J Audiol Otol.  2023 Jul;27(3):128-132. 10.7874/jao.2022.00521.

Validation of the Sinhala Version of Tinnitus Handicap Inventory

Affiliations
  • 1Victorian Institute of Forensic Mental Health, Thomas Embling Hospital, Melbourne, Australia
  • 2Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka

Abstract

Background and Objectives
Tinnitus is a common and disabling condition that largely remains undertreated in Sri Lanka. Currently, standardized tools that assess and monitor the treatment of tinnitus or the distress it causes are unavailable in either of the two main vernacular languages prevalent in Sri Lanka. The Tinnitus Handicap Inventory (THI) is used internationally to measure tinnitus-induced distress and to monitor treatment efficacy. In this study, we validated the Sinhala version of the THI (THI-Sin).
Subjects and Methods
The THI was translated into Sinhala and back translated into English and finalized by independent translators. The THI-Sin questionnaire and the 12-item General Health Questionnaire (GHQ-12) and Visual Analog Scale of tinnitus annoyance (VAS) were administered to 122 adults who visited the otolaryngology clinic of Colombo North Teaching Hospital, Ragama, Sri Lanka
Results
THI-Sin scores showed satisfactory internal consistency (Cronbach’s α=0.902) and were significantly correlated with the GHQ-12 and VAS scores. Factor analysis of the THI-Sin confirmed a three-factorial structure, which did not correspond to the original THI subscales.
Conclusions
We observed significant reliability and validity of the THI-Sin tool for evaluation of tinnitus-induced handicaps among the Sinhalese-speaking population of Sri Lanka.

Keyword

Tinnitus; Tinnitus Handicap Inventory; Validation; Sinhala; Sri Lanka
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