Internet-Delivered Psychological Treatments for Tinnitus: A Brief Historical Review

Andersson, Gerhard

doi:10.1044/2022_aja-21-00245

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…Availability of CBT varies, and in the UK a five-fold discrepancy exists in accredited CBT practitioner numbers between the best and least well-served population decile [7]. Internet-based CBT has been explored as a therapy for tinnitus [8] and found as effective as face-to-face CBT across different health conditions [9]. The proliferation of smartphone technology has led to the development of a number of app-delivered therapies for a variety of conditions, with development accelerated by the COVID-19 pandemic [10].…”

Section: Introductionmentioning

confidence: 99%

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a randomised controlled trial

Smith,

Sharma,

Rivero-Arias

et al. 2024

PLoS ONE

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Tinnitus is a common health condition, affecting approximately 15% of the UK population. The tinnitus treatment with the strongest evidence base is Cognitive Behavioural Therapy (CBT), with standard tinnitus therapy typically augmented with education, relaxation and other techniques. Availability of CBT and conventional tinnitus therapy more broadly is limited for tinnitus sufferers. The DEFINE trial aims to assess whether smartphone-delivered tinnitus therapy, the Oto app, is as effective as current standard care, one-to-one therapist-delivered tinnitus treatment for the treatment of tinnitus in adults. The trial is registered in the ISRCTN Registry: ISRCTN99577932. DEFINE is an open-label, non-inferiority, prospective, parallel design, randomised-controlled trial. Recruitment, interventions and assessments will be remote, enabling UK-wide participant involvement. 198 participants aged 18 years or more will be recruited via social media advertisement or via primary care physicians. A screening process will identify those with tinnitus that impacts health-related quality of life, and following consent smartphone-based audiometry will be performed. Randomisation 1:1 to the Oto app or one-to-one therapist-led tinnitus therapy will be performed centrally by computer, matching groups for age, sex and hearing level. Following participant allocation, the Oto app will be provided for immediate use, or a one-to-one remote therapy appointment booked to occur within approximately 1 week, with up to 6 sessions delivered. Participant outcomes will be collected at 4,12, 26 and 52 weeks via questionnaire and phone call. The primary outcome is the change in Tinnitus Functional Index (TFI) total score measured at 26 weeks following allocation. Adverse events will be recorded. A health economic evaluation in the form of a cost-utility analysis will be performed using data from participant submitted EuroQol 5D-5L and Health Utilities Index Mark 3 scores and resource use data. Trial results will be made publicly available, including a plain English summary.

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Section: Introductionmentioning

confidence: 99%

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a randomised controlled trial

Smith,

Sharma,

Rivero-Arias

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Availability of CBT varies, and in the UK a five-fold discrepancy exists in accredited CBT practitioner numbers between the best and least wellserved population decile (7). Internet-based CBT has been explored as a therapy for tinnitus (8) and found as effective as face-to-face CBT across different health conditions (9). The proliferation of smartphone technology has led to the development of a number of appdelivered therapies for a variety of conditions, with development accelerated by the COVID-19 pandemic (10).…”

Section: Introductionmentioning

confidence: 99%

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a Randomised Controlled Trial

Smith,

Sharma,

Rivero-Arias

et al. 2023

Preprint

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Tinnitus is a common health condition, affecting approximately 15% of the UK population. The tinnitus treatment with the strongest evidence base is Cognitive Behavioural Therapy (CBT), with standard tinnitus therapy typically augmented with education, relaxation and other techniques. Availability of CBT and conventional tinnitus therapy more broadly is limited for tinnitus sufferers.The DEFINE trial aims to assess whether smartphone-delivered tinnitus therapy, the Oto app, is as effective as current standard care, one-to-one therapist-delivered tinnitus treatment for the treatment of tinnitus in adults. The trial is registered in the ISRCTN Registry:ISRCTN99577932.DEFINE is an open-label, non-inferiority, prospective, parallel design, randomised-controlled trial. Recruitment, interventions and assessments will be remote, enabling UK-wide participant involvement.198 participants aged 18 years or more will be recruited via social media advertisement or via primary care physicians. A screening process will identify those with tinnitus that impacts health-related quality of life, and following consent smartphone-based audiometry will be performed. Randomisation 1:1 to the Oto app or one-to-one therapist-led tinnitus therapy will be performed centrally by computer, matching groups for age, sex and hearing level. Following participant allocation, the Oto app will be provided for immediate use, or a one-to-one remote therapy appointment booked to occur within approximately 1 week, with up to 6 sessions delivered.Participant outcomes will be collected at 4,12, 26 and 52 weeks via questionnaire and phone call. The primary outcome is the change in Tinnitus Functional Index (TFI) total score measured at 26 weeks following allocation. Adverse events will be recorded. A health economic evaluation in the form of a cost-utility analysis will be performed using data from participant submitted EuroQol 5D-5L and Health Utilities Index Mark 3 scores and resource use data.Trial results will be made publicly available, including a plain English summary.

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Introduction for the 5th International Meeting on Internet and Audiology Special Issue of theAmerican Journal of Audiology

et al. 2022

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Internet-Delivered Psychological Treatments for Tinnitus: A Brief Historical Review

Cited by 5 publications

References 45 publications

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a randomised controlled trial

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a randomised controlled trial

Digital thErapy For Improved tiNnitus carE Study (DEFINE): Protocol for a Randomised Controlled Trial

Introduction for the 5th International Meeting on Internet and Audiology Special Issue of theAmerican Journal of Audiology

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