Translation and validation of tinnitus handicap inventory into Gujarati language


  • Ajeet Kumar Khilnani Department of Otorhinolaryngology, Gujarat Adani Institute of Medical Sciences, Bhuj, Gujarat, India



Gujarati, Reliability, Tinnitus, Tinnitus handicap inventory, Validity


Background: Tinnitus is a very debilitating symptom. Various questionnaires have been developed to quantify the handicap due to tinnitus, out of which THI is widely used. First developed in English language, THI has been adapted in many other languages. In the present study, THI was translated and validated in Gujarati language (THI-Guj).

Methods: THI in English was translated into Gujarati language by the language experts. It was administered to 20 Gujarati speaking people for content validity before finally using on the patients. 68 patients filled the THI-Guj and the scores so obtained were statistically analyzed for reliability scores.  

Results: THI-Guj could classify the patients into slight, mild, moderate, severe and catastrophic tinnitus. The overall Cronbach’s Alpha score for the inventory was 0.980, while scores for the subscales (functional, emotional and catastrophic) were 0.848, 0.853 and 0.896 respectively, indicating an acceptable reliability.

Conclusions: THI-Guj can be used in assessment and monitoring of tinnitus sufferers, who are Gujarati speakers, by audiologist as well as otologists working in various clinical settings.


Simpson JJ, Davies WE. A review of evidence in support of a role for 5-HT in the perception of tinnitus. Hear Res. 2000;145:1–7.

Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996;122:143-8.

Ramkumar V, Swetha Swaminathan S. Validity and Reliability of a Tamil Translation of the Tinnitus Handicap Inventory. J Ind Speech Hearing Assoc. 2011;25(2):122-7.

Zacharia T, Naik PV, Sada S, Kuniyil JG, Dwarakanath VM. Development and standardization of tinnitus handicap inventory in Kannada. Int Tinnitus J. 2012;17(2):117-23.

Aithal VU, Pillai VV, Zacharia T, Rajashekhar B. Development and standardization of tinnitus handicap inventory in malayalam. Int Tinnitus J. 2013;18(2):129-33.

Alam N, Katarkar A, Shah P, Jalvi R, Jain A, Shah M. Audiological, psychological and cognitive characteristics of tinnitus sufferers. Indian J Otol. 2012;18(1):20-3.

Makar SK, Biswas A, Shatapathy P. The Impact of Tinnitus on Sufferers in Indian Population. Indian J Otolaryngol Head Neck Surg. 2014;66:15.

Oron Y, Shushan S, Kreitler S, Roth Y. A Hebrew adaptation of the tinnitus handicap inventory. Int J Audiol. 2011;50:426–30.

Meng Z, Zheng Y, Liu S, Wang K, Kong X, Tao Y, et al. Reliability and validity of the Chinese (mandarin) tinnitus handicap inventory. Clin Exp Otorhinolaryngol. 2012;5:10–6.

Bencsik B, Tama´s L, Trimmel K, Stauder A. Hungarian adaptation of the Tinnitus Handicap Inventory: Reliability and validity. Eur Arch Oto-Rhino-Laryngol. 2015;272:2243–8.

Bolduc D, De´silets F, Tardif M, Leroux T. Validation of a French (Que´bec) version of the Tinnitus Handicap Inventory. Int J Audiol. 2014;53:903–9.

Oron Y, Sergeeva NV, Kazlak M, Barbalat I, Spevak S, Lopatin AS, et al. A Russian adaptation of the tinnitus handicap inventory. Int J Audiol. 2015;54:485–9.

Baguley DM, Andersson G. Factor analysis of the Tinnitus Han¬dicap Inventory. Am J Audiol. 2003;12(1):31-4.






Original Research Articles