20Q: Hearing Loss and Listening-Related Fatigue: Clinical Assessment
Course: #42174Level: Intermediate 2 Hours 13 ReviewsThis article examines the development, validation, and clinical application of the Vanderbilt Fatigue Scales (VFS), a suite of measurement tools designed to assess listening-related fatigue in adults and children with hearing loss, including adult scales (VFS-A-40 and VFS-A-10) and pediatric scales (VFS-C, VFS-P, and VFS-T). Hearing healthcare professionals will gain practical knowledge of how to administer, score, and interpret VFS results using qualitative and quantitative cut-points, apply findings to guide patient counseling, and identify evidence-informed intervention strategies to reduce listening-related fatigue.
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Learning Outcomes
- After this course, the participant should be able to describe the development process and psychometric properties—including sensitivity, reliability, and validity—of the Vanderbilt Fatigue Scales for adults and children.
- After this course, the participant should be able to identify the appropriate qualitative and quantitative score cut-points for interpreting VFS results in adults and children, and explain the rationale for the modified criteria used with pediatric populations.
- After this course, the participant should be able to apply the Vanderbilt Fatigue Scales in clinical practice, including using scale results to guide patient counseling and measuring outcomes of interventions for listening-related fatigue.
Course created on June 8, 2026
Reviews
13 ReviewsPresented By

Benjamin W. Y. Hornsby
PhD
Ben Hornsby is an Associate Professor in the Department of Hearing and Speech Sciences at the Vanderbilt Bill Wilkerson Center, Vanderbilt University School of Medicine. Dr. Hornsby completed Ph.D in Hearing and Speech Sciences at Vanderbilt University and joined the Vanderbilt faculty as a teacher/scholar in 2002.
He has authored over 80 scholarly papers, including more than 60 peer-reviewed journal articles, and has presented his research extensively at national and international scientific meetings. His research has been funded by private industry and federal agencies, including the National Institutes of Health (NIH) and the Institute of Education Sciences (IES). Dr. Hornsby holds membership in several professional organizations and has served as a Section Editor, guest editor and reviewer for multiple scholarly journals. In 2016 he was inducted as a Fellow of the American Speech-Language-Hearing Association and in 2020 he was invited as a Fellow to join the International Collegium of Rehabilitative Audiology (ICRA) group.
Dr. Hornsby directs the Hearing and Communication Research Laboratory at Vanderbilt. His lab uses qualitative, behavioral, and physiologic methods to examine the communication difficulties of adults and children with hearing loss and the psychosocial consequences of those difficulties. His current research focuses on relationships between hearing loss-related communication difficulties, mental effort, and fatigue. In addition, he is a co-developer of the adult and pediatric versions of the Vanderbilt Fatigue Scales, a suite of scales designed to measure listening-related fatigue in adults and children.
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Financial: Benjamin Hornsby is an employee of Vanderbilt University School of Medicine. Non-financial: Benjamin Hornsby has no relevant non-financial relationships to disclose.
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