The Persian version of infant-toddler meaningful auditory integration scale
Background and Aim: The current study aimed to investigate the validity and reliability of the Persian version of the Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS) questionnaire. Because cochlear implantation is done today at younger ages, the use of a suitable questionnaire is necessary to evaluate auditory skills and follow up the rehabilitation progress.
Methods: IT-MAIS was translated according to the International Quality of Life Assessment (IQOLA) translation protocol. The content validity was performed using Lawshe method with the participation of 10 expert professionals. The questionnaire was completed for 34 parents of cochlear-implanted children before initial programming of the device, two weeks after the rehabilitation program, and finally three months later. The intraclass correlation coefficient was calculated for test-retest reliability for each IT-MAIS subscale. The internal consistency reliability was analyzed using the Cronbach α coefficient.
Results: The content validity ratio for all items was above 0.79, and the content validity index was obtained to be higher than 0.96. The Cronbach α for the entire questionnaire was 0.74, and for different sections of it was obtained as 0.63‒0.67. A significant difference was observed between the total score of the questionnaire before and after the rehabilitation program and its sub-items (p < 0.001).
Conclusion: The Persian version of the questionnaire of IT-MAIS is a valid instrument in terms of translation quality as well as reliability and validity for assessing cochlear implant user children who are younger than three years.
2. Hassanzadeh S. [The psychometric properties of the Persian version of categorization of auditory performance II and speech intelligibility rating scales in cochlear-implanted deaf children]. Audiol. 2015;23(6):76-84. Persian.
3. Pinto ES, Lacerda CB, Porto PR. Comparison between the IT-MAIS and MUSS questionnaires with video-recording for evaluation of children who may receive a cochlear implantation. Braz J Otorhinolaryngol. 2008;74(1):91-8.
4. Meinzen-Derr J, Wiley S, Creighton J, Choo D. Auditory skills checklist: clinical tool for monitoring functional auditory skill development in young children with cochlear implants.. Ann Otol Rhinol Laryngol. 2007;116(11):812-8. doi: 10.1177/000348940711601104
5. Osberger MJ, Geier L, Zimmerman-Phillips S, Barker MJ. Use of a parent-report scale to assess benefit in children given the clarion cochlear implant. Am J Otol. 1997;18(6 Suppl):S79-80.
6. Robbins AM, Koch DB, Osberger MJ, Zimmerman-Phillips S, Kishon-Rabin L. Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Arch Otolaryngol Head Neck Surg. 2004;130(5):570-4. doi: 10.1001/archotol.130.5.570
7. Osberger MJ. Cochlear implantation in children under the age of two years: candidacy considerations. Otolaryngol Head Neck Surg. 1997;117(3 Pt 1):145-9.
8. Robbins AM, Renshaw JJ, Berry SW. Evaluating meaningful auditory integration in profoundly hearing-impaired children. Am J Otol. 1991;12 Suppl:144-50.
9. Zimmerman-Phillips S, Osberger M, Robbins A. Infant-toddler meaningful auditory integration scale. Sylmar, CA: Advanced Bionics Corporation. 2001.
10. Zimmerman-Phillips S, Robbins AM, Osberger MJ. Assessing cochlear implant benefit in very young children. Ann Otol Rhinol Laryngol. 2000;109(12):42-3.
11. Ertmer DJ, Jung J. Monitoring progress in vocal development in young cochlear implant recipients: relationships between speech samples and scores from the conditioned assessment of speech production (CASP). Am J Speech Lang Pathol. 2012;21(4):313-28. doi: 10.1044/1058-0360(2012/11-0110)
12. Kishon-Rabin L, Taitelbaum-Swead R, Elichai O, Maimon D, Debyiat D, Chazan N. Developmental aspects of the IT-MAIS in normal-hearing babies. Isr J Speech Hear. 2001;23(1):12-22.
13. Weichbold V, Anderson I, D'haese P. Validation of three adaptations of the meaningful auditory integration scale (MAIS) to German, English and Polish. Int J Audiol. 2004;43(3):156-61. doi: 10.1080/14992020400050021
14. Zheng Y, Soli SD, Wang K, Meng J, Meng Z, Xu K, et al. A normative study of early prelingual auditory development. Audiol Neurotol 2009;14:214-22. doi: 10.1159/000189264
15. Schauwers K. Early speech and language development in deaf children with a cochlear implant: a longitudinal investigation [Dissertation]. Antwerp University; 2006.
16. Archbold S, Lutman ME, Marshall DH. Categories of auditory performance. Ann Otol Rhinol Laryngol Suppl. 1995;166:312-4.
17. Allen C, Nikolopoulos TP, Dyar D, O'Donoghue GM. Reliability of a rating scale for measuring speech intelligibility after pediatric cochlear implantation. Otol Neurotol. 2001;22(5):631-3.
18. Chen X, Liu S, Liu B, Mo L, Kong Y, Liu H, et al. The effects of age at cochlear implantation and hearing aid trial on auditory performance of Chinese infants. Acta Otolaryngol. 2010;130(2):263-70. doi: 10.3109/00016480903150528
19. Bullinger M, Alonso J, Apolone G, Leplège A, Sullivan M, Wood-Dauphinee S, et al. Translating health status questionnaires and evaluating their quality: the IQOLA project approach. International quality of life ass¬essment. J Clin Epidemiol. 1998;51(11):913-23.
20. Zhong Y, Xu T, Dong R, Lyu J, Liu B, Chen X. The analysis of reliability and validity of the IT-MAIS, MAIS and MUSS. Int J Pediatr Otorhinolaryngol. 2017;96:106-110. doi: 10.1016/j.ijporl.2017.03.006
21. Cavicchiolo S, Mozzanica F, Guerzoni L, Murri A, Dall'Ora I, Ambrogi F, et al. Early prelingual auditory development in Italian infants and toddlers analysed through the Italian version of the infant-toddler meaningful auditory integration scale (IT-MAIS). Eur Arch Otorhinolaryngol. 2018;275(2):615-622. doi: 10.1007/s00405-017-4847-6
22. Robbins AM, Koch DB, Osberger MJ, Zimmerman-Phillips S, Kishon-Rabin L. Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Archives of Otolaryngology–Head & Neck Surgery. 2004;130(5):570-4.