THI (Tinnitus Handicap Inventory)
The Tinnitus Handicap Inventory (THI; Newman and colleagues 1996), a 25-item self-report measure of how much tinnitus is affecting the respondent's life.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Item 1
- 4
- Item 2
- 4
- Item 3
- 4
- Item 4
- 4
- Item 5
- 4
- Item 6
- 4
- Item 7
- 4
- Item 8
- 4
- Item 9
- 4
- Item 10
- 4
The other 15 values
- Item 11
- 0
- Item 12
- 0
- Item 13
- 0
- Item 14
- 0
- Item 15
- 0
- Item 16
- 0
- Item 17
- 0
- Item 18
- 0
- Item 19
- 0
- Item 20
- 0
- Item 21
- 0
- Item 22
- 0
- Item 23
- 0
- Item 24
- 0
- Item 25
- 0
Result: THI 40 of 100: grade 3.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Scale
- 25 items, each yes 4, sometimes 2, no 0. Total 0 to 100. Every total is EVEN.
- 0 to 16
- Grade 1, slight or no handicap.
- 18 to 36
- Grade 2, mild handicap.
- 38 to 56
- Grade 3, moderate handicap.
- 58 to 76
- Grade 4, severe handicap.
- 78 to 100
- Grade 5, catastrophic handicap.
- Gaps
- 17, 37, 57 and 77 are UNREACHABLE, not missing: all items are even. Do not close the bands.
- Subscales
- NOT reported. Two renderings of the item map disagree on four items; the primary could not be obtained.
- Scope
- Self-reported handicap, not a loudness or pitch match. Red flags need assessment regardless of score.
What you enter
- Item 1.
- Item 2.
- Item 3.
- Item 4.
- Item 5.
- Item 6.
- Item 7.
- Item 8.
- Item 9.
- Item 10.
The other 15 fields
- Item 1. Concentration [4 = Yes; 2 = Sometimes; 0 = No]
- Item 2. Hearing others over the tinnitus [4 = Yes; 2 = Sometimes; 0 = No]
- Item 3. Anger [4 = Yes; 2 = Sometimes; 0 = No]
- Item 4. Confusion [4 = Yes; 2 = Sometimes; 0 = No]
- Item 5. Desperation [4 = Yes; 2 = Sometimes; 0 = No]
- Item 6. Complaining about it [4 = Yes; 2 = Sometimes; 0 = No]
- Item 7. Falling asleep [4 = Yes; 2 = Sometimes; 0 = No]
- Item 8. Feeling unable to escape it [4 = Yes; 2 = Sometimes; 0 = No]
- Item 9. Social activities [4 = Yes; 2 = Sometimes; 0 = No]
- Item 10. Frustration [4 = Yes; 2 = Sometimes; 0 = No]
- Item 11. Fear of serious disease [4 = Yes; 2 = Sometimes; 0 = No]
- Item 12. Enjoyment of life [4 = Yes; 2 = Sometimes; 0 = No]
- Item 13. Work or household responsibilities [4 = Yes; 2 = Sometimes; 0 = No]
- Item 14. Irritability [4 = Yes; 2 = Sometimes; 0 = No]
- Item 15. Reading [4 = Yes; 2 = Sometimes; 0 = No]
- Item 16. Feeling upset [4 = Yes; 2 = Sometimes; 0 = No]
- Item 17. Strain on family and friendships [4 = Yes; 2 = Sometimes; 0 = No]
- Item 18. Shifting attention away from it [4 = Yes; 2 = Sometimes; 0 = No]
- Item 19. Sense of control over it [4 = Yes; 2 = Sometimes; 0 = No]
- Item 20. Tiredness [4 = Yes; 2 = Sometimes; 0 = No]
- Item 21. Depressed mood [4 = Yes; 2 = Sometimes; 0 = No]
- Item 22. Anxiety [4 = Yes; 2 = Sometimes; 0 = No]
- Item 23. Ability to cope [4 = Yes; 2 = Sometimes; 0 = No]
- Item 24. Worsening under stress [4 = Yes; 2 = Sometimes; 0 = No]
- Item 25. Feeling insecure [4 = Yes; 2 = Sometimes; 0 = No]
How this is calculated
Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143-148. Grades: McCombe A, et al. Clin Otolaryngol Allied Sci. 2001;26(5):388-393. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.