Journal article
Randomized Controlled Trial in Clinical Settings to Evaluate Effectiveness of Coping Skills Education Used With Progressive Tinnitus Management
Journal of speech, language, and hearing research, Vol.60(5), pp.1378-1397
01 May 2017
PMID: 28418492
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: This randomized controlled trial evaluated, within clinical settings, the effectiveness of coping skills education that is provided with progressive tinnitus management (PTM).
Method: At 2 Veterans Affairs medical centers, N = 300 veterans were randomized to either PTM intervention or 6-month wait-list control. The PTM intervention involved 5 group workshops: 2 led by an audiologist (teaching how to use sound as therapy) and 3 by a psychologist (teaching coping skills derived from cognitive behavioral therapy). It was hypothesized that PTM would be more effective than wait-list control in reducing functional effects of tinnitus and that there would be no differences in effectiveness between sites.
Results: At both sites, a statistically significant improvement in mean Tinnitus Functional Index scores was seen at 6 months for the PTM group. Combined data across sites revealed a statistically significant improvement in Tinnitus Functional Index relative to wait-list control. The effect size for PTM using the Tinnitus Functional Index was 0.36 (small).
Conclusions: Results suggest that PTM is effective at reducing tinnitus-related functional distress in clinical settings. Although effect sizes were small, they provide evidence of clinical effectiveness of PTM in the absence of stringent research-related inclusion criteria and with a relatively small number of sessions of cognitive behavioral therapy.
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Details
- Title
- Randomized Controlled Trial in Clinical Settings to Evaluate Effectiveness of Coping Skills Education Used With Progressive Tinnitus Management
- Creators
- James A. Henry - Oregon Health & Science UniversityEmily J. Thielman - VA Portland Health Care SystemTara L. Zaugg - VA Portland Health Care SystemChristine Kaelin - VA Portland Health Care SystemCaroline J. Schmidt - VA Connecticut Healthcare SystemSusan Griest - VA Portland Health Care SystemGarnett P. McMillan - VA Portland Health Care SystemPaula Myers - GoogleIzel Rivera - GoogleRobert Baldwin - GoogleKathleen Carlson - VA Portland Health Care System
- Publication Details
- Journal of speech, language, and hearing research, Vol.60(5), pp.1378-1397
- Publisher
- Amer Speech-Language-Hearing Assoc
- Number of pages
- 20
- Grant note
- C7213R; C9247S / VA Rehabilitation Research & Development Service
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Audiology - Distance
- Web of Science ID
- WOS:000402754000017
- Scopus ID
- 2-s2.0-85019664819
- Other Identifier
- 991022058599804721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Linguistics
- Rehabilitation