Cross-cultural adaptation, reliability, and validity of the Chinese version of the Acceptance and Action Questionnaire-Management of Child Hearing Loss

• Published in: International journal of audiology Vol. 63; no. 2; p. 155
• Main Authors: Xiao, Yanan, Liu, Yulu, Han, Junning, Li, Yan, Zhang, Lianchi, Bai, Libo, Wang, Xiaorong, Yin, Ying, Wang, Songna, Tang, Xueqin, Sun, Xibin, Yang, Ying
• Format: Journal Article
• Language: English
• Published: England 01.02.2024
• Subjects: Child; Cross-Cultural Comparison; Cross-Sectional Studies; Deafness; Hearing Loss - diagnosis; Humans; Reproducibility of Results; Surveys and Questionnaires; caregivers; hearing loss; psychological inflexibility; cross-cultural adaptation; AAQ-MCHL
• ISSN: 1708-8186
• DOI: 10.1080/14992027.2022.2131637

The current study aims to translate and cross-culturally adapt the Acceptance and Action Questionnaire-Management of Child Hearing Loss (AAQ-MCHL) scale to Chinese caregivers of children with hearing loss (CHL) and verify its psychometric characteristics. This is a cross-sectional design of psychometric validation study. In total, 135 caregivers of CHL were invited to participate in the study, and complete data from 125 participants were used to analyse internal consistency, test-retest reliability, content validity, structural validity, criterion validity, and the optimal cut-off score of AAQ-MCHL. Through careful and complete translation and adaptation, the Chinese version of AAQ-MCHL was successfully created. The Chinse version of the AAQ-MCHL had good internal consistency, test-retest reliability, content validity, structural validity, and criterion validity. Our results also showed that poorer speech performance in CHL was a strong predictor of parental psychological inflexibility. The Chinese version of the AAQ-MCHL could be used as an outcome indicator to evaluate the psychological inflexibility of caregivers of CHL in mainland China, and we suggest that early interventionists should be aware of signs of elevated psychological inflexibility in caregivers of CHL.