• A C S Kam, A P P Cheung, P Y B Chan, E K S Leung, T K C Wong, C A van Hasselt, and M C F Tong.
• Department of Otorhinolaryngology, Head & Neck Surgery, Chinese University of Hong Kong, Hong Kong, China. annakam@ent.cuhk.edu.hk
• Clin Otolaryngol. 2009 Aug 1;34(4):309-15.

ObjectivesTo establish the reliability and validity of the Chinese (Cantonese) version of the Tinnitus Handicap Inventory to measure the self-perceived handicapping effect and severity of the condition in patients with chronic tinnitus.DesignCross-sectional psychometric validation study.SettingAudiology clinics in a hospital setting.ParticipantsSubjects were 114 adult Chinese who attended the audiology clinics with a complaint of tinnitus.Main Outcome MeasuresTest-retest and internal consistency reliability; construct validity.ResultsThe Chinese version of the Tinnitus Handicap Inventory and its subscales showed good internal consistency reliabilities (alpha = 0.72-0.94) that are comparable to those of the original version. High correlations were observed between the Tinnitus Handicap Inventory and psychological distress, tinnitus-related problem ratings and severity ratings. Factor analysis showed that the Chinese version of the Tinnitus Handicap Inventory has a unifactorial structure. A high degree of test-retest reliability was observed (intraclass correlation coefficient = 0.88).ConclusionsThe results suggest that the Chinese (Cantonese) version of the Tinnitus Handicap Inventory is a reliable and valid measure of general tinnitus-related distress that can be used in clinical settings to quantify the impact of tinnitus on daily life.

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