What question did this study set out to answer?

To evaluate the reliability of the Hearing Handicap Inventory (HHI) and investigate item-order effects on scores.

February 11, 2026

Online-administered hearing handicap inventory: evaluation of reliability and item-order effects

SGStefanie GoickeUniversity of Southern Denmark LHLarry E. HumesNorthwestern University TNTobias NeherUniversity of Southern Denmark

Key Points

To evaluate the reliability of the Hearing Handicap Inventory (HHI) and investigate item-order effects on scores.
Administered the HHI online to assess reliability and item-order effects.
Extracted HHI-S from full HHI without altering results.
Measured test-retest reliability focusing on variations with auditory wellness.
Item order does not affect HHI scores.
The HHI-S can be derived from the full HHI reliably.
Test-retest reliability varies based on the auditory wellness of individuals.

Abstract

HHI scores appear unaffected by the item order. The HHI-S can be extracted from the full HHI without changing the results. The test-retest reliability of the HHI varies with auditory wellness.

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