‘That’s just how I am’: a qualitative interview study to identify factors influencing engagement with a digital intervention for tinnitus self‐management

Greenwell, Kate; Sereda, Magdalena; Coulson, Neil; Geraghty, Adam W A; Bradbury, Katherine; Hoare, Derek J.

doi:10.1111/bjhp.12486

Cited by 6 publications

(5 citation statements)

References 34 publications

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“…The value of behaviour change interventions that make individuals feel they are ‘not alone’ is supported by other qualitative research with people with long-term conditions and parents/carers of children with eczema 23 33. Although this intervention focused mainly on treatment adherence as this was deemed to have the biggest influence on eczema severity, providing age-appropriate advice and support on how young people can better live with eczema was valuable for ensuring the content was engaging and relatable to this target group.…”

Section: Discussionmentioning

confidence: 94%

Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema

et al. 2022

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ObjectivesTo describe the development of Eczema Care Online (ECO), an online behaviour change intervention for young people with eczema (phase I); and explore and optimise the acceptability of ECO among this target group using think-aloud interviews (phase II).MethodsTheory-based, evidence-based and person-based approaches to intervention development were used. In phase I, a qualitative systematic review and qualitative interviews developed an in-depth understanding of the needs and challenges of young people with eczema. Guiding principles highlighted key intervention design objectives and features to address the needs of this target group to maximise user engagement. Behavioural analysis and logic modelling developed ECO’s hypothesised programme theory. In phase II, qualitative think-aloud interviews were carried out with 28 young people with eczema and the intervention was optimised based on their feedback.ResultsThe final intervention aimed to reduce eczema severity by supporting treatment use (emollients, topical corticosteroids/topical calcineurin inhibitors), management of irritants/triggers, emotional management and reducing scratching. Generally, young people expressed positive views of intervention content and design in think-aloud interviews. Quotes and stories from other young people with eczema and ECO’s focus on living with eczema (not just topical treatments) were valuable for normalising eczema. Young people believed ECO addressed knowledge gaps they had from childhood and the safety information about topical corticosteroids was reassuring. Negative feedback was used to modify ECO.ConclusionsA prototype of the ECO intervention was developed using rigorous and complementary intervention development approaches. Subsequent think-aloud interviews helped optimise the intervention, demonstrated ECO is likely to be acceptable to this target group, and provided support for our guiding principles including key design objectives and features to consider when developing interventions for this population. A randomised controlled trial and process evaluation of the intervention is underway to assess effectiveness and explore user engagement with the intervention’s behavioural goals.

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Section: Discussionmentioning

confidence: 94%

Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema

et al. 2022

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“…If workers have right knowledge, they will follow doctors' advice, accept regular treatment and correct bad life habits. Workers will feel tinnitus relief after regular treatment and the quality of life will be improved [27].…”

Section: Discussionmentioning

confidence: 99%

“…Their mean age was (37.82±10. 27 All the subjects participated voluntarily in this study and an inform consent was lled in by each.…”

Section: Subjectsmentioning

confidence: 99%

Occupational Noise-Induced Tinnitus：Knowledge, Attitude and Practice (KAP)

Bai

et al. 2020

Preprint

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Background: Occupational noise is the most common hazards in the workplaces. Noise exposure may induce tinnitus (ringing in the ears), which seriously affects workers’ normal life, even impair their work performance. To investigate associations between if respondents are awareness of tinnitus induced by occupational noise (Knowledge), what the viewpoint they have (Attitude) and how they cope with it (Practice). Methods: A questionnaire based cross-sectional study was conducted. 519 noise-exposed workers in railway transportation mechanical manufacturers were recruited as the exposed group. 515 non noise-exposed workers as the control group. To investigate the effects of noise exposure level, the exposed group was classified into 4 subgroups according to sound level measurements reported by industrial hygienists., while the exposed group was categorized into 3 subgroups according to usage of personal hearing protection device (PHPD). Questionnaire was focused on medical history, occupational history, life habits and tinnitus for all participants. Qualified audiologists assessed hearing threshold by using standardized audio-metric procedures assuring at least 48 h of noise avoidance.Results: The prevalence of tinnitus were 36.6% and 18.8% in the exposed group and in the control group, respectively. The difference was statistically significant (c2=40.725, P<0.05). The prevalence of tinnitus were 36.2%, 20.5% and 41.7% in 3 using PHPD subgroups of the exposed group. The difference was statistically significant (c2=6.072, P<0.05). The prevalence of tinnitus were 34.7%，8.3%，63.6% and 54.0% in 4 sound level subgroups. The difference was statistically significant (c2trend=30.491, P < 0.05). The percentage of clinic visit for tinnitus was 15.8% in the exposed group. 93.2% workers claimed tinnitus symptoms were unimproved since they still heard buzzing or ringing in ears. 81.05% of them gave up treatment. The percentage of clinic visit for tinnitus was 7.2% in the control group and 99.0% workers claimed tinnitus symptoms were unimproved. Conclusions: Only when workers have awareness of tinnitus and tinnitus treatment can they have positive attitude and better practice. Noise-exposed workers should periodically attend educational courses on “taking care of your ears” and should be under the supervision.

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“…These hypothesized mechanisms of action can be tested in future process analyses. Consistent with a person-based approach, the Tinnitus E-Programme 2.0 has been evaluated using think-aloud interviews to explore users' reactions to and expectations of the Tinnitus E-Programme 2.0 in order to test and refine the intervention (Greenwell et al, 2020). Before the intervention can be implemented in clinical practice, its effectiveness must be established through a definitive randomized controlled trial.…”

Section: Clinical Implications and Future Directionsmentioning

confidence: 99%

Intervention Planning for the Tinnitus E-Programme 2.0, an Internet-Based Cognitive Behavioral Intervention for Tinnitus

et al. 2021

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Purpose The purpose of this study is to comprehensively describe the intervention planning process for the Tinnitus E-Programme 2.0, an Internet-based cognitive behavioral intervention for tinnitus. Method Theory-, evidence-, and person-based approaches to intervention development were used. In Phase 1, quantitative systematic reviews were used to identify potentially effective intervention techniques and design features. Primary mixed-methods research involving adults with tinnitus explored the acceptability of the first version of the intervention. In Phase 2, person-based guiding principles highlighted key intervention design objectives and features to address needs of the intervention's target group (identified in Phase 1) to maximize its acceptability, feasibility of delivery, and effectiveness. Theory-based “behavioral analysis” and “logic modeling” comprehensively described intervention content and potential mechanisms of action. From this planning work, a prototype intervention was developed. Results The intervention design objectives outlined in the guiding principles were to (a) normalize tinnitus, (b) support users to maintain a regular relaxation practice, (c) minimize the worsening of users' tinnitus sensation, and (d) ensure the intervention is accessible to those with hearing loss. Behavioral analysis and logic modeling identified intervention processes (e.g., illness perceptions, beliefs about consequences, skills, goals) and purported mediators (acceptance of tinnitus, negative thinking, use of the cognitive skills tools for managing negative thoughts, and practicing regular relaxation) hypothesized to facilitate reductions in tinnitus symptom severity. Conclusions The guiding principles highlight key design objectives and features to consider when developing interventions for tinnitus. The logic model offers hypothesized mechanisms of action that can be tested in future process analyses.

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‘That’s just how I am’: a qualitative interview study to identify factors influencing engagement with a digital intervention for tinnitus self‐management

Cited by 6 publications

References 34 publications

Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema

Eczema Care Online: development and qualitative optimisation of an online behavioural intervention to support self-management in young people with eczema

Occupational Noise-Induced Tinnitus：Knowledge, Attitude and Practice (KAP)

Intervention Planning for the Tinnitus E-Programme 2.0, an Internet-Based Cognitive Behavioral Intervention for Tinnitus

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