Associations of collective self-help activity, health literacy and quality of life in patients with tinnitus

Kofahl, Christopher

doi:10.1016/j.pec.2018.07.001

Cited by 16 publications

(7 citation statements)

References 20 publications

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“…Watts et al [23] found a minority of adults reporting a "need for knowledge" and Tyler and Baker [2] reported just one adult experiencing difficulty 'explaining tinnitus to others'. Although, this could be due to Tyler and Baker's participants feeling well informed and supported through their engagement in a self-help group [44]. Future research should establish whether 'lack of understanding of tinnitus' and 'lack of support from others' are particularly important issues for children with tinnitus.…”

Section: Tinnitus-related Problems In Childrenmentioning

confidence: 99%

An evaluation of paediatric tinnitus services in UK National Health Service audiology departments

Smith

Fackrell

Kennedy

et al. 2020

BMC Health Serv Res

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Background: Whilst evidence indicates many children experience troublesome tinnitus, specialist services for children are far less established than those available for adults. To date, there is limited understanding of how paediatric tinnitus is managed in the UK, and to what extent current practice reflects what is recommended. This service evaluation aimed to 1) profile how tinnitus in children is managed in UK clinical practice, and assess to what extent care provided by services reflects advice included in the British Society of Audiology (BSA) Tinnitus in Children Practice Guidance, 2) collate clinician opinions on how services may be optimised, and 3) identify common problems experienced by children who present with bothersome tinnitus in clinic. Methods: As part of a larger survey, eight questions regarding services for paediatric tinnitus were distributed to UK NHS audiology services via email and social media. Representatives from eighty-seven services responded between July and September 2017. Results: Fifty-three percent of respondents reported that their department provided a paediatric tinnitus service. Among these services, there was widespread use of most BSA recommended assessments and treatments. Less widely used practices were the assessment of mental health (42%), and the use of psychological treatment approaches; cognitive behavioural therapy (CBT) (28%), mindfulness (28%), and narrative therapy (14%). There was varied use of measurement tools to assess tinnitus in children, and a minority of respondents reported using adult tinnitus questionnaires with children. Frequently reported tinnitus-related problems presented by children were sleep difficulties, concentration difficulties at school, situation-specific concentration difficulties, and emotional distress. Conclusions: Approaches used to manage children with troublesome tinnitus in UK NHS services are largely consistent and reflective of the current practice guidance. However, findings from this study indicate specialist staff training, access to child-specific tools, and the treatment and referral of children with tinnitus-related psychological problems represent key areas in need of optimisation.

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Section: Tinnitus-related Problems In Childrenmentioning

confidence: 99%

An evaluation of paediatric tinnitus services in UK National Health Service audiology departments

Smith

Fackrell

Kennedy

et al. 2020

BMC Health Serv Res

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“…Only recently, a study on the effect of SH was published [ 310 ]. At the time of the survey, 800 of the 13,000 members of the non-profit SH organisation Deutsche Tinnitus-Liga (DTL) were active in SH groups.…”

Section: Therapy Of Chronic Tinnitusmentioning

confidence: 99%

“…At the time of the survey, 800 of the 13,000 members of the non-profit SH organisation Deutsche Tinnitus-Liga (DTL) were active in SH groups. In a cross-sectional study, the tinnitus distress (Mini-TQ; [ 64 ]) was assessed in 1108 affected persons (mean 61 years, 60% men) using valid items of the Structured Tinnitus Interview (STI; [ 310 ]) on tinnitus knowledge (TK), tinnitus coping and quality of life (QoL; WHOQOL-BREF 1998). As a result, the regression analyses show highly significant correlations of community SH activity with TK, coping as well as health system orientation and self-confidence, but no significant differences concerning general QoL.…”

Section: Therapy Of Chronic Tinnitusmentioning

confidence: 99%

S3 Guideline: Chronic Tinnitus

Mazurek

Hesse

Sattel

et al. 2022

HNO

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“…Emotional distress is one of the common problems of tinnitus distress [Probst et al, 2016], indicating that when encountering tinnitus and other problems in life or work, high self-esteem enables patients to be less likely to have negative thoughts about themselves, the environment, and the future. Furthermore, Kofahl [2018] found that patients with a high level of self-esteem were more likely to participate in tinnitus self-help groups (SHGs), which support their members by providing them with up-to-date information about medical, psychological, and legal concerns surrounding tinnitus. Therefore, patients with a high level of self-esteem would take effective actions to obtain more resources and information to help them to better cope with tinnitus, maintain emotional health, and improve quality of life, thereby minimizing the severity of tinnitus distress.…”

Section: Effect Of Self-esteem On Tinnitus Distressmentioning

confidence: 99%

Social Support and Tinnitus Distress: The Importance of Developing Positive Psychological Qualities in Patients with Chronic Tinnitus

Wang

Zeng

et al. 2021

Audiol Neurotol

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Introduction: The role of social support in the relief of tinnitus distress and related mechanisms remains unclear. This study aimed to confirm a hypothesis that the influence of social support on tinnitus distress is mediated by resilience and self-esteem. Methods: The Social Support Rating Scale, Connor-Davidson Resilience Scale, Positive Version of Rosenberg Self-Esteem Scale, and Tinnitus Handicap Inventory were used to assess 296 patients who experience chronic subjective tinnitus. The collected data were subjected to correlational analysis, mediating effect testing, and structural equation model analysis using R 3.3.1 with the mediate and lavaan packages. Results: The result showed that social support had significant positive correlations with resilience and self-esteem, while resilience and self-esteem had significant negative correlations with tinnitus distress. Furthermore, social support indirectly affected tinnitus distress through the full mediating effects of resilience and self-esteem and could indirectly affect resilience through the partial mediating effects of self-esteem. Conclusion: These results suggested that the key to social support for alleviating tinnitus distress lies in the development of patients’ resilience and self-esteem. Promoting the development of positive psychological quality of tinnitus patients and improving their perception of social support may become the new approaches of clinical management of tinnitus.

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Associations of collective self-help activity, health literacy and quality of life in patients with tinnitus

Cited by 16 publications

References 20 publications

An evaluation of paediatric tinnitus services in UK National Health Service audiology departments

An evaluation of paediatric tinnitus services in UK National Health Service audiology departments

S3 Guideline: Chronic Tinnitus

Social Support and Tinnitus Distress: The Importance of Developing Positive Psychological Qualities in Patients with Chronic Tinnitus

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