Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation.

Purpose: Internet-based interventions have the potential to reduce the disparity in access to psychological therapy that people with tinnitus currently experience. One example is the Tinnitus E-Programme, which, although freely available online, has not yet been formally evaluated. The purpose of th...

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Publicado en:American Journal of Audiology Vol. 28; no. 3; pp. 697 - 714
Autores principales: Greenwell, Kate, Sereda, Magdalena, Coulson, Neil S., Hoare, Derek J.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2019
      vid: 28
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2019_AJA-18-0171
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        atl: Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation.
      aug:
        au:
          Greenwell, Kate
          Sereda, Magdalena
          Coulson, Neil S.
          Hoare, Derek J.
        affil: Centre for Clinical and Community Applications of Health Psychology, University of Southampton, United Kingdom
      sug:
        subj:
          Patient Attitudes Evaluation
          Internet Utilization
          Telehealth Methods
          Tinnitus Therapy
          Self-Management Methods
          Human
          Adolescence
          Adult
          Middle Age
          Aged
          Male
          Female
          Funding Source
          Surveys
          Skill Acquisition
          Tinnitus Education
          Relaxation Techniques Education
          Support, Psychosocial
          Health Services Accessibility
          Program Implementation Psychosocial Factors
          Consumer Participation
          Treatment Outcomes
          Self-Efficacy
          Coping
          Attitude to Illness
          Attitude to Medical Treatment
          Multimethod Studies
          Convenience Sample
          Descriptive Statistics
          Data Analysis Software
          Qualitative Studies
          Quantitative Studies
          Retrospective Design
          Research Subject Recruitment
          Purposive Sample
          Interviews
          Patient Satisfaction
          Motivation
          Questionnaires
          Feedback
          Autonomy
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Internet-based interventions have the potential to reduce the disparity in access to psychological therapy that people with tinnitus currently experience. One example is the Tinnitus E-Programme, which, although freely available online, has not yet been formally evaluated. The purpose of this study was to evaluate past, current, and new users' reactions and interactions with the Tinnitus E-Programme. Method: Study 1 used an online survey to gather past and current users' reactions to, and interactions with, the intervention (n = 27). Study 2 used interviews and a relaxation log to assess how new users implemented the skills they learned into their everyday lives (n = 13). Results: Generally, users expressed positive views on the intervention content and design features. Users particularly valued the education about tinnitus and its management and the relaxation skills training, and use of these components was high. In contrast, user reactions to self-monitoring tools, an online support forum, and therapist support were mixed, and use was lower. Implementation was limited by instances of poor usability and accessibility, user engagement, and adherence to relaxation goals. Users' perceptions of the intervention's credibility and relevance and beliefs regarding a negative impact on their tinnitus influenced engagement. Users in both studies identified several benefits gained, including functional and emotional management, self-efficacy for managing and coping with tinnitus, understanding tinnitus and its management, social support, and acceptance of tinnitus. Conclusion: Findings suggest that the intervention was acceptable to its target group but also highlighted some areas for improvement. These findings will be used to inform further optimization work.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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