Psychometric Data for the Reliability and Validity of the Mini Tinnitus Questionnaire Turkish Version (TQ 12-T)

Abstract

Objective: To investigate the reliability and validity of the Turkish version of the Mini-Tinnitus Questionnaire (TQ 12-T).

Methods: The study consisted of 120 patients with tinnitus (60 F + 60 M; Mean Age: 46.8±15.1 years). Audiological evaluation, tinnitus mapping, tinnitus handicap inventory (THI) and TQ 12-T were applied to the participants. Internal consistency and reliability were assessed by Cronbach’s alpha. To evaluate the accuracy of the original findings, a retest was performed with 20% of the participants. The validity of the TQ 12-T was assessed, analyzing the correlation with THI. We assessed construct validity by analyzing the patients according to their age and tinnitus duration.

Results: High internal consistency, reliability (α=0.87) and a high intraclass correlation coefficient (ICC 0.96, p < 0.001) were found. The internal consistency reliabilities of the two subscales were α=0.74 and α= 0.84 for “health anxiety” and “cognitive distress,” respectively. There was a strong positive correlation between THI and TQ 12-T total scores (r=0.985, p<0.01).

Conclusion: TQ 12-T is a valid, reliable and brief questionnaire. TQ 12-T could easily be used alongside other tinnitus or health-related questionnaires since it takes only a few minutes to complete.

Keywords

• Tinnitus
• Mini-Tinnitus Questionnaire
• reliability and validity

References

1. 1. Hallam R, Rachman S, Hinchcliffe R. Psychological aspects of tinnitus. Contributions to Medical Psychology 1984;3:31-53.
2. 2. Bogo R, Farah A, Karlsson KK, Pedersen NL, Svartengren M, Skjönsberg Å. Prevalence, Incidence Proportion, and Heritability for Tinnitus: A Longitudinal Twin Study. Ear Hear 2017;38:292-300.
3. 3. Kim HJ, Lee HJ, An SY, et al. Analysis of the prevalence and associated risk factors of tinnitus in adults. PLoS One 2015;10:e0127578.
4. 4. Jalessi M, Farhadi M, Asghari A, et al. Tinnitus: an epidemiologic study in Iranian population. Acta Med Iran 2013;51:886-91.
5. 5. Park KH, Lee SH, Koo JW, et al. Prevalence and associated factors of tinnitus: data from the Korean National Health and Nutrition Examination Survey 2009-2011. J Epidemiol. 2014;24:417-26.
6. 6. Adrian D, El Refaie A. The epidemiology of tinnitus. In Tyler R, editör. The Handbook of Tinnitus. San Diego, CA: Singular Publishing Group. 2000. p. 1-23.
7. 7. Coles R. Epidemiology of tinnitus:(2) Demographic and clinical features. J Laryngol Otol 1984;98:195-202.
8. 8. Axelsson A, Ringdahl A. Tinnitus--a study of its prevalence and characteristics. Br J Audiol 1989;23:53-62.

9. 9. Jastreboff PJ, Jastreboff MM. Tinnitus Retraining Therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. J Am Acad Audiol 2000;11:162-77.
10. 10. Langguth B, Goodey R, Azevedo A, et al. Consensus for tinnitus patient assessment and treatment outcome measurement: Tinnitus Research Initiative meeting, Regensburg, July 2006. Prog Brain Res 2007;166:525-36.
11. 11. Hiller W, Goebel G. Rapid assessment of tinnitus-related psychological distress using the Mini-TQ. Int J Audiol 2004;43:600-4.
12. 12. Cerejeira R, Cerejeira J, Paiva S, et al. The Portuguese version of Mini-Tinnitus Questionnaire: brief screening test for assessment of tinnitus-induced stress. Otol Neurotol 2009;30:112-5.
13. 13. Panagiotopoulos G, Galanakis M, Varvogli L, Chrousos G, Darviri C. Validation of the Greek version of Mini Tinnitus Questionnaire as a Brief Screening Test for Assessment of Tinnitus-related Distress: our experience in 301 adult patients. Clin Otolaryngol 2015;40:363-9.
14. 14. El Beaino M, Eter E. Arabic validation of the tinnitus handicap inventory and the mini-tinnitus questionnaire on 100 adult patients. Clin Otolaryngol 2018;43:377-82.
15. 15. Vanneste S, Plazier M, van der Loo E, et al. Validation of the Mini-TQ in a Dutch-speaking population: a rapid assessment for tinnitus-related distress. B-ENT 2011;7:31-6.
16. 16. Kam AC. A screening tool for tinnitus-related distress--the Chinese version of Mini Tinnitus Questionnaire: our experience in one hundred and fourteen adult patients. Clin Otolaryngol 2012;37:234-7.
17. 17. Ewe S, Ishak WS, Aniza I, Asma A. The Tinnitus Handicap Inventory & Mini-Tinnitus Questionnaires: Reliability & Validity of the Malay Version. Int Med J 2019;26:522-4.
18. 18. Moschen R, Fioretti A, Eibenstein A, et al. Validation of the Italian Tinnitus Questionnaire Short Form (TQ 12-I) as a Brief Test for the Assessment of Tinnitus-Related Distress: Results of a Cross-Sectional Multicenter-Study. Front Psychol 2018;9:65.
19. 19. Clark JG. Uses and abuses of hearing loss classification. ASHA 1981;23:493-500.
20. 20. Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122:143-8.
21. 21. Passi S, Ralli G, Capparelli E, Mammone A, Scacciatelli D, Cianfrone G. The THI questionnaire: psychometric data for reliability and validity of the Italian version. Int Tinnitus J 2008;14:26-33.
22. 22. Aksoy S, Firat Y, Alpar R. The Tinnitus Handicap Inventory: a study of validity and reliability. Int Tinnitus J 2007;13:94-8.
23. 23. Baskill J, Coles R, Lutman M, Axelsson A. Tinnitus severity grading: longitudinal studies. Proc IVth Int Tinnitus Semin Amsterdam/New York: Kugler Publ 1991. p. 457-60.
24. 24. Zeman F, Koller M, Schecklmann M, Langguth B, Landgrebe M; TRI database study group. 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 Qual Life Outcomes 2012;10:128.
25. 25. Baguley DM, Humphriss RL, Hodgson CA. Convergent validity of the tinnitus handicap inventory and the tinnitus questionnaire. J Laryngol Otol 2000;114:840-3.