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Adapted from: Newman, C.W., Weinstein, B.E., Jacobson, G.P., & Hug, G.A. (1990). The Hearing Handicap Inventory for Adults [HHIA]: Psychometric adequacy and audiometric correlates. Ear Hear, 11, 430-433. The HHIA test was modified for use with adults ages 18 to 64 from the original Hearing Handicap Inventory for the Elderly (HHIE), designed for use in adults aged 65 years and older.