Process evaluation of Internet-based cognitive behavioural therapy for adults with tinnitus in the context of a randomised control trial.

Objective: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the fact...

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Publicado en:International Journal of Audiology Vol. 57; no. 2; pp. 98 - 110
Autores principales: Beukes, Eldré W., Manchaiah, Vinaya, Baguley, David M., Allen, Peter M., Andersson, Gerhard
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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        14992027
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      dt: Feb2018
      vid: 57
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      pub: Taylor & Francis Ltd
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        10.1080/14992027.2017.1384858
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        atl: Process evaluation of Internet-based cognitive behavioural therapy for adults with tinnitus in the context of a randomised control trial.
      aug:
        au:
          Beukes, Eldré W.
          Manchaiah, Vinaya
          Baguley, David M.
          Allen, Peter M.
          Andersson, Gerhard
        affil: Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK
      sug:
        subj:
          Internet
          Cognitive Therapy Evaluation
          Tinnitus In Middle Age
          Human
          Male
          Female
          Middle Age
          United Kingdom
          Random Assignment
          Randomized Controlled Trials
          Program Implementation
          Motivation
          Outcomes (Health Care)
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Chi Square Test
          Socioeconomic Factors
          Questionnaires
          Scales
          Audiologists
          Health and Care Professions Council
          Insomnia
          Depression
          Quality of Life
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained. Design: This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention. Study sample: Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years. Results: The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation. Conclusions: Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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