Citation: Rhythm B, Ganapathy K, Gundmi A, Palaniswamy HP (2026) Cross-cultural adaptation and psychometric validation of the Kannada version of the Extended Effort Assessment Scale (EEAS-K) in adults with hearing loss. PLoS One 21(9): e0358439. https://doi.org/10.1371/journal.pone.0358439 Editor: Rakesh Veerabhadrappa, Gallaudet University, UNITED STATES OF AMERICA Received: June 5, 2026; Accepted: September 1, 2026; Published: September 23, 2026 Copyright: © 2026 Rhythm et al.