Journal article
Clinical management of tinnitus using a "progressive intervention" approach
Journal of rehabilitation research and development, Vol.42(4), pp.95-115
01 Jul 2005
PMID: 16470467
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Chronic tinnitus is experienced by 10%-15% of the population, of which only about 20% require clinical intervention. People requiring intervention have different levels of need, ranging from the provision of basic information to long-term, individualized treatment. We address this clinical need by outlining a five-level "progressive intervention" approach to the management of tinnitus that would provide a systematic framework for treatment by audiologists. At each level, patients must be appropriately referred-usually to otolaryngology, psychology, and/or psychiatry. Level 1 is an interview method of screening for determining if the person requires clinical intervention (and addressing basic questions). Level 2 is the provision of structured group educational counseling. If the screening determines that care is urgently required or if further help is needed following the group session(s), a tinnitus intake assessment (Level 3) should be performed. The intake assessment, which includes educational counseling, can often meet a patient's needs. If not, then a program of continuing treatment (Level 4) would be indicated. If significant benefit were not achieved through consistent treatment over 1-2 years, longer-term treatment (Level 5) would be indicated, which could include alternate or multiple treatment modalities. At all levels, the goal is to minimize the impact of tinnitus on the patient's life as efficiently as possible. [PUBLICATION ABSTRACT]
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Details
- Title
- Clinical management of tinnitus using a "progressive intervention" approach
- Creators
- James Henry - Portland VA Medical CenterMartin SchechterCarl LoovisTara Zaugg
- Publication Details
- Journal of rehabilitation research and development, Vol.42(4), pp.95-115
- Publisher
- Superintendent of Documents
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Audiology - Distance
- Web of Science ID
- WOS:000235845800008
- Scopus ID
- 2-s2.0-33244472563
- Other Identifier
- 991022057791804721
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- Web of Science research areas
- Rehabilitation