TY - JOUR
T1 - Randomized controlled trial in clinical settings to evaluate effectiveness of coping skills education used with progressive tinnitus management
AU - Henry, James A.
AU - Thielman, Emily J.
AU - Zaugg, Tara L.
AU - Kaelin, Christine
AU - Schmidt, Caroline J.
AU - Griest, Susan
AU - McMsillan, Garnett P.
AU - Myers, Paula
AU - Rivera, Izel
AU - Baldwin, Robert
AU - Carlson, Kathleen
N1 - Publisher Copyright:
© 2017 American Speech-Language-Hearing Association.
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85019664819&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85019664819&partnerID=8YFLogxK
U2 - 10.1044/2016_JSLHR-H-16-0126
DO - 10.1044/2016_JSLHR-H-16-0126
M3 - Article
C2 - 28418492
AN - SCOPUS:85019664819
SN - 1092-4388
VL - 60
SP - 1378
EP - 1397
JO - Journal of Speech, Language, and Hearing Research
JF - Journal of Speech, Language, and Hearing Research
IS - 5
ER -