Tinnitus Handicap Inventory for Evaluating Treatment Effects

Otolaryngology -- Head and Neck Surgery, 2011

Objective. To determine the minimum change of the Tinnitus Handicap Inventory (THI) score that could be considered clinically relevant, the authors compared the absolute change of the THI with the Clinical Global Impression-Improvement (CGI-I) score.

Journal of the American Academy of Audiology, 1998

This study assessed the test-retest reliability/repeatability and 95 percent confidence intervals (CIs) of the Tinnitus Handicap Inventory (THI) and developed categories for classifying self-perceived tinnitus handicap severity. Twenty-nine adults with tinnitus as their primary auditory complaint served as subjects. The THI was administered on two occasions (mean interval 20 days) using a paper-pencil format. Results support the contention that the THI is psychometrically robust. Specifically, the test-retest reliability/repeatability was high. Additionally, the 95 percent CI for the THI was 20-points, indicating that a 20-point or greater change had to occur from test to retest for a change to be considered statistically significant at the 5 percent confidence level. Quartiles calculated from raw scores were used to create a matrix of values representing tinnitus severity. We conclude that the THI is a brief, easily administered, and psychometrically robust measure that evaluates t...

Otology & Neurotology, 2008

To develop a screening version of the Tinnitus Handicap Inventory (THI-S) and establish its psychometric characteristics. Design: Prospective clinical study to analyze 1) the level of predictability between THI and THIS ; 2) test-retest reliability of the THIS ; 3) 95% confidence intervals (critical difference scores) for the THIS ; and 4) a THIS cutoff score used for referral purposes. Setting: Head and Neck Institute at the Cleveland Clinic, a tertiary care medical center. Patients: Thirty-three patients reporting tinnitus as their primary complaint. Interventions: There was, on average, a 16-day interval between test-retest administrations of the THIS. Main Outcome Measure: Comparability of scores between the THI and the THIS and test-retest reliability of the THIS was assessed using Pearson product-moment correlations. The level of agreement between the 2 administrations of the THIS was evaluated using Bland-Altman repeatability plots. Results: Comparability between the THI and THIS was high (r = 0.90). Test-retest reliability of the THIS was adequate (r = 0.81), as well as the level of agreement between administrations as demonstrated by the Bland-Altman plot. Based on 95% confidence intervals, pretreatment and posttreatment scores would have to differ by more than 10 points for intervention efforts to be considered significant. A 6-point cutoff score was analyzed as an appropriate fence for referral. Conclusion: The THIS is a psychometrically robust screening measure of activity limitation and participation restriction.

Health and Quality of Life Outcomes, 2012

Background: Tinnitus research in an international context requires standardized and validated questionnaires in different languages. The aim of the present set of analyses was the reassessment of basic psychometric properties according to classical test theory of self-report instruments that are being used within the multicentre Tinnitus Research Initiative (TRI) database project.

Health and Quality of Life Outcomes, 2012

Background: Development of new tinnitus treatments requires prospective placebo-controlled randomized trials to prove their efficacy. The Tinnitus Questionnaire (TQ) is a validated and commonly used instrument for assessment of tinnitus severity and has been used in many clinical studies. Defining the Minimal Clinically Important Difference (MCID) for TQ changes is an important step to a better interpretation of the clinical relevance of changes observed in clinical trials. In this study we aimed to estimate the minimum change of the TQ score that could be considered clinically relevant. Methods: 757 patients with chronic tinnitus were pooled from the TRI database and the RESET study. An anchorbased approach using the Clinical Global Impression (CGI) scale and distributional approaches were used to estimate MCID. Receiver Operating Characteristic (ROC) curves were calculated to define optimal TQ change cutoffs discriminating between minimally changed and unchanged subjects.

2014

Tinnitus is a chronic condition that affects about 15% of the population and up to one in three older adults. For some it is a mild annoyance, for others it can be extremely distressing and can significantly deteriorate quality of life. Perceptual characteristics are a poor indicator of clinical need. Clinicians and researchers alike rely on self-report or questionnaires to quantify the severity of an individual‘s tinnitus and to gauge the changes in tinnitus severity or tinnitus-related handicap over time or after clinical intervention. This book chapter evaluates the psychometric properties of five tinnitus questionnaires; Tinnitus Handicap Questionnaire, Tinnitus Reaction Questionnaire, Tinnitus Questionnaire, Tinnitus Handicap Inventory, and Tinnitus Functional No part of this digital document may be reproduced, stored in a retrieval system or transmitted commercially in any form or by any means. The publisher has taken reasonable care in the preparation of this digital document...

2017

Background and Aim : Self-administered questionnaires are clinically important to document how tinnitus affects the daily life of patients. In this regard, there is a need to have an alternative questionnaire that covers relevant aspects of tinnitus and related symptoms. The present study aimed to develop and validate a new tinnitus questionnaire known as Tinnitus Handicap Que­stionnaire or Borang Evaluasi Soal selidik Tinitus (BEST) in Malay version. Methods : The present study had two consecutive phases. In phase 1 of study, BEST que­stionnaire was initially developed in English and underwent forward and backward transla­tion processes. Following relevant amendments, the final version of BEST (Malay version) was ready for subsequent tasks. It consists of 25 items categorized under 3M domain (mind, main and mental). In phase 2, 65 patients with tinnitus were recruited for determining the validity and reliability of BEST. Results : Content validity index (CVI) of BEST ranged from 0....

Auditory and Vestibular Research, 2020

Background and Aim: Tinnitus can affect daily life. The evaluation of the affected aspects of life quality is highly dependent on the sub­jects’perception. Self-report questionnaires have been used to identify these affected aspects. In the present study, the relationship between the Persian versions of tinnitus functional index (TFI-P) and tinnitus handicap inventory (THI-P) was investigated. Methods: This is a comparative cross-sectional study conducted on 28 hearing-impaired and 27 normal hearing subjects with tinnitus in aged 18−60 years selected according to the inclusion criteria. Both groups completed the TFI-P and THI-P. Results: There was a significant and relatively strong relationship between the total scores of THI-P and TFI-P (r = 0.65) and also between the emotional subscale of TFI-P and the cata­strophic subscale of THI-P (r = 0.73). More­over, there was a moderate relationship between age factor and total score of TFI-P (r = −0.32), and between the cognitive subscale...

Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012

OBJECTIVE Demonstrate the reliability and validity of the Tinnitus Handicap Inventory Thai Version (THI-T), a self-report measure of tinnitus. MATERIAL AND METHOD A cross-sectional psychometric validation study was used to determine internal consistency reliability and validity of the Tinnitus Handicap Inventory Thai Version at the Otoneurology clinic at Tertiary care center The cross-cultural adaptation of the Tinnitus Handicapped Inventory English version (Newman et al, 1996) was translated into Thai version following the steps indicated by Guillemin et al. The reliability was constructed by using Cronbach's coefficient alpha. The validity was analyzed by the correlation between Tinnitus Handicap Inventory Thai version and the 36-items short form health survey and visual analog scale using Spearman and Pearson test. RESULTS The result showed good internal consistency reliabilities of total, functional, emotional, and catastrophic scale (a = 0.902, 0.804, 0.831 and 0.661, respe...

Audiology Research

Purpose: The purpose of this study was to validate the Greek version of the Tinnitus Handicap Inventory. Method: Eighty-six adult patients with chronic tinnitus participated in the study. Sociodemographic data and medical history were recorded during the interview. The patients underwent audiological examination and they were asked to fill in three questionnaires: the Greek version of the THI (THI-GR), the Greek version of the State-Trait Anxiety Inventory (STAI) and the brief Tinnitus Severity Scale Questionnaire (TSSQ). Results: The THI-GR showed good internal consistency, comparable to the original version. Cronbach’s alpha was equal to 0.92, which suggests a robust reliability. All THI-GR subscales along with total score were significantly and positively correlated with the TSSQ grade and the audiogram results indicating the existence of convergent validity. Furthermore, THI-GR’s subscales were significantly correlated with both State and Trait subscales, which indicates a corre...