{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:20:15Z","timestamp":1792023615596,"version":"4.4.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Defense Health Program, Congressionally Directed Medical Research Programs Joint Program Committee"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Hearing difficulties are frequently reported by patients in audiology clinics, including patients with normal audiometric thresholds. However, because all individuals experience some difficulty understanding speech in noisy environments, it can be difficult to assess hearing complaints objectively across patients. Normative values help address this issue by providing an objective cutoff score for determining what is or is not clinically significant. The goal of this study was to establish normative values for the four-item hearing subscale of the Tinnitus and Hearing Survey (THS-H). Respondents completing the THS-H rate the level of difficulty understanding speech in the situations most commonly reported as being difficult: in the presence of noise, on TV or in movies, soft voices and group conversations. In this study, 22,583 US Service Members (SMs) completed the THS-H using an 11-point scale ranging from 0 (not a problem) to 10 (a very big problem). Responses to the four items were summed to produce values between 0 and 40. The distribution of the final scores was analyzed based on severity of hearing loss, age, and sex. Only 5% of SMs with clinically normal hearing scored above 27, so this score was selected as a cutoff for \u201cclinically significant hearing problems.\u201d Due to its ease of administration and interpretation, the THS-H could be a useful tool for identifying patients with subjective hearing difficulty warranting audiological evaluation and management.<\/jats:p>","DOI":"10.1177\/23312165231198374","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T03:26:10Z","timestamp":1697081170000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Rapid Assessment of Subjective Hearing Complaints With a Modified Version of the Tinnitus and Hearing Survey"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9642-2475","authenticated-orcid":false,"given":"Alyssa","family":"Davidson","sequence":"first","affiliation":[{"name":"Audiology and Speech Center, Walter Reed National Military Medical Center, National Military Audiology and Speech Center, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Ellis","sequence":"additional","affiliation":[{"name":"Audiology and Speech Center, Walter Reed National Military Medical Center, National Military Audiology and Speech Center, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LaGuinn P.","family":"Sherlock","sequence":"additional","affiliation":[{"name":"Audiology and Speech Center, Walter Reed National Military Medical Center, National Military Audiology and Speech Center, Bethesda, MD, USA"},{"name":"Hearing Conservation and Readiness Branch, Defense Centers for Public Health-Aberdeen, Aberdeen, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaclyn","family":"Schurman","sequence":"additional","affiliation":[{"name":"Audiology and Speech Center, Walter Reed National Military Medical Center, National Military Audiology and Speech Center, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Brungart","sequence":"additional","affiliation":[{"name":"Audiology and Speech Center, Walter Reed National Military Medical Center, National Military Audiology and Speech Center, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"bibr1-23312165231198374","doi-asserted-by":"publisher","DOI":"10.1177\/2331216519872601"},{"key":"bibr2-23312165231198374","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen 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