Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States.

Objective: Although tinnitus is one of the most commonly reported symptoms in the general population, patients with bothersome tinnitus are challenged by issues related to accessibility of care and intervention options that lack strong evidence to support their use. Therefore, creative ways of deliv...

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Publicado en:American Journal of Audiology Vol. 29; no. 3; pp. 476 - 491
Autores principales: Manchaiah, Vinaya, Vlaescu, George, Varadaraj, Srinivas, Parks Aronson, Elizabeth, Fagelson, Marc A., Munoz, Maria F., Andersson, Gerhard, Beukes, Eldré W.
Formato: pictorial research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Audiology
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      dt: Sep2020
      vid: 29
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2020_AJA-20-00002
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        atl: Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States.
      aug:
        au:
          Manchaiah, Vinaya
          Vlaescu, George
          Varadaraj, Srinivas
          Parks Aronson, Elizabeth
          Fagelson, Marc A.
          Munoz, Maria F.
          Andersson, Gerhard
          Beukes, Eldré W.
        affil: Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
      sug:
        subj:
          Cognitive Therapy Methods
          Internet-Based Intervention
          Tinnitus Therapy
          Attitude of Health Personnel
          Patient Satisfaction
          Human
          United States
          Program Implementation
          Program Evaluation
          Purposive Sample
          Data Analysis Software
          Mann-Whitney U Test
          Thematic Analysis
          Mindfulness
          Funding Source
      ab: Objective: Although tinnitus is one of the most commonly reported symptoms in the general population, patients with bothersome tinnitus are challenged by issues related to accessibility of care and intervention options that lack strong evidence to support their use. Therefore, creative ways of delivering evidence-based interventions are necessary. Internet-based cognitive behavioral therapy (ICBT) demonstrates potential as a means of delivering this support but is not currently available in the United States. This article discusses the adaptation of an ICBT intervention, originally used in Sweden, Germany, and the United Kingdom, for delivery in the United States. The aim of this study was to (a) modify the web platform's features to suit a U.S. population, (b) adapt its functionality to comply with regulatory aspects, and (c) evaluate the credibility and acceptability of the ICBT intervention from the perspective of health care professionals and patients with bothersome tinnitus. Materials/Method: Initially, the iTerapi ePlatform developed in Sweden was adopted for use in the United States. Functional adaptations followed to ensure that the platform's functional and security features complied with both institutional and governmental regulations and that it was suitable for a U.S. population. Following these adaptations, credibility and acceptance of the materials were evaluated by both health care professionals (n = 11) and patients with bothersome tinnitus (n = 8). Results: Software safety and compliance regulatory assessments were met. Health care professionals and patients reported favorable acceptance and satisfaction ratings regarding the content, suitability, presentation, usability, and exercises provided in the ICBT platform. Modifications to the features and functionality of the platform were made according to user feedback. Conclusions: Ensuring that the ePlatform employed the appropriate features and functionalities for the intended population was essential to developing the Internet-based interventions. The favorable user evaluations indicated that the intervention materials were appropriate for the tinnitus population in the United States.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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