Journal article
Telephone-Based Progressive Tinnitus Management for Persons With and Without Traumatic Brain Injury: A Randomized Controlled Trial
Ear and hearing, Vol.40(2), pp.227-242
Mar 2019
PMID: 29847413
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This randomized controlled trial evaluated the efficacy of delivering coping skills education from Progressive Tinnitus Management (PTM) by telephone (Tele-PTM). The trial followed a previous pilot study that showed positive results for Tele-PTM.
Participants included individuals with bothersome tinnitus (N = 205) located anywhere within the United States. A special emphasis was given to including individuals who had experienced one or more traumatic brain injuries (TBIs). Participants were randomized to either Tele-PTM intervention or 6-month wait-list control (WLC). The Tele-PTM intervention involved five telephone appointments-two led by an audiologist (teaching how to use therapeutic sound) and three by a psychologist (teaching coping skills derived from cognitive-behavioral therapy). It was hypothesized that Tele-PTM would be more effective than WLC in reducing functional effects of tinnitus as measured with the Tinnitus Functional Index. Additional outcome measures included the Self-Efficacy for Managing Reactions to Tinnitus questionnaire and the Hospital Anxiety and Depression Scale. The effect of Tele-PTM on outcomes was estimated using linear mixed models.
Overall results showed convincingly that the Tele-PTM group had significantly better outcomes than the WLC group. These results were consistent across all outcome measures, indicating not only a reduction of tinnitus functional distress but also increased self-efficacy. Improvements in measures of anxiety and depression were also observed. Tele-PTM participants in all TBI categories showed significant improvement.
Results provide strong support for use of Tele-PTM methodology for persons with bothersome tinnitus, regardless of whether the person also has TBI symptoms. The effect size for Tele-PTM was high for the primary outcome measure, the Tinnitus Functional Index, and all other outcome measures showed significant improvement. Combined with our previous pilot study, the Tele-PTM method is validated for potential nationwide provision of tinnitus services.
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Details
- Title
- Telephone-Based Progressive Tinnitus Management for Persons With and Without Traumatic Brain Injury: A Randomized Controlled Trial
- 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 SystemGarnett P McMillan - VA Portland Health Care SystemCaroline J Schmidt - VA Connecticut Healthcare SystemPaula J Myers - James A. Haley Veterans' HospitalKathleen F Carlson - VA Portland Health Care System
- Publication Details
- Ear and hearing, Vol.40(2), pp.227-242
- Grant note
- IK6 RX002990 / RRD VA I01 RX000415 / RRD VA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Audiology - Distance
- Web of Science ID
- WOS:000459769700002
- Scopus ID
- 2-s2.0-85062067281
- Other Identifier
- 991022058595904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology