Application of the Behavior Change Wheel Within the Context of Internet-Based Cognitive Behavioral Therapy for Tinnitus Management.

Purpose: Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describ...

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Publicado en:American Journal of Audiology Vol. 31; no. 2; pp. 433 - 445
Autores principales: Beukes, Eldré W., Manchaiah, Vinaya, Andersson, Gerhard, Maidment, David W.
Formato: pictorial research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Audiology
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      dt: Jun2022
      vid: 31
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2022_AJA-21-00160
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        atl: Application of the Behavior Change Wheel Within the Context of Internet-Based Cognitive Behavioral Therapy for Tinnitus Management.
      aug:
        au:
          Beukes, Eldré W.
          Manchaiah, Vinaya
          Andersson, Gerhard
          Maidment, David W.
        affil: Vision and Hearing Sciences Research Group, School of Psychology and Sports Sciences, Anglia Ruskin University, Cambridge, United Kingdom
      sug:
        subj:
          Tinnitus Therapy
          Cognitive Therapy Methods
          Internet-Based Intervention
          Behavioral Changes
          Treatment Outcomes
          Human
          Conceptual Framework
          Program Evaluation
          Models, Theoretical
          Motivation
          Attitude to Illness
          Health Care Delivery Methods
          Funding Source
      ab: Purpose: Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describe how ICBT can facilitate tinnitus management by identifying the active ingredients of the intervention from the perspective of health behavior change. Method: The ICBT intervention was evaluated using the Behavior Change Wheel in eight steps across the following three stages: (1) understanding the behavior, (2) identifying intervention options, and (3) identifying content and implementation options. Results: Target behaviors identified to reduce tinnitus distress, as well as additional problems associated with tinnitus, included goal setting, an increased understanding of tinnitus, encouraging deep breathing and progressive muscle relaxation, identifying and restructuring unhelpful thoughts, engaging in positive imagery, and reducing avoidance behaviors. ICBT provided the required components for individuals to be physically and psychologically capable of adapting to tinnitus, providing social and environmental opportunities to manage hearing loss through practice and training, and facilitated automatic and reflective motivation. Conclusion: Understanding ICBT in the context of the Behavior Change Wheel has helped identify how its effectiveness can be improved and can be used for future tinnitus intervention planning.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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