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May 9, 2026Korean Journal of Otorhinolaryngology - Head and Neck Surgery0 citationsOpen Access

Korean Version of the 12-Item Speech, Spatial and Qualities of Hearing Scale: Reliability and Validity in Adult Cochlear Implant Users

SJSeung Hwa JeongHKHae Na KimYCYoung‐Myoung Chun

Key Points

  • This study aims to develop and evaluate the Korean version of the 12-item Speech, Spatial and Qualities of Hearing Scale for adult cochlear implant users.
  • K-SSQ12 was translated into Korean using standardized procedures and cultural adaptation.
  • 56 adult cochlear implant users completed the K-SSQ12 twice with a 2-week interval for test-retest reliability analysis.
  • Reliability was assessed using Cronbach's alpha and intraclass correlation coefficients, while concurrent validity was evaluated by correlating scores with the Nijmegen Cochlear Implant Questionnaire.
  • K-SSQ12 demonstrated excellent internal consistency (Cronbach's alpha = 0.93).
  • High test-retest reliability was observed (ICC = 0.97).
  • Significant correlations were found between K-SSQ12 scores and the Nijmegen Cochlear Implant Questionnaire, supporting its concurrent validity.

Abstract

Background and Objectives Patient-reported outcome measures are essential for evaluating real-world hearing performance in cochlear implant (CI) users.This study aimed to develop the Korean version of the 12-item Speech, Spatial and Qualities of Hearing Scale (K-SSQ12) and to evaluate its reliability and validity in Korean-speaking adult CI users. Subjects and MethodThe original English version of the SSQ12 was translated into Korean using standardized forward-backward translation procedures, followed by cultural adaptation, linguistic validation, and assessment of content validity.For psychometric evaluation, 56 adult CI users completed the K-SSQ12 twice, with a 2-week interval.Internal consistency was assessed using Cronbach's , test-retest reliability was evaluated using intraclass correlation coefficients (ICCs), and concurrent validity was examined by assessing correlations between K-SSQ12 scores and those of the Nijmegen Cochlear Implant Questionnaire administered concurrently. ResultsThe K-SSQ12 demonstrated excellent internal consistency (Cronbach's =0.93) and high test-retest reliability (ICC=0.97).Significant correlations were observed between K-SSQ12 scores and the Nijmegen Cochlear Implant Questionnaire, supporting its concurrent validity with a CI-specific quality-of-life measure.Conclusion The K-SSQ12 demonstrated robust psychometric properties, with high reliability and good concurrent validity.It can be used to assess subjective hearing abilities and may serve as a valuable complement to standardized audiological assessments in clinical settings.

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Cite This Study

Jeong et al. (2026) studied this question.

synapsesocial.com/papers/69fecf94b9154b0b8287692chttps://doi.org/10.3342/kjorl-hns.2025.00577
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