Promotion and views on tinnitus self-help within United Kingdom national health service audiology departments

Smith, Stephen L.; Broomhead, Emily; Greenwell, Kate; Watts, Emily J; Stockdale, David; Hoare, Derek J.

doi:10.1080/14992027.2018.1512013

Cited by 2 publications

(3 citation statements)

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“…1 It aimed to support tinnitus self-management through education about tinnitus and psychological support (relaxation and brief cognitive restructuring skills training; Greenwell, Featherstone, & Hoare, 2015). Hearing professionals in the United Kingdom were aware of the intervention and referred patients to it (Smith et al, 2018). One advantage of this intervention was that it was primarily self-guided, meaning it could be delivered at scale with minimal resource use and was suitable for delivery in a primary care setting.…”

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confidence: 99%

Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation

et al. 2019

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Purpose Internet-based interventions have the potential to reduce the disparity in access to psychological therapy that people with tinnitus currently experience. One example is the Tinnitus E-Programme, which, although freely available online, has not yet been formally evaluated. The purpose of this study was to evaluate past, current, and new users' reactions and interactions with the Tinnitus E-Programme. Method Study 1 used an online survey to gather past and current users' reactions to, and interactions with, the intervention ( n = 27). Study 2 used interviews and a relaxation log to assess how new users implemented the skills they learned into their everyday lives ( n = 13). Results Generally, users expressed positive views on the intervention content and design features. Users particularly valued the education about tinnitus and its management and the relaxation skills training, and use of these components was high. In contrast, user reactions to self-monitoring tools, an online support forum, and therapist support were mixed, and use was lower. Implementation was limited by instances of poor usability and accessibility, user engagement, and adherence to relaxation goals. Users' perceptions of the intervention's credibility and relevance and beliefs regarding a negative impact on their tinnitus influenced engagement. Users in both studies identified several benefits gained, including functional and emotional management, self-efficacy for managing and coping with tinnitus, understanding tinnitus and its management, social support, and acceptance of tinnitus. Conclusion Findings suggest that the intervention was acceptable to its target group but also highlighted some areas for improvement. These findings will be used to inform further optimization work.

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Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation

et al. 2019

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“…This mirrors the beliefs of tinnitus health professionals who believe that self‐help interventions (e.g. digital interventions) are most suitable for motivated patients and those with mild tinnitus or mental health difficulties, and not suitable for those looking for a ‘quick‐fix’ solution (S. Smith et al, 2018). Stage of change (i.e.…”

Section: Discussionmentioning

confidence: 61%

“…The Tinnitus E-Programme 2.0 is a digital cognitive behavioural intervention to improve tinnitus symptom severity. Since its inception, the intervention has undergone optimization work using theory-, evidence-, and person-based approaches to intervention development (Band et al, 2017;Greenwell et al, 2018). Guidelines for developing complex interventions recommend creating a 'programme theory' for an intervention and refining the theory throughout the development process (O'Cathain et al, 2019).…”

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confidence: 99%

‘That’s just how I am’: a qualitative interview study to identify factors influencing engagement with a digital intervention for tinnitus self‐management

Greenwell

Sereda

Coulson

et al. 2020

British J Health Psychol

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Objectives. To explore users' reactions to and expectations of the Tinnitus E-Programme 2.0, a digital cognitive behavioural intervention for tinnitus, and to identify contextual factors and mechanisms of action that may influence user engagement with the intervention.Design. Qualitative interview study.Methods. Think-aloud and semi-structured interviews were carried out with 19 people with tinnitus. Interviews explored participants' views of the intervention's information and advice, its wider intervention goals (e.g. behaviour change, self-management), and factors that may strengthen or impede users' engagement. Data were analysed using inductive thematic analysis, and findings were used to develop a conceptual model of user engagement with the intervention.Results. Generally, participants expressed positive views of the intervention, its intervention components, and its design features. Identified contextual factors included pre-existing attitudes, beliefs, skills, and knowledge (e.g. perceptions of tinnitus symptom severity, openness to tinnitus management, and psychological techniques); previous experience of tinnitus management; and characteristics of the condition (e.g. heterogeneous nature of tinnitus, stage in healthcare journey). These contextual factors were hypothesized to influence engagement through four mechanisms of action: motivation toThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Promotion and views on tinnitus self-help within United Kingdom national health service audiology departments

Cited by 2 publications

References 20 publications

Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation

Understanding User Reactions and Interactions With an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Evaluation

‘That’s just how I am’: a qualitative interview study to identify factors influencing engagement with a digital intervention for tinnitus self‐management

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