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Audiologist-Supported Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States: A Pilot Trial
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In: ETSU Faculty Works (2021)
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Abstract:
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 inclusion criteria and six withdrew. There were 27 participants 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 = 1.6 was found for tinnitus severity. 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.
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Keyword:
audiologist; Audiology and Speech-Language Pathology; CBT; tinnitus
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URL: https://dc.etsu.edu/etsu-works/9523
https://doi.org/10.1044/2021_AJA-20-00222
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| 2 |
Dismantling Internet-Based Cognitive Behavioral Therapy for Tinnitus. The Contribution of Applied Relaxation: A Randomized Controlled Trial
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In: ETSU Faculty Works (2021)
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| 3 |
Use of Open-Ended Questionnaires to Examine the Effects of Tinnitus and Its Relation to Patient-Reported Outcome Measures
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In: ETSU Faculty Works (2021)
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| 4 |
Tinnitus and auditory cortex; Using adapted functional near- infrared- spectroscopy to expand brain imaging in humans
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| 5 |
Auditory and vestibular symptoms after COVID-19 infection: a preliminary Brazilian report
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In: Revista CEFAC, Vol 23, Iss 6 (2021) (2021)
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| 6 |
Tinnitus Does Not Interfere with Auditory and Speech Perception.
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In: The Journal of neuroscience : the official journal of the Society for Neuroscience, vol 40, iss 31 (2020)
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| 7 |
Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
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In: ETSU Faculty Works (2020)
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| 8 |
What’s That Ringing in Your Ears?
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In: ETSU Faculty Works (2020)
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| 9 |
Internet-based Cognitive Behavioral Therapy (ICBT) for Tinnitus in the U.S
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In: ETSU Faculty Works (2020)
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| 10 |
Translation and Adaptation of Three English Tinnitus Patient-Reported Outcome Measures to Spanish
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In: ETSU Faculty Works (2020)
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| 11 |
The Case for Employing Elements of Tauma Counseling for Patients with Tinnitus
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In: ETSU Faculty Works (2020)
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| 12 |
The use of the Dangerous Decibels® program for refrigeration company workers and their children: an intergenerational pilot study
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In: Revista CEFAC, Vol 22, Iss 1 (2020) (2020)
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| 13 |
Development of an educational tool on tinnitus in a website format
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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| 14 |
Improving Accessibility of an Internet-Intervention for Tinnitus
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In: ETSU Faculty Works (2019)
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| 16 |
Readability Following Cultural and Linguistic Adaptations of an Internet-Based Intervention for Tinnitus for Use in the United States
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In: ETSU Faculty Works (2019)
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| 17 |
Aging and Central Auditory Disinhibition: Is It a Reflection of Homeostatic Downregulation or Metabolic Vulnerability?
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In: Brain Sciences ; Volume 9 ; Issue 12 (2019)
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| 18 |
A Cross-Sectional Questionnaire Study of Tinnitus Awareness and Impact in a Population of Adult Cochlear Implant Users.
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| 20 |
Recording of tinnitus psychoacoustic measurements: an integrative literature review
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In: Revista CEFAC, Vol 21, Iss 5 (2019) (2019)
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