Validation of the Persian version of the LittlEARS® auditory questionnaire for assessment of auditory development in children with normal hearing.


Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences(USWR), Tehran, Iran. Electronic address: [Email]


OBJECTIVE : To adapt the LittlEARS® Auditory Questionnaire into Persian and evaluate the psychometric properties of the Persian version of the questionnaire for children with normal hearing.
METHODS : A "back-translation" method was used to translate and adapt the LittlEARS Auditory Questionnaire into Persian. The translated version was first evaluated by means of an expert-appraisal method. After having improved the Persian version of LittlEARs with the results obtained from that evaluation, various psychometric analyses were carried out to determine the validity and reliability. A group of 240 Persian speaking parents of children below 24 months of age with normal hearing completed the LittlEARS® Auditory Questionnaire. Various psychometric analyses (scale analysis and item analysis) were conducted.
RESULTS : In the current study, the following scale and item characteristics were investigated: Corrected item-total correlations ranged from 0.14 to 0.74; Cronbach's alpha coefficient value was 0.960; the split-half reliability r was 0.734; predictive accuracy Guttman's lambda was 0.965; the correlation between the overall score and age of the children was 0.808 (p < 0.001). The regression curve, which reflects the age-dependence of auditory behavior, was produced. The regression analysis that was conducted to obtain normative data showed that 80% of the variance in the total scores could be explained by age.
CONCLUSIONS : The data obtained from psychometric analysis support the use of the Persian version of the LittlEARS Auditory Questionnaire as a reliable and valid tool to assess the development of auditory behavior in Persian speaking children who are 24 months old or younger.


Auditory development,Cochlear implants,LittlEARS auditory questionnaire,Normal hearing,Psychometric characteristic,Questionnaire adaption,