Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

Tara L Zaugg; Emily J Thielman; Kathleen F Carlson; Anaïs Tuepker; Christine Elnitsky; Karen L Drummond; Caroline J Schmidt; Summer Newell; Christine Kaelin; Christie Choma; James A Henry

doi:10.1371/journal.pone.0242007

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Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

Journal article

Open access

Peer reviewed

Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

Tara L Zaugg, Emily J Thielman, Kathleen F Carlson, Anaïs Tuepker, Christine Elnitsky, Karen L Drummond, Caroline J Schmidt, Summer Newell, Christine Kaelin, Christie Choma, …

PloS one, v 15(12), e0242007

28 Dec 2020

DOI: https://doi.org/10.1371/journal.pone.0242007

PMID: 33370307

Featured in Collection : UN Sustainable Development Goals @ Drexel

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Abstract

Audiology - organization & administration

Disease Progression

Evidence-Based Medicine - organization & administration

Evidence-Based Medicine - statistics & numerical data

Health Plan Implementation - organization & administration

Health Plan Implementation - statistics & numerical data

Hospitals, Veterans - organization & administration

Hospitals, Veterans - statistics & numerical data

Humans

Interdisciplinary Communication

Mental Health Services - organization & administration

Patient Preference - psychology

Patient Preference - statistics & numerical data

Physicians - statistics & numerical data

Qualitative Research

Surveys and Questionnaires - statistics & numerical data

Telemedicine - organization & administration

Telemedicine - statistics & numerical data

Tinnitus - psychology

Tinnitus - therapy

United States Department of Veterans Affairs - organization & administration

Veterans - psychology

Quality of Life

United States

Progressive Tinnitus Management (PTM) is an evidence-based interdisciplinary stepped-care approach to improving quality of life for patients with tinnitus. PTM was endorsed by Department of Veterans Affairs (VA) Audiology leadership in 2009. Factors affecting implementation of PTM are unknown. We conducted a study to: 1) estimate levels of PTM program implementation in VA Audiology and Mental Health clinics across the country; and 2) identify barriers and facilitators to PTM implementation based on the experiences of VA audiologists and mental health providers. We conducted an anonymous, web-based survey targeting Audiology and Mental Health leaders at 144 major VA facilities. Quantitative analyses summarized respondents' facility characteristics and levels of program implementation (full PTM, partial PTM, or no PTM). Qualitative analyses identified themes in factors influencing the implementation of PTM across VA sites. Surveys from 87 audiologists and 66 mental health clinicians revealed that few facilities offered full PTM; the majority offered partial or no PTM. Inductive analysis of the open-ended survey responses identified seven factors influencing implementation of PTM: 1) available resources, 2) service collaboration, 3) prioritization, 4) Veterans' preferences and needs, 5) clinician training, 6) awareness of (evidence-based) options, and 7) perceptions of scope of practice. Results suggest wide variation in services provided, a need for greater engagement of mental health providers in tinnitus care, and an interest among both audiologists and mental health providers in receiving tinnitus-related training. Future research should address barriers to PTM implementation, including methods to: 1) improve understanding among mental health providers of their potential role in tinnitus management; 2) enhance coordination of tinnitus-related care between health care disciplines; and 3) collect empirical data on Veterans' need for and interest in PTM, including delivery by telehealth modalities.

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8 citations in Scopus

Details

Title: Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers
Creators: Tara L Zaugg - VA Portland Health Care System
Emily J Thielman - VA Portland Health Care System
Kathleen F Carlson - VA Portland Health Care System
Anaïs Tuepker - Oregon Health & Science University
Christine Elnitsky - University of North Carolina at Charlotte
Karen L Drummond - Central Arkansas Veterans Healthcare System
Caroline J Schmidt - Yale University
Summer Newell - VA Portland Health Care System
Christine Kaelin - VA Portland Health Care System
Christie Choma - VA Portland Health Care System
James A Henry - Oregon Health & Science University
Publication Details: PloS one, v 15(12), e0242007
Publisher: Public Library of Science
Grant note: IK6 RX002990 / RRD VA
Resource Type: Journal article
Language: English
Academic Unit: Audiology - Distance
Web of Science ID: WOS:000603611900123
Scopus ID: 2-s2.0-85099116064
Other Identifier: 991022058600004721

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Collaboration types: Domestic collaboration
Web of Science research areas: Otorhinolaryngology

Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

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Abstract

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Details

UN Sustainable Development Goals (SDGs)

InCites Highlights

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