This study aimed to translate and cross-culturally adapt the Acceptance and Action Questionnaire-Management of Child Hearing Loss (AAQ-MCHL) for caregivers of children with hearing loss (CHL) in China and to validate its psychometric properties. Using a cross-sectional psychometric validation design, 135 caregivers of CHL were invited to participate, with complete data from 125 participants used to analyze internal consistency, test-retest reliability, content validity, structural validity, criterion validity, and the optimal cut-off score. The results demonstrated that the Chinese version of the AAQ-MCHL, developed through careful translation and adaptation, exhibited good internal consistency, test-retest reliability, content validity, structural validity, and criterion validity. The findings also indicated that poorer speech performance in children was a strong predictor of parental psychological inflexibility. In conclusion, the Chinese version of the AAQ-MCHL can serve as a valid outcome measure for assessing psychological inflexibility among caregivers of CHL in mainland China, and it is suggested that early intervention professionals should monitor caregivers for signs of elevated psychological inflexibility.

years from East China Normal University, China. She is the head of the hearing and speech rehabilitation department of Binzhou Medical University, China. She has over 30 publications. She has been serving as an editorial board member of several reputed journals.