# Cross-cultural adaptation and validation of the theory of Planned Behavior-Hearing Help Seeking: A methodological study

## TL;DR

This study adapts and validates a psychological tool for measuring hearing help-seeking behavior in Chinese adults.

## Contribution

The TPB-HHS was cross-culturally adapted to Chinese and validated for use in community hearing screenings.

## Key findings

- The Chinese TPB-HHS has four factors explaining 65% of the variance with strong internal consistency.
- The scale demonstrated satisfactory retest reliability and convergent and discriminant validity.
- The adapted TPB-HHS is a reliable tool for measuring help-seeking intentions in hearing loss patients.

## Abstract

•The TPB-HHS is suitable for assessing help-seeking behavior in the community.•TPB-HHS was cross-culturally adapted to the Chinese language in China.•The Chinese version TPB-HHS scale items and structure are similar.•TPB-HHS can be used for assessment, follow-up, and intervention.•TPB-HHS translates and adapts well to Chinese.

The TPB-HHS is suitable for assessing help-seeking behavior in the community.

TPB-HHS was cross-culturally adapted to the Chinese language in China.

The Chinese version TPB-HHS scale items and structure are similar.

TPB-HHS can be used for assessment, follow-up, and intervention.

TPB-HHS translates and adapts well to Chinese.

Seeking help for hearing loss is a complex psychological reaction. The purpose of this investigation was to cross-culturally adapt and validate the Theory of Planned Behavior-Hearing Help Seeking (TPB-HHS) to Chinese language and culture.

A total of 184 middle-aged and older Chinese adults completed the TPB-HHS. The study explored the factor structure and psychometric properties of the Chinese TPB-HHS, including model fit, convergent validity, discriminant validity, internal consistency and retest reliability.

Four factors were identified, explaining 65% of the variance, with significant internal consistency and model fitting. In addition, they had satisfactory retest reliability after one week. In addition, the TPB-HHS scale showed substantial convergent and discriminant validity.

The Chinese TPB-HHS version has been shown to be a reliable and effective tool for measuring hearing test intention in initial community hearing screening. It enables healthcare providers to determine the level of intent to seek help in patients with hearing loss, laying the foundation for interventions to help these patients achieve optimal physical, psychological, and social outcomes.

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