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Updated: Jun 14, 2026

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An accessible Image-Based Questionnaire for Hearing (IBQ-H): Item selection.

Emanuele Perugia1, Samuel Couth1, Gabrielle H Saunders1

  • 1Manchester Centre for Audiology and Deafness, Division of Psychology, Communication and Human Neuroscience, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

International Journal of Audiology
|July 8, 2025
PubMed
Summary

An Image-Based Questionnaire for Hearing (IBQ-H) was developed using photographs to assess hearing difficulties and hearing aid outcomes, overcoming language barriers. Participants preferred the IBQ-H over text-based versions, finding it easier to complete.

Keywords:
Common Sound Scenarios (CoSS) frameworkQuestionnaire developmenthearingpatient-reported outcome measures

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Area of Science:

  • Audiology
  • Health psychology
  • Human-computer interaction

Background:

  • Traditional hearing questionnaires can pose challenges due to language and literacy barriers.
  • The Common Sound Scenarios (CoSS) framework outlines 14 distinct listening situations relevant to hearing assessment.
  • Developing accessible tools is crucial for accurate hearing difficulty and hearing aid outcome assessment.

Purpose of the Study:

  • To develop and evaluate an Image-Based Questionnaire for Hearing (IBQ-H).
  • To utilize photographs representing CoSS listening situations to assess hearing difficulties and hearing aid outcomes.
  • To overcome language and literacy barriers associated with traditional text-based questionnaires.

Main Methods:

  • Development involved a Patient and Public Involvement (PPI) focus group for feedback on acceptability and photographic content.
  • Three online experiments were conducted to select appropriate images and compare the IBQ-H with a text-based version.
  • Participant numbers for the experiments were 70, 42, and 55, respectively.

Main Results:

  • A 14-item IBQ-H was finalized, with one representative image selected for each CoSS listening situation.
  • Experiment 3 demonstrated that participants preferred, found easier, and were more confident completing the IBQ-H compared to its text-based counterpart.
  • The IBQ-H proved to be an accessible tool for assessing hearing difficulties.

Conclusions:

  • The 14-item IBQ-H offers an accessible approach to assessing hearing difficulties and hearing aid outcomes.
  • The questionnaire is adaptable for diverse cultural contexts.
  • Further evaluation of the IBQ-H's reliability, validity, and responsiveness is ongoing.