Translation and cultural adaptation of the hyperacusis handicap questionnaire to Brazilian Portuguese.
Adriane da Silva Assis, Stela Maris Aguiar Lemos, Prashanth Prabhu and 1 others
PMID 41637264WHAT IT FOUND
The Hyperacusis Handicap Questionnaire is now available in Brazilian Portuguese.
After two rounds of testing with 60 adults, all 21 items were understood by every participant. This tool helps clinicians assess how sound sensitivity impacts daily life, but it has not yet been validated for reliability or accuracy.
Key findings
01The translation and cultural adaptation followed COSMIN guidelines, resulting in a version where 100% of participants in the second testing round reported no difficulty understanding the items.
02The final Brazilian Portuguese version (HHQ-BP) consists of 21 items covering functional, social, and emotional dimensions, scored on a frequency scale from 0 to 4 points.
03This study completed the cultural adaptation but did not perform psychometric validation; therefore, the tool's reliability and validity in Brazilian Portuguese are not yet established.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study only performed cultural adaptation and pre-testing; it did not validate the psychometric properties (reliability, construct validity) of the HHQ-BP. The sample was recruited from a single hospital service in Belo Horizonte, which may not represent the broader Brazilian population. There was a significant gender imbalance, with 86.6% of participants in the first round and 80% in the second round being female.
Declared interests
The study was funded by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil. No other conflicts of interest are reported.
The easy way to misread this
Do not assume this tool is clinically validated for diagnosis or outcome measurement yet. This paper confirms that Brazilian Portuguese speakers understand the questions, but it explicitly states that psychometric validation is still in progress. Use it as a descriptive aid for patient history, not as a scored diagnostic instrument.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →