Hearing Handicap Inventory for Adults (HHIA)
25-item self-report screening for adults <65 (Newman 1990; HHIE for ≥65). Emotional + Social/Situational sub-scales. Each item: No (0), Sometimes (2), Yes (4). Total 0–100.
Score interpretation
→ Reassurance. Re-screen if symptoms develop or every 3 years if at-risk occupation.
→ Refer for diagnostic audiometry. Discuss hearing aids if SNHL >25 dB HL averaged 0.5–4 kHz; communication strategies.
→ Urgent audiology referral; consider ENT review for asymmetric loss. Hearing aid fitting, assistive listening devices, ± cochlear implant assessment if severe-to-profound bilateral SNHL.
Interpretation bands for the HHIA. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.