Audiologist-Supported Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States: A Pilot Trial.
Background: Patients often report that living with a condition such as tinnitus can be debilitating, worrying, and frustrating. Efficient ways to foster management strategies for individuals with tinnitus and promoting tinnitus self-efficacy are needed. Internet-based cognitive behavioral therapy (I...
| Publicado en: | American Journal of Audiology Vol. 30; pp. 717 - 730 |
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| Autores principales: | , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152433304&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152433304 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10590889 5KS jtl: American Journal of Audiology issn: 10590889 maglogo: N pubinfo: dt: Sep2021 vid: 30 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 152433304 152433304 152433304 10.1044/2021_AJA-20-00222 152433304 ppf: 717 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Audiologist-Supported Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States: A Pilot Trial. aug: au: Beukes, Eldré W. Andersson, Gerhard Fagelson, Marc Manchaiah, Vinaya affil: Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX sug: subj: Audiologists Internet-Based Intervention Cognitive Therapy Tinnitus Therapy Treatment Outcomes United States Pilot Studies Clinical Trials Pretest-Posttest Design Stress, Psychological Anxiety Depression Insomnia Tinnitus Quality of Life Adult Middle Age Aged Patient Compliance Descriptive Statistics Questionnaires Data Analysis Software Post Hoc Analysis Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Background: Patients often report that living with a condition such as tinnitus can be debilitating, worrying, and frustrating. Efficient ways to foster management strategies for individuals with tinnitus and promoting tinnitus self-efficacy are needed. Internet-based cognitive behavioral therapy (ICBT) for tinnitus shows promise as an evidence-based intervention in Europe, but is not available in the United States. The aim of this pilot study was to evaluate the feasibility of an ICBT intervention for tinnitus in the United States. Method: This study reports the Phase 1 trial intended to support implementation of a larger randomized clinical trial (RCT) comparing ICBT to a weekly monitoring group. As a pilot study, a single-group pretest--posttest design was used to determine outcome potential, recruitment strategy, retention, and adherence rates of ICBT for tinnitus. The primary outcome was a change in tinnitus distress. Secondary outcome measures included measures of anxiety, depression, insomnia, tinnitus cognitions, hearing-related difficulties, and quality of life. Results: Of the 42 screened participants, nine did not meet the inclusioncriteriaandsixwithdrew.Therewere27participants who completed the intervention, with a mean age of 55.48 (± 9.9) years. Feasibility was established, as a large pretest--posttest effect size of d =1.6wasfoundfortinnitusseverity.Large pretest--posttest effect sizes were also found for tinnitus cognitions and hearing-related effects, and a medium effect was found for insomnia and quality of life. Treatment adherence varied with a retention rate of 85% (n = 23) at post-intervention assessment and 67% (n = 18) for the follow-up assessment. Conclusions: This pilot study supported the feasibility of ICBT for tinnitus in the United States. Ways of improving intervention retention and recruitment rates need to be explored in future ICBT studies. Protocol refinements that were identified will be implemented prior to further RCTs to investigate the efficacy of ICBT for tinnitus in the United States. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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