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Measurement Properties of the Swedish Empowerment Audiology Questionnaire: A Rasch Analysis.

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Title: Measurement Properties of the Swedish Empowerment Audiology Questionnaire: A Rasch Analysis.
Authors: Yngve, Moa1 moa.yngve@liu.se, Larsson, Josefina2, Karlsson, Elin3,4,5
Source: Journal of Speech, Language & Hearing Research. May2026, Vol. 69 Issue 5, p2355-2364. 10p.
Subject Terms: *Self-evaluation, *Data analysis, *Research methodology evaluation, *Audiometry, *Research methodology, *Hearing disorders, Multitrait multimethod techniques, Self-efficacy, Differential item functioning (Research bias), T-test (Statistics), Research funding, Audiology, Questionnaires, Descriptive statistics, Surveys, Psychometrics, Statistics, Data analysis software
Geographic Terms: Sweden
Abstract: Objectives: Hearing loss is among the most common chronic conditions worldwide, substantially affecting daily life. Its management typically involves person-centered rehabilitation focusing on hearing aid fitting and active client participation. The Empowerment Audiology Questionnaire (EmpAQ) is a selfreport instrument assessing empowerment, available in 15- and five-item versions. The EmpAQ was recently translated into Swedish (EmpAQ SWE), with satisfactory content validity, convergent validity, and reliability. This study aimed to further evaluate the EmpAQ SWE by examining its construct validity. Design: Adults with hearing loss (pure-tone average > 20 dB HL in the better ear) were invited to complete a digital survey (n = 1,176); 152 participants responded. The survey included demographic questions and both EmpAQ-15 and EmpAQ-5. Rasch analysis was applied to assess item targeting, threshold ordering, item fit, differential item functioning (DIF), local dependency (LD), unidimensionality, and reliability. Results: The EmpAQ SWE demonstrated acceptable measurement properties with adequate item targeting, covering most individuals in the sample and distinguishing approximately three clinically meaningful empowerment levels. Unidimensionality was supported, confirming that the instrument measures a single underlying construct. DIF was identified for Item 1 of the EmpAQ-5 between working and nonworking participants, while Item 6 of the EmpAQ-15 showed misfit and weak discrimination. LD was observed within empowerment dimensions but without broader residual correlations. The person separation index (PSI) was 0.77 for the EmpAQ-15 and 0.55 for the EmpAQ-5. Mean person locations were 1.6 (SD = 1.1) and 1.1 (SD = 1.3), respectively. Conclusions: The EmpAQ SWE demonstrated acceptable psychometric properties, supporting its validity for assessing self-reported empowerment among individuals with hearing loss in Sweden. Findings align with results from the original English version, reinforcing its clinical relevance. Future research should address item-level refinements to further enhance the instrument. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Measurement Properties of the Swedish Empowerment Audiology Questionnaire: A Rasch Analysis.
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  Data: <searchLink fieldCode="AR" term="%22Yngve%2C+Moa%22">Yngve, Moa</searchLink><relatesTo>1</relatesTo><i> moa.yngve@liu.se</i><br /><searchLink fieldCode="AR" term="%22Larsson%2C+Josefina%22">Larsson, Josefina</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Karlsson%2C+Elin%22">Karlsson, Elin</searchLink><relatesTo>3,4,5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. May2026, Vol. 69 Issue 5, p2355-2364. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink>
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  Data: Objectives: Hearing loss is among the most common chronic conditions worldwide, substantially affecting daily life. Its management typically involves person-centered rehabilitation focusing on hearing aid fitting and active client participation. The Empowerment Audiology Questionnaire (EmpAQ) is a selfreport instrument assessing empowerment, available in 15- and five-item versions. The EmpAQ was recently translated into Swedish (EmpAQ SWE), with satisfactory content validity, convergent validity, and reliability. This study aimed to further evaluate the EmpAQ SWE by examining its construct validity. Design: Adults with hearing loss (pure-tone average > 20 dB HL in the better ear) were invited to complete a digital survey (n = 1,176); 152 participants responded. The survey included demographic questions and both EmpAQ-15 and EmpAQ-5. Rasch analysis was applied to assess item targeting, threshold ordering, item fit, differential item functioning (DIF), local dependency (LD), unidimensionality, and reliability. Results: The EmpAQ SWE demonstrated acceptable measurement properties with adequate item targeting, covering most individuals in the sample and distinguishing approximately three clinically meaningful empowerment levels. Unidimensionality was supported, confirming that the instrument measures a single underlying construct. DIF was identified for Item 1 of the EmpAQ-5 between working and nonworking participants, while Item 6 of the EmpAQ-15 showed misfit and weak discrimination. LD was observed within empowerment dimensions but without broader residual correlations. The person separation index (PSI) was 0.77 for the EmpAQ-15 and 0.55 for the EmpAQ-5. Mean person locations were 1.6 (SD = 1.1) and 1.1 (SD = 1.3), respectively. Conclusions: The EmpAQ SWE demonstrated acceptable psychometric properties, supporting its validity for assessing self-reported empowerment among individuals with hearing loss in Sweden. Findings align with results from the original English version, reinforcing its clinical relevance. Future research should address item-level refinements to further enhance the instrument. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=193696221
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2026_JSLHR-25-00821
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 2355
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Multitrait multimethod techniques
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Differential item functioning (Research bias)
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Audiology
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Surveys
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      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Sweden
        Type: general
    Titles:
      – TitleFull: Measurement Properties of the Swedish Empowerment Audiology Questionnaire: A Rasch Analysis.
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            NameFull: Yngve, Moa
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            NameFull: Larsson, Josefina
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              M: 05
              Text: May2026
              Type: published
              Y: 2026
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