510.3390/jcm12185785Rasch Analysis of the Korean Version of the Tinnitus Handicap InventoryGa-Young Kim0Young Sang Cho1Ji Hyun An2Jung-Wan Kim3Il Joon Moon4Hearing Research Laboratory, Samsung Medical Center, Seoul 06351, Republic of KoreaHearing Research Laboratory, Samsung Medical Center, Seoul 06351, Republic of KoreaDepartment of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul 06351, Republic of KoreaDepartment of Speech and Language Pathology, College of Rehabilitation Sciences, Daegu University, Gyeongsan 38453, Republic of KoreaHearing Research Laboratory, Samsung Medical Center, Seoul 06351, Republic of KoreaTinnitus is the perception of abnormal sounds in the ears or head without external auditory stimulation. While classical test theory is often used in tinnitus questionnaire development, it has limitations in assessing item characteristics. Item response theory (IRT) offers more precise individual ability estimations and identifies key and less important items, making it superior for reliable measurement tools. This study investigated the suitability of the Korean version of the Tinnitus Handicap Inventory (K-THI) as a patient-reported outcome measure (PROM) for clinical trials. Using Rasch analysis based on IRT, we evaluated K-THI’s measurement of tinnitus-related disability in 545 patients (40.4% men, 59.6% women). Five items (2, 7, 8, 19, and 24) did not fit the Rasch model, yet a unidimensional scale and good fit for person and item data emerged (person: 0.89; item: 0.98). The three-point rating scale in K-THI proved suitable. IRT allowed precise evaluation of K-THI’s properties, vital for reliable PROMs in patient-centered care. Our findings highlight IRT’s role in questionnaire development, contributing to the advancement of PROMs.https://www.mdpi.com/2077-0383/12/18/5785tinnitusRasch analysisTinnitus Handicap Inventory
spellingShingle Ga-Young Kim
Young Sang Cho
Ji Hyun An
Jung-Wan Kim
Il Joon Moon
Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
Journal of Clinical Medicine
tinnitus
Rasch analysis
Tinnitus Handicap Inventory
title Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
title_full Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
title_fullStr Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
title_full_unstemmed Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
title_short Rasch Analysis of the Korean Version of the Tinnitus Handicap Inventory
title_sort rasch analysis of the korean version of the tinnitus handicap inventory
topic tinnitus
Rasch analysis
Tinnitus Handicap Inventory
url https://www.mdpi.com/2077-0383/12/18/5785
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AT jungwankim raschanalysisofthekoreanversionofthetinnitushandicapinventory
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