An E-Platform for Rehabilitation of Persons With Hearing Problems

Vlaescu, George; Carlbring, Per; Lunner, Thomas; Andersson, Gerhard

doi:10.1044/2015_aja-14-0083

Cited by 20 publications

(18 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The iCBT intervention content was based on a CBT self-help program originally developed in the Swedish language 9 and adapted into an 8-week, interactive e-learning version consisting of 16 recommended modules and 5 optional modules for a UK population. 10,16 To monitor progress and provide feedback on completed worksheets, a minimum of 10 minutes of asynchronous audiologist guidance using an encrypted 2-way messaging system was provided.…”

Section: Guided Icbt Interventionmentioning

confidence: 99%

Effectiveness of Guided Internet-Based Cognitive Behavioral Therapy vs Face-to-Face Clinical Care for Treatment of Tinnitus

Beukes

Andersson

Allen

et al. 2018

JAMA Otolaryngol Head Neck Surg

Self Cite

View full text Add to dashboard Cite

IMPORTANCE Accessible clinical care is not always available to individuals with distressing tinnitus. Internet-based cognitive behavioral therapy has the potential to increase access to evidence-based services that manage tinnitus. Research comparing the effectiveness of this internet-based intervention with face-to-face care is required. OBJECTIVE To evaluate whether an internet-based cognitive behavioral therapy intervention is at least as effective as established individualized face-to-face clinical care in reducing tinnitus distress and tinnitus-related difficulties. DESIGN, SETTING, AND PARTICIPANTS A randomized, multicenter, 2-arm parallel group, noninferiority trial with 2-month follow-up was performed between October 4, 2016, and July 14, 2017. Invited to participate were 374 adults based in the United Kingdom who had been referred to their local tinnitus clinics because of bothersome tinnitus. The experimental group received the internet-based intervention online, and the active control group underwent the usual face-to-face tinnitus care at 1 of 3 UK-based National Health Service hospitals. Participants were randomly assigned (1:1) to either intervention using variable permuted block sizes of 4 and 6. Of 92 participants who were randomized (46 each in the experimental and control groups), 88 participants completed the assessment immediately after intervention and 74 participants completed the follow-up assessment.INTERVENTIONS Participants were randomized to receive either 8 weeks of guided internet-based cognitive behavioral therapy or a mean of 2 to 3 individualized face-to-face appointments in a tinnitus clinic. MAIN OUTCOMES AND MEASURESThe primary outcome was a change in tinnitus distress (assessed by the Tinnitus Functional Index). Secondary assessment measures were included for insomnia, anxiety, depression, hearing disability, hyperacusis, cognitive failures, and satisfaction with life. RESULTSOf 92 patients overall, 55 (60%) were men with a mean (SD) age of 52.96 (12.07) years and mean (SD) tinnitus duration of 6.54 (9.25) years. The between-group difference in the Tinnitus Functional Index scores after intervention were 5.18 (95% CI, -4.17 to 14.53) at the initial assessment and 5.52 (95% CI, -4.60 to 15.61) at follow-up; both differences were within the noninferiority margin of 13 points for the lower 95% CI. For the secondary outcomes, only outcomes for insomnia fell outside the noninferiority margin, both after intervention and at follow-up, favoring internet-based cognitive behavioral therapy.CONCLUSIONS AND RELEVANCE This is the first trial, to our knowledge, to compare an internet-based intervention with standard individualized face-to-face care for tinnitus. It revealed that both interventions are equally effective for reducing tinnitus distress and most tinnitus-related difficulties. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02665975

show abstract

Section: Guided Icbt Interventionmentioning

confidence: 99%

Effectiveness of Guided Internet-Based Cognitive Behavioral Therapy vs Face-to-Face Clinical Care for Treatment of Tinnitus

Beukes

Andersson

Allen

et al. 2018

JAMA Otolaryngol Head Neck Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…The content of the intervention was tailored to include both obligatory and optional modules, as shown in Table 2. A responsive Web-based treatment platform was designed in-house at Linkoping University, Sweden, complying with a high level of data security and encrypted communications (Vlaescu et al, 2015). Key principles to maximize effectiveness, compliance, and retention rates were incorporated, as recommended by Dziura et al (2013).…”

Section: Interventionmentioning

confidence: 99%

Internet-Based Intervention for Tinnitus: Outcome of a Single-Group Open Trial

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background: Managing chronic tinnitus is challenging and innovative ways to address the resulting health-care burden are required. Internet-based cognitive behavioural therapy (iCBT) for tinnitus shows promise as a cost-effective treatment option. The feasibility and effectiveness of iCBT in the United Kingdom (UK) are yet to be explored. Furthermore, it is not known if iCBT can be supported by an Audiologist rather than a Psychologist.Purpose: This study aimed to determine the feasibility of guided iCBT using Audiological support on tinnitus distress and tinnitus related comorbidities. Furthermore, it aimed to establish the feasibility of iCBT for tinnitus distress in the UK, by determining recruitment, attrition and compliance rates. Lastly it aimed to identify which aspects of the protocol require refinement for subsequent clinical trials.Research Design: A single-group open trial design was implemented. This study would serve as a pre-requisite study, to identify barriers, prior to undertaking effectiveness trials.Study Sample: Participants consisted of 37 adults (18 males, 19 females), with an age range of between 50-59 years. The mean pre-intervention tinnitus severity rating was 56.15 (SD 18.35) which is categorised as "severe tinnitus" as measured by the Tinnitus Functional Index. Five participants withdrew during the study and 29 of the remaining participants completed the post-intervention questionnaire. Intervention:The guided iCBT intervention ran over an eight-week period and consisted of 16 obligatory modules and 5 optional modules. The intervention was designed to be interactive, interesting and stimulating. A key element was the provision of support from an Audiologist throughout the programme. Data Collection and Analysis:Online questionnaires were used throughout the study. These were administered at baseline and post-intervention to determine attrition and compliance rates and to facilitate sample size estimates for further clinical trials. Outcome measures for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 F o r P e e r R e v i e w 3 tinnitus severity, hearing handicap, insomnia, cognitive functioning, hyperacusis, anxiety, depression and life satisfaction were used to investigate the effects of iCBT with Audiological support. In addition, a weekly questionnaire was incorporated to monitor change in tinnitus distress while undertaking the intervention.Results: Feasibility was established using an Audiologist to support this guided iCBT intervention, as a significant change post-intervention was found for tinnitus severity, as measured by the Tinnitus Functional Index and the Tinnitus Handicap Inventory screening version. The attrition rate was 22% and compliance was variable. Although these results were based on a small sample, they provide encouraging evidence for the feasibility of delivering iCBT trea...

show abstract

“…This makes the intervention more accessible and improves engagement. One example is the Iterapi purpose-built web-based platform (https://www.iterapi.se/), designed at the Department of Behavioural Sciences and Learning at Linköping University, Sweden (Vlaescu, Carlbring, Lunner, and Andersson, 2015;Vlaescu, Alasjö, Miloff, Carlbring, and Andersson, 2016). This platform has undergone continual improvements following experience in providing interventions since 1998 for various difficulties, including auditory-related symptoms.…”

Section: Suitable Functionality Of the Internet-intervention Platformmentioning

confidence: 99%

Tele-Audiology and the Optimization of Hearing Healthcare Delivery

2019

Advances in Medical Technologies and Clinical Practice

View full text Add to dashboard Cite

Tinnitus can be a debilitating hearing-related symptom. Access to evidence-based tinnitus interventions remain limited. Tele-audiology can assist by providing a clinically and cost-effective tinnitus management route. This chapter highlights how this is made possible by focusing on one form of tele-audiology, namely an internetbased intervention. Guidelines are provided for the development of such interventions. A framework outlining the various processes involved in evaluating newly developed interventions is also provided. The chapter closes by discussing factors that may facilitate or hamper the dissemination of new interventions into existing service delivery models. This well-defined outline for intervention development and evaluation can be applied and used to guide innovative intervention models by stakeholders.

show abstract

An E-Platform for Rehabilitation of Persons With Hearing Problems

Cited by 20 publications

References 8 publications

Effectiveness of Guided Internet-Based Cognitive Behavioral Therapy vs Face-to-Face Clinical Care for Treatment of Tinnitus

Effectiveness of Guided Internet-Based Cognitive Behavioral Therapy vs Face-to-Face Clinical Care for Treatment of Tinnitus

Internet-Based Intervention for Tinnitus: Outcome of a Single-Group Open Trial

Tele-Audiology and the Optimization of Hearing Healthcare Delivery

Contact Info

Product

Resources

About