《聽覺生活品質問卷－兒童版》中文化與信效度分析

有鑑於台灣聽損兒童的主觀聽覺問卷缺乏，故本研究欲建立適用學齡聽損兒童的特定型生活品質問卷，做為未來聽覺輔具或聽能復健方案的成效驗證工具。本研究由兩階段組成：階段一為問卷中文化，是把原始英文問卷進行翻譯與文化對等性評比，並透過認知訪談和問卷可讀性分析，產出在台適用的中文問卷；階段二為中文問卷心理計量分析，是針對主流學校聽損學童完成的中文問卷，進行信效度分析。問卷中文化的結果顯示：《聽覺生活品質問卷》中文版具有語意和內容對等性，且問卷可讀性為國小三年級程度。統計分析結果顯示：由35名聽損學童填寫的《聽覺生活品質問卷－兒童版》，具有良好的內部一致性（Cronbach’s α=.789～.917），其中20名兒童（佔比57.14%）於兩周後再次填寫問卷，也在HEAR-QL分量表與總量表上有不錯的再測信度（r=.519～.914）；與《兒科生活品質》分數的正相關（r=.365～.794），也顯示中文問卷具有不錯的效標關聯效度。整體而言，《聽覺生活品質問卷－兒童版》具有跨文化對等性與良好的信效度，適合做為國小三年級以上聽損兒童的聽覺生活品質評估工具。

The pediatric subjective hearing questionnaire was scarce in Taiwan. This study aimed to translate and evaluate the reliability and validity of Hearing Environments and Reflection on Quality of Life (HEAR-QL), which was the specific health-related quality of life questionnaire for children with hard of hearing. In the period of translation, experts followed the Brislin’s revised translation model to maintain the cross-cultural equivalence. The cognitive interview with hearing loss children and assessment of questionnaire readability was also conducted. The results showed Chinese-Taiwan version of HEAR-QL had good semantic and content equivalence, and the level of readability was grade 3. There were 35 children with hearing loss studied grade 3 to grade 6 in elementary school showed the new version of HEAR-QL had good internal consistency (Cronbach’s α=.789~.917) and good criterion-related validity with Pediatric Quality of Life Inventory version 4.0 (r=.365~.794). Twenty participants (57.14%) wrote questionnaire again and showed the new version of HEAR-QL had good test-retest reliability except the activities subscale (r=.519~.914). To sum up, HEAR-QL Chinese-Taiwan version had good cross-cultural equivalence, reliability, and validity. It was suitable for hearing loss children above grade 3 to report by themselves.