Development and Psychometric Adequacy of the Screening Version of the Tinnitus Handicap Inventory

Newman, Craig W.; Sandridge, Sharon A.; Bolek, Lauren

doi:10.1097/mao.0b013e31816569c4

Cited by 98 publications

(123 citation statements)

References 14 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…Participants will be monitored weekly using the Tinnitus Handicap Inventory-Screening Version (THI-s) [40], a concise measure consisting of ten questions. During previous trials using this iCBT intervention for tinnitus, researchers found that tinnitus severity decreased on a weekly basis [21].…”

Section: Methodsmentioning

confidence: 99%

Guided Internet-based versus face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial

Beukes

Baguley

Allen

et al. 2017

Trials

View full text Add to dashboard Cite

BackgroundInnovative strategies are required to improve access to evidence-based tinnitus interventions. A guided Internet-based cognitive behavioural therapy (iCBT) intervention for tinnitus was therefore developed for a U.K. population. Initial clinical trials indicated efficacy of iCBT at reducing tinnitus severity and associated comorbidities such as insomnia and depression. The aim of this phase III randomised controlled trial is to compare this new iCBT intervention with an established intervention, namely face-to-face clinical care for tinnitus.Methods/designThis will be a multi-centre study undertaken across three hospitals in the East of England. The design is a randomised, two-arm, parallel-group, non-inferiority trial with a 2-month follow-up. The experimental group will receive the guided iCBT intervention, whereas the active control group will receive the usual face-to-face clinical care. An independent researcher will randomly assign participants, using a computer-generated randomisation schedule, after stratification for tinnitus severity. There will be 46 participants in each group. The primary assessment measure will be the Tinnitus Functional Index. Data analysis will establish whether non-inferiority is achieved using a pre-defined non-inferiority margin.DiscussionThis protocol outlines phase III of a clinical trial comparing a new iCBT with established face-to-face care for tinnitus. If guided iCBT for tinnitus proves to be as effective as the usual tinnitus care, it may be a viable additional management route for individuals with tinnitus. This could increase access to evidence-based effective tinnitus care and reduce the pressures on existing health care systems.Trial registrationClinicalTrials.gov identifier: NCT02665975. Registered on 22 January 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1931-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Methodsmentioning

confidence: 99%

Guided Internet-based versus face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial

Beukes

Baguley

Allen

et al. 2017

Trials

View full text Add to dashboard Cite

show abstract

“…The Tinnitus Sample Case History Questionnaire (TSCHQ) was used to gather clinical and demographical data of all patients [14]. Tinnitus severity was assessed by the German version of the Tinnitus Questionnaire (TQ) [15], the Tinnitus Handicap Inventory (THI) [16], and several numeric rating scales concerning tinnitus loudness/discomfort/annoyance/ignorability and unpleasantness. In addition, the Beck Depression Inventory (BDI) was used for quantification of depressive symptoms [17].…”

Section: Methodsmentioning

confidence: 99%

The Relevance of the High Frequency Audiometry in Tinnitus Patients with Normal Hearing in Conventional Pure-Tone Audiometry

Vielsmeier

Lehner

Strutz

et al. 2015

BioMed Research International

View full text Add to dashboard Cite

Objective. The majority of tinnitus patients suffer from hearing loss. But a subgroup of tinnitus patients show normal hearing thresholds in the conventional pure-tone audiometry (125 Hz–8 kHz). Here we explored whether the results of the high frequency audiometry (>8 kHz) provide relevant additional information in tinnitus patients with normal conventional audiometry by comparing those with normal and pathological high frequency audiometry with respect to their demographic and clinical characteristics. Subjects and Methods. From the database of the Tinnitus Clinic at Regensburg we identified 75 patients with normal hearing thresholds in the conventional pure-tone audiometry. We contrasted these patients with normal and pathological high-frequency audiogram and compared them with respect to gender, age, tinnitus severity, pitch, laterality and duration, comorbid symptoms and triggers for tinnitus onset. Results. Patients with pathological high frequency audiometry were significantly older and had higher scores on the tinnitus questionnaires in comparison to patients with normal high frequency audiometry. Furthermore, there was an association of high frequency audiometry with the laterality of tinnitus. Conclusion. In tinnitus patients with normal pure-tone audiometry the high frequency audiometry provides useful additional information. The association between tinnitus laterality and asymmetry of the high frequency audiometry suggests a potential causal role for the high frequency hearing loss in tinnitus etiopathogenesis.

show abstract

“…An appropriate tool had already been developed, which was adapted for this purpose. The 10-item screening version of the Tinnitus Handicap Inventory (THI-S) has been psychometrically validated for test-retest reliability and for measuring activity limitation and participation restriction as a result of tinnitus (Newman, Sandridge, & Bolek 2008). The THI-S contains a subset of questions from the full 25-item version of the THI (Newman, Jacobson, & Spitzer 1996; Newman, Sandridge, & Jacobson 1998), and the two versions have been shown to have high comparability.…”

Section: Methodsmentioning

confidence: 99%

Pilot Study to Evaluate Ecological Momentary Assessment of Tinnitus

Henry

Galvez²,

Turbin³

et al. 2012

Ear &Amp; Hearing

View full text Add to dashboard Cite

Objectives Because audiometric evaluation, symptom histories, questionnaires, and similar standard assessment tools may not adequately sample the effects of chronic tinnitus on day-to-day activities, there is a need for alternative methodological approaches to study the impact of tinnitus on day-to-day life. An innovative methodological approach that has shown great promise in the study of chronic health problems characterized by reported temporal and/or situational variability in symptoms and distress is known as ecological momentary assessment (EMA). EMA involves the real time measurement of states, situational factors, and symptoms by individuals as they go about their day-to-day activities. The objective of this pilot investigation was to explore the feasibility of using EMA methods to examine within- and between-day effects of tinnitus. Design This study was conducted in three phases: (1) design and development of an EMA methodology that could be used to assess effects of tinnitus; (2) refinement of the methodology through the use of two focus groups; and (3) field-test the methodology with individuals who experienced bothersome tinnitus. For Phase 3, each of the 24 participants wore, throughout their waking hours for two weeks, a personal digital assistant that produced alerts four times a day. The alerts prompted participants to respond to 19 questions, including nine relating to situational and mood factors, and 10 comprising the Tinnitus Handicap Inventory - Screening version (THI-S). To evaluate for potential reactive effects of performing the EMA protocol, each participant completed the paper-and-pencil version of the full 25-item THI before and after the 2-week EMA period. Results Participants responded to the alerts with a 90% compliance rate, providing a total of 1210 completed surveys. At the time of their response, participants indicated they were in their house or apartment (67.7%), alone (50.2%), happy (50%), and calm (54.5%). Across most responses, participants could hear their tinnitus (97%), and the loudness of their tinnitus averaged 4.7 on a 7-point increasing-loudness scale. The mean THI-S index score (out of a possible maximum 40 points for greatest tinnitus severity) was 17.0 (moderate self-perceived tinnitus handicap). Repeated THI-S index scores varied considerably both within and between participants. Mean 25-item THI scores were not significantly different before and after the EMA period, suggesting little reactivity of the EMA. Conclusions The high compliance rate, positive feedback from participants, lack of reactivity as a result of performing the EMA protocol, and data collected indicate that EMA methodology is feasible with patients who have tinnitus. Outcome data obtained with this methodology cannot be obtained any other way because retrospective questionnaires cannot capture the day-to-day reactions. This methodology has the potential to provide more in-depth and accurate assessments of patients receiving therapy for tinnitus.

show abstract

Development and Psychometric Adequacy of the Screening Version of the Tinnitus Handicap Inventory

Abstract: The THI-S is a psychometrically robust screening measure of activity limitation and participation restriction.

Cited by 98 publications

References 14 publications

Guided Internet-based versus face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial

Guided Internet-based versus face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial

The Relevance of the High Frequency Audiometry in Tinnitus Patients with Normal Hearing in Conventional Pure-Tone Audiometry

Pilot Study to Evaluate Ecological Momentary Assessment of Tinnitus

Contact Info

Product

Resources

About