A Cluster Randomised Trial of an Internet-Based Intervention Program for Tinnitus Distress in an Industrial Setting

Abbott, Jo; Kaldo, Viktor; Klein, Britt; Austin, David W.; Hamilton, Catherine; Piterman, Leon; Williams, Ben; Andersson, Gerhard

doi:10.1080/16506070902763174

Cited by 72 publications

(108 citation statements)

References 32 publications

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“…Fourth, it should be noted that most respondents completed the online version of the TDI, and therefore we can conclude that the psychometric qualities of the electronic version of the TDI have been currently established. The web-based nature of the present study is, on the other hand, in line with recent developments in research and the trend to offer online therapy and measurements (Andersson & Kaldo 2004;Kaldo et al 2008;Abbott et al 2009). Fifth, it should be noted that the current investigation was carried out in a Dutch-speaking population.…”

Section: Discussionsupporting

confidence: 49%

Tinnitus Interferes With Daily Life Activities: A Psychometric Examination of the Tinnitus Disability Index

Cima

Vlaeyen

Maes³

et al. 2011

Ear &Amp; Hearing

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Objectives: Tinnitus Disability Index (TDI) is presented as a novel and brief self-report measure for the assessment of the interference of tinnitus with performance in specific daily life activities. We hypothesized that the TDI is a reliable and valid measure and that tinnitus disability is strongly associated with tinnitus severity, subjective tinnitus intensity ratings, and ratings of general health.Design: Six hundred fifteen tinnitus patients from across the Netherlands completed online a number of questionnaires about their tinnitus, their general health, and demographics. Two samples were extracted by a random split: Sample I (N ϭ 311) for exploratory factor analysis and Sample II (N ϭ 304) for confirmatory analysis, using structural equation modeling. One hundred forty-three of the first included respondents repeated assessment after a 2-wk time interval for test/retest analysis. Regression analyses were employed to investigate construct validity.Results: Present analyses reveal that tinnitus disability, as measured with the TDI, might be best understood as a single-component construct, that is, one single underlying factor. The TDI is reliable over time, and tinnitus-related disability, as measured with the TDI, is strongly associated with subjective ratings of tinnitus intensity, negatively associated with quality of life ratings, and distress due to tinnitus. Conclusions:The TDI is a brief and easily administered index measuring a unique construct, namely the experienced interference of the tinnitus with daily life activities, which is invaluable in the assessment and treatment of tinnitus patients.

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Section: Discussionsupporting

confidence: 49%

Tinnitus Interferes With Daily Life Activities: A Psychometric Examination of the Tinnitus Disability Index

Cima

Vlaeyen

Maes³

et al. 2011

Ear &Amp; Hearing

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“…via e-mail) and has shown promising effects, in particular on several psychosomatic or functional somatic syndromes such as chronic fatigue syndrome [11], chronic back pain [12], and irritable bowel syndrome [13,14]. The effectiveness of ICBT in the treatment of tinnitus has previously been tested in randomized controlled trials (RCTs), where it has been contrasted with a waitlist control group [15], group-based CBT (GCBT) [16], Internet-based acceptance and commitment treatment [17], and an information-only control program in an industrial setting [18]. Moreover, a nonrandomized clinical effectiveness study was carried out by Kaldo-Sandström et al [19].…”

mentioning

confidence: 99%

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Jasper

Weise

Conrad

et al. 2014

Psychother Psychosom

Self Cite

108

128

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Background: The aim of this randomized controlled trial was to investigate the effects of conventional face-to-face group cognitive behavioral therapy (GCBT) and an Internet-delivered guided self-help treatment (Internet-based CBT, ICBT) on tinnitus distress. Methods: A total of 128 adults with at least mild levels of chronic tinnitus distress were randomly assigned to GCBT (n = 43), ICBT (n = 41), or a web-based discussion forum (DF) that served as a control condition (n = 44). Standardized self-report measures [the Tinnitus Handicap Inventory (THI), Mini-Tinnitus Questionnaire (Mini-TQ), Hospital Anxiety and Depression Scale, Insomnia Severity Index and Tinnitus Acceptance Questionnaire] were completed at the pre- and post-assessments and at the 6-month follow-up. Results: Repeated-measures ANOVAs revealed significant time × group interaction effects on the primary outcomes (THI and Mini-TQ scores) in favor of both CBT interventions compared with the DF at post-assessment (0.56 ≤ g ≤ 0.93; all p ≤ 0.001). There were no significant differences between GCBT and ICBT (all p > 0.05) and the treatment effects remained stable at the 6-month follow-up. Conclusions: This study provides evidence that ICBT might be an equally effective alternative to conventional CBT in the management of chronic tinnitus. Despite encouraging results, further research is necessary to determine the actual potential of ICBT as a viable alternative to CBT, and under which circumstances it is effective.

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“…However, CBT studies showed large effects size. As the 8 studies in the present review involved combined approaches 22,28,31,33,35,36,38,40 therefore, making it difficult to extract the role of individual intervention approach.…”

Section: Discussionmentioning

confidence: 99%

“…Abbott et al 38 investigated the effectiveness of a therapist-supported Internet intervention program for tinnitus distress in an industrial setting using a cluster randomized design. Fifty six participants were randomly assigned to either a CBT program or an informationonly control program.…”

Section: Cognitive Behaviour Therapy In Tinnitus Managementmentioning

confidence: 99%

Treatment of Tinnitus: A Scoping Review

Makar¹,

Mukundan²,

Gore³

2017

The International Tinnitus Journal

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Background: Tinnitus is a perception of an auditory sensation without the presence of an external sound. It has devastating impact on the quality of life and psychosocial aspect of the sufferer. Mechanisms of tinnitus not clear; however, its management include counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive behaviour therapy and tinnitus retraining therapy. Objective: To conduct a scoping review to explore the role of counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive-behavioural therapy and tinnitus retraining therapy in India. To also provide an overview of efficacy of these approaches in tinnitus management. Research Design: Scoping review. Study Sample: Experimental studies, follow-up assessments, and reviews assessing tinnitus treatment approaches were identified as a result of an electronic database met search. Results: The evidence suggests that all tinnitus management programs have their unique benefits in the treatment of tinnitus. Given the confounding variables that include length of therapy, tinnitus severity and subject population, the overall level of evidence is equivocal. Nonetheless, the efficacy of CBT appears reasonably established and combined approach (masking + counselling + attention diversion) appears to be most promising for audiologists for future tinnitus management. A common ground of therapeutic elements was established and evidence was found to be robust enough to guide clinical practice. Conclusion: The use of more robust methodology with well-defined control groups, as well as randomization of clinical trials in future studies would increase the quality of evidence in the study of tinnitus management. Clinical recommendation: Combined therapies (masking + counselling + attention diversion) appear more appropriate in the treatment of tinnitus as the evidence is not sufficient to support a specific treatment method.

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A Cluster Randomised Trial of an Internet-Based Intervention Program for Tinnitus Distress in an Industrial Setting

Cited by 72 publications

References 32 publications

Tinnitus Interferes With Daily Life Activities: A Psychometric Examination of the Tinnitus Disability Index

Tinnitus Interferes With Daily Life Activities: A Psychometric Examination of the Tinnitus Disability Index

Internet-Based Guided Self-Help versus Group Cognitive Behavioral Therapy for Chronic Tinnitus: A Randomized Controlled Trial

Treatment of Tinnitus: A Scoping Review

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