Publication:
Validity and reliability of tinnitus hearing survey (THS) questionnaire in Malay version

dc.contributor.authorAhmad, Aina Fatihah
dc.date.accessioned2026-02-23T03:23:12Z
dc.date.available2026-02-23T03:23:12Z
dc.date.issued2025-07
dc.description.abstractThe study aimed to analyze the validity and reliability of the Tinnitus Hearing Survey (THS) questionnaire in Malay version among adult individuals with tinnitus. A total of 42 individuals with tinnitus from the Audiology Clinic in the School of Health Sciences, Universiti Sains Malaysia (USM), Hospital Pakar Universiti Sains Malaysia (HPUSM), and School of Health Sciences, USM were recruited from January 2025 until June 2025. The participants’ mean age was 31.41 years, aged 17 to 65 years old. The questionnaire consisted of 10 items and comprised three distinct subscales which were Tinnitus (THS-T), Hearing (THS-H), and Sound Tolerance (THS- ST). Each question was rated on a 5-point Likert scale, ranging from " no, not a problem" to "yes, very big problem". Internal reliability was assessed using Cronbach’s alpha, while external reliability (test-retest reliability) was determined through Intraclass Correlation Coefficient (ICC) analysis and Wilcoxon Signed-Rank test. Meanwhile, convergent validity was evaluated using Spearman correlation analysis to examine the association between the THS-T section and the Borang Evaluasi Soal Selidik (BEST) questionnaire. Discriminant validity was also assessed through Spearman correlation analysis by measuring the relationship between the THS-T and THS-H sections of the THS questionnaire. Both the THS-T and THS-H sections demonstrated good internal reliability, with Cronbach’s alpha values of 0.921 and 0.916, respectively. The external reliability for the THS-T section showed a fair to good level of agreement, with ICC values ranging from 0.549 to 0.619. In comparison, the THS-H section demonstrated a good level of agreement, with ICC values ranging from 0.664 to 0.791. The Wilcoxon Signed-Rank test also showed no significant difference (p ˃ 0.05) in the test-retest reliability for THS-T and THS-H sections, showing reliable responses for first and second sessions. Meanwhile, the convergent validity of THS-T section showed very high relationship (ρ = 0.728) with BEST questionnaire. The discriminant validity showed moderate correlation (ρ = 0.675) between THS-T and THS-H sections. In conclusion, the adaptation of the THS into Malay demonstrated promising reliability and validity as an assessment tool for tinnitus severity among Malay-speaking populations. The study's findings supported the questionnaire's robust psychometric properties, affirming its utility in clinical and research settings aimed at understanding and managing tinnitus in the Malaysian context.
dc.identifier.urihttps://erepo.usm.my/handle/123456789/23648
dc.language.isoen
dc.titleValidity and reliability of tinnitus hearing survey (THS) questionnaire in Malay version
dc.typeResource Types::text::thesis::bachelor thesis
dspace.entity.typePublication
oairecerif.author.affiliationUniversiti Sains Malaysia
Files